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Published on: June 4, 2017
Suboptimal vitamin D status in a population-based study of Asian children: prevalence and relation to allergic
Tsung-Chieh Yao1, Yu-Ling Tu2, Su-Wei Chang3
1Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan; Community Medicine Research Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan.
Insights
Vitamin D deficiency is common in Taiwanese children, with over 50% showing deficiency. This study found no link between vitamin D levels and allergic diseases in this population.
Area of Science:
- Pediatrics
- Nutritional Science
- Immunology
Background:
- Vitamin D deficiency is globally prevalent.
- Emerging evidence suggests a potential link between vitamin D status and allergic conditions.
- Suboptimal vitamin D levels are a growing public health concern.
Purpose of the Study:
- To determine the prevalence of suboptimal vitamin D status in Asian children.
- To investigate the relationship between vitamin D status and allergic diseases (asthma, rhinitis, eczema) and atopy.
- To assess the association with total serum immunoglobulin E (IgE) levels.
Main Methods:
- The study included 1315 children aged 5-18 years from the Prediction of Allergies in Taiwanese CHildren (PATCH) study.
- Data collected included questionnaires, anthropometric measurements, and serum levels of 25-hydroxyvitamin D [25(OH)D].
- Serum total and specific immunoglobulin E (IgE) levels were also measured.
Main Results:
- The mean serum 25(OH)D level was 20.4 ng/mL.
- Vitamin D deficiency (<20 ng/mL) was observed in 51.0% of children, and insufficiency (<30 ng/mL) in 90.3%.
- Low serum 25(OH)D levels were associated with older age, female gender, higher BMI, winter/spring seasons, and passive smoking. No association was found between vitamin D status and allergic diseases or atopy after adjusting for confounders.
Conclusions:
- Suboptimal vitamin D levels are highly prevalent in Taiwanese children, indicating a significant public health issue.
- The study provides epidemiological evidence refuting a link between vitamin D status and allergic diseases or atopy in this pediatric population.
- These findings highlight the need for further research into vitamin D supplementation strategies and their impact on allergic conditions in children.
Background:
New evidence shows high prevalence of vitamin D deficiency in many countries and some studies suggest a possible link between vitamin D status and allergic diseases. The objectives of this study were to determine the prevalence of suboptimal vitamin D status in a population sample of Asian children and to investigate the relationship of vitamin D status with allergic diseases and atopy.
Methods:
Children aged 5-18 years (N = 1315) in the Prediction of Allergies in Taiwanese CHildren (PATCH) study were evaluated using questionnaires, anthropometric measurements, and serum levels of 25-hydroxyvitamin D [25(OH)D] and total and specific immunoglobulin E (IgE).
Results:
The mean concentration of serum 25(OH)D was 20.4 ng/mL (SD: 7.1 ng/mL). Vitamin D deficiency (defined as serum 25(OH)D<20 ng/mL) was present in 670 subjects (51.0%), while vitamin D insufficiency (defined as serum 25(OH)D<30 ng/mL) was observed in 1187 subjects (90.3%). Older age (P<0.001), female gender (P<0.001), higher body mass index (P = 0.001), winter and spring seasons (compared to summer; P both<0.001), and passive smoking (P = 0.011) were independently associated with low serum 25(OH)D levels. After adjusting for potential confounders, serum 25(OH)D status had no association with asthma, rhinitis, eczema, atopy, or total serum IgE (all P>0.05).
Conclusions:
Low serum 25(OH)D levels are remarkably common in this population sample of Asian children, suggesting that millions of children living in Taiwan may have suboptimal levels of vitamin D, which should be a matter of public health concern. Our results provides epidemiological evidence against the association of vitamin D status with various allergic diseases and atopy in Asian children.
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