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Published on: January 26, 2019
Better newborn vitamin D status lowers RSV-associated bronchiolitis in infants
Christy S Maxwell1, Elena T Carbone, Richard J Wood
1Department of Nutrition, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts 01003, USA.
Insights
Low vitamin D in newborns is linked to higher risks of respiratory infections like pneumonia. Improving maternal vitamin D levels during pregnancy may reduce these risks in infants, a crucial public health goal.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- Pneumonia causes 1.5 million deaths annually in children under 5.
- Respiratory Syncytial Virus (RSV) is a leading cause of infant pneumonia and bronchiolitis in the US.
- Low serum 25-hydroxyvitamin D [25(OH)D] is associated with increased risk of lower respiratory tract infections (LRTI).
Purpose of the Study:
- To examine the association between cord blood 25(OH)D levels and the risk of respiratory infections in young children.
- To highlight the public health significance of vitamin D status in preventing infant respiratory infections.
Main Methods:
- Review of recent studies investigating cord blood 25(OH)D and subsequent respiratory infection risk.
- Analysis of the relationship between maternal vitamin D status and infant outcomes.
Main Results:
- Two recent studies indicate a link between cord blood 25(OH)D and respiratory infection risk.
- Findings suggest a potential protective effect of higher vitamin D levels.
Conclusions:
- Higher cord blood 25(OH)D may reduce the risk of respiratory infections in infants.
- Further research is needed to confirm if maternal vitamin D supplementation during pregnancy can decrease RSV-associated LRTI in offspring.
- Addressing low vitamin D status globally is critical for reducing infant mortality from respiratory infections.
Abstract:
Each year 1.5 million children under the age of 5 years die from pneumonia. In the United States, respiratory syncytial virus (RSV) is the number one cause of bronchiolitis and pneumonia in children under 1 year of age. Low serum 25(OH)D is associated with an increased risk of lower respiratory tract infections (LRTI). Two recent studies have provided important information concerning the association between cord blood 25(OH)D and subsequent risk of developing respiratory infection in very young children. These findings support the need in future studies to determine the extent to which an intervention to change the vitamin D status of mothers during pregnancy can reduce the risk of RSV-associated LRTI in their offspring. An answer to this question would have significant worldwide public health importance given the high prevalence of low vitamin D status worldwide and the high mortality burden accompanying infectious lung diseases in young children.
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