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Published on: August 7, 2017
Evidence for the role of inadequate vitamin D in asthma severity among children
Lauren E Staple1, Stephen J Teach
1Division of Emergency Medicine, Children's National Medical Center, Washington, DC, USA.
Insights
Low vitamin D levels are common in children with asthma, but more research is needed to confirm if vitamin D deficiency causes increased asthma severity. Clinical trials are required to establish a causal link.
Area of Science:
- Pediatric Medicine
- Nutritional Science
- Respiratory Health
Background:
- Asthma is a leading chronic illness in US children, disproportionately affecting minority and underserved groups.
- Vitamin D deficiency (hypovitaminosis D) is widespread globally.
- Shared risk factors link asthma and vitamin D deficiency.
Purpose of the Study:
- To examine the relationship between vitamin D levels and asthma severity in children.
- To review existing evidence on the correlation between vitamin D and pediatric asthma.
Main Methods:
- Review of observational studies investigating asthma and vitamin D levels.
- Analysis of the prevalence of hypovitaminosis D in relation to asthma.
Main Results:
- Observational studies indicate a correlation between lower vitamin D levels and increased asthma severity.
- Causal evidence linking vitamin D deficiency to asthma morbidity is currently lacking.
Conclusions:
- While a correlation exists, the direct role of vitamin D deficiency in pediatric asthma morbidity remains uncertain.
- Further clinical trials are necessary to determine if vitamin D supplementation can impact asthma outcomes in children.
Abstract:
Asthma is the most common chronic pediatric medical condition in the United States and accounts for significant morbidity, particularly among minority and disadvantaged populations. Hypovitaminosis D is also highly prevalent throughout the developed world, and many of the risk factors for hypovitaminosis D and asthma are the same. Several recent observational studies have documented a correlation between asthma severity and vitamin D levels; however, there is no strong evidence for causality yet. Until trials of vitamin D supplementation among children with asthma are performed, the role of low levels of vitamin D in causing asthma morbidity will remain unclear.
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