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Vitamin D and depressive symptoms in children with cystic fibrosis
Beth A Smith1, Alex Cogswell1, Georgina Garcia2
1Division of Child and Adolescent Psychiatry, State University of New York at Buffalo, Buffalo, NY.
Insights
Vitamin D deficiency is common in cystic fibrosis (CF) patients and linked to more depressive symptoms. This study found low vitamin D levels were associated with higher depression scores in youth with CF.
Area of Science:
- Pediatric Health
- Endocrinology
- Mental Health
Background:
- Vitamin D deficiency is prevalent in cystic fibrosis (CF) patients.
- The link between vitamin D levels and depression in CF has not been studied.
- Low vitamin D (hypovitaminosis D) is nearly universal in individuals with CF.
Purpose of the Study:
- To investigate the association between serum 25-hydroxyvitamin D (25(OH)D) levels and depressive symptoms in youth with CF.
- This pilot study sought to understand the relationship between vitamin D status and depression in a pediatric CF population.
Main Methods:
- A cross-sectional study analyzed serum 25(OH)D and Children's Depression Inventory (CDI) scores in 38 youth (ages 7-17) with CF.
- Depressive symptoms were assessed using the CDI (scores >12 indicating significance).
- Vitamin D insufficiency was defined as 25(OH)D levels <30 ng/mL.
Main Results:
- 59% of participants had insufficient vitamin D levels.
- 28% of youth with CF exhibited significant depressive symptoms.
- Serum 25(OH)D levels were negatively correlated with CDI scores (r = -0.55, p < 0.001), indicating lower vitamin D was linked to higher depression scores.
Conclusions:
- Vitamin D insufficiency is associated with depressive symptoms in youth with cystic fibrosis.
- Further research with larger sample sizes and diagnostic methods is needed to confirm the link between vitamin D and depression in CF.
Background:
Vitamin D deficiency has been hypothesized to play a role in the development of depression. Hypovitaminosis D is almost universal in patients with cystic fibrosis (CF). No studies to date have explored associations between serum concentrations of 25-hydroxyvitamin D (25(OH)D), a standard measure of vitamin D, and depression in patients with CF.
Objective:
This pilot study aimed to explore the relationship between 25(OH)D and the presence of depressive symptoms among youth with CF.
Methods:
A cross-sectional study was conducted at an ambulatory Cystic Fibrosis Center clinic. Serum 25(OH)D and Children's Depression Inventory (CDI) scores were analyzed from 38 youths with CF ages 7-17 years. Child depressive symptoms were measured using the CDI, with scores above 12 indicating a significant level of depressive symptoms. Serum 25(OH)D concentration were measured using the liaison 25 OH vitamin D assay. Insufficient vitamin D status was defined as a circulating 25(OH)D concentration less than 30 ng/mL.
Results:
Insufficient vitamin D levels were found in 59% of patients; 28% of patients had significant levels of depressive symptoms on the CDI (scores >12). Serum 25(OH)D was negatively associated with CDI scores (r = -0.55; p < 0.001), and the group of patients with insufficient 25(OH)D levels indeed reported significantly more depressive symptoms (t = 4.26; p < 0.001).
Conclusions:
25(OH)D insufficiency was associated with depressive symptoms in this cohort of youth with CF. Future rigorous studies investigating vitamin D and depression in CF are warranted with larger sample sizes using confirmatory methods to diagnose depressive disorders.
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