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Published on: August 7, 2017
Vitamin D deficiency as a strong predictor of asthma in children
Abdulbari Bener1, Mohammad S Ehlayel, Meri K Tulic
1Department of Medical Statistics and Epidemiology, Hamad Medical Corporation, Doha, Qatar. abener@hmc.org.qa
Insights
Vitamin D deficiency is common in children with asthma, with 68.1% of asthmatic children deficient. Low vitamin D levels are a significant predictor of childhood asthma in Qatar.
Area of Science:
- Pediatric Allergy and Immunology
- Nutritional Science
- Epidemiology
Background:
- Epidemiological data suggests a correlation between early-life vitamin D deficiency and the subsequent development of asthma.
- Understanding this link is crucial for pediatric respiratory health.
Purpose of the Study:
- To quantify serum vitamin D levels in children diagnosed with asthma.
- To compare these levels against a control group of healthy, non-asthmatic children.
Main Methods:
- A cohort of 483 asthmatic children and 483 healthy controls under 16 years were recruited in Qatar.
- Serum 25-hydroxyvitamin D, calcium, phosphorus, alkaline phosphatase, magnesium, creatinine, and parathyroid hormone were assayed.
- Vitamin D deficiency was defined as serum levels below 20 ng/ml.
Main Results:
- Asthmatic children exhibited significantly lower serum vitamin D levels (p < 0.001) compared to controls.
- A high prevalence of vitamin D deficiency was observed in asthmatic children (68.1%), with higher rates of moderate and severe deficiency.
- Reduced phosphorus and magnesium, elevated alkaline phosphatase and IgE, less sunlight exposure, and lower physical activity were noted in asthmatics.
- Vitamin D deficiency emerged as the strongest predictor of asthma (OR 4.82).
Conclusions:
- The majority of asthmatic children in this study presented with vitamin D deficiency.
- Vitamin D deficiency is a significant predictor of asthma in the pediatric population of Qatar.
Background:
Epidemiological studies suggest a link between vitamin D deficiency in early life and development of asthma in later life.
Aim:
The aim of this study was to measure serum vitamin D levels in asthmatic children and to compare these to healthy non-asthmatic controls.
Methods:
Asthmatic (n = 483) and healthy control (n = 483) children were recruited from the Pediatric Allergy-Immunology Clinics of Hamad General Hospital and the Primary Health Care Clinics in Qatar from October 2009 to July 2010. All children were below 16 years of age and asthma was diagnosed by a physician. Parents of all children completed extensive questionnaires documenting demographics, child's feeding practice and vitamin D intake. Serum vitamin D (25-hydroxyvitamin D), calcium, phosphorus, alkaline phosphatase, magnesium, creatinine and parathyroid hormone assays were performed. Subjects with serum containing less than 20 ng/ml vitamin D were deemed deficient.
Results:
Asthmatic children had significantly reduced serum vitamin D levels compared to non-asthmatic children (p < 0.001); 68.1% of all asthmatics were vitamin D deficient. Asthmatic children had significantly higher degrees of moderate (41.8 vs. 25.1%) and severe (26.3 vs. 11.0%) vitamin D deficiency compared to healthy controls (p < 0.001). Positive familial history of vitamin D deficiency (35.6%, p = 0.005) and asthma (36.4%, p = 0.009) were significantly higher in asthmatic children. Along with vitamin D deficiency, asthmatics also had reduced phosphorus (p < 0.001) and magnesium (p = 0.001) levels but elevated serum alkaline phosphatase (p < 0.001) and IgE (p < 0.001). The majority of asthmatic children had less exposure to sunlight (66.7%, p = 0.006) and less physical activity (71.3%, p < 0.001). Vitamin D deficiency was the strongest predictor of asthma in this population (OR 4.82; 95% CI 2.41-8.63, p < 0.001).
Conclusion:
The present study revealed that the majority of asthmatic children had vitamin D deficiency compared to control children. Vitamin D deficiency was the major predictor of asthma in Qatari children.
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