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Childhood asthma and vitamin D deficiency in Turkey: is there cause and effect relationship between them?
Metin Uysalol1, Levent Cem Mutlu, Gamze Varol Saracoglu
1Department of Pediatrics, Istanbul Faculty of Medicine, Istanbul University, Fatih/Capa, 34093 Istanbul, Turkey. metin.uysalol@gmail.com.
Insights
Vitamin D deficiency is common in children with asthma, linked to less sunlight exposure and poorer diets. Lower vitamin D levels correlate with increased asthma severity and respiratory infections.
Area of Science:
- Pediatric Pulmonology
- Nutritional Science
- Epidemiology
Background:
- Vitamin D deficiency is a global health concern.
- It is associated with various diseases, including childhood asthma.
- Understanding these associations is crucial for public health.
Purpose of the Study:
- To evaluate vitamin D insufficiency in children.
- To determine the clinical consequences of vitamin D insufficiency in asthmatic children.
- To investigate the relationship between vitamin D levels and asthma severity.
Main Methods:
- A cross-sectional study involving 170 children (85 asthmatic, 85 healthy), aged 2-14 years.
- Assessment of serum vitamin D levels, dietary habits, sunlight exposure, and healthcare utilization.
- Evaluation of asthma severity and control using Global Initiative for Asthma guidelines.
Main Results:
- Asthmatic children had significantly lower vitamin D levels (16.6 ng/mL) compared to healthy controls (28.2 ng/mL).
- Asthma group showed reduced sunlight exposure and lower dietary vitamin D intake.
- Lower vitamin D levels were associated with increased asthma severity, more frequent respiratory infections, and hospitalizations.
Conclusions:
- A significant correlation exists between plasma 25(OH)D levels and childhood asthma.
- Factors beyond vitamin D influence this relationship, necessitating further research.
- This study highlights the importance of vitamin D status in pediatric asthma management.
Background:
Epidemiological studies show that vitamin D deficiency and insufficiency are common worldwide and associated with many diseases including asthma. Our aim was to evaluate vitamin D insufficiency and its clinical consequences.
Methods:
This cross-sectional study was carried out on 170 children consisted of 85 who were asthmatic and 85 who were not, aged 2 to 14 years in Tekirdag, Turkey, from September 2009 to May 2010. Children's basal serum D vitamin levels were determined, and their eating habits, vitamin D intake, exposure to sunlight and use of health services during the previous year were investigated. The severity of asthma and levels of asthma control were assessed according to the Global Initiative for Asthma guidelines.
Results:
The difference between mean vitamin D levels in the asthmatic group (mean +/- SD) 16.6 +/- 8.5 ng/mL and the healthy control group (mean +/- SD) 28.2 +/- 19.5 ng/mL was found to be statistically significant (p < 0.001). Children in the asthma group had less exposure to sunlight and ate a diet less rich in vitamin D (p < 0.001). A significant difference was observed between the groups regarding the frequency of respiratory tract infections leading to emergency unit admissions and number of hospitalizations (p < 0.001). It was also shown that a decrease in vitamin D level increased the severity of asthma (p < 0.001) and decreased the frequency of controlled asthma (p = 0.010).
Conclusion:
This study has demonstrated the correlation between plasma 25 (OH) D levels and childhood asthma. Evidently, this relationship being influenced by multiple factors other than vitamin D, further studies should be conducted to explore the interrelation between all such factors.
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