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.

Plos One
|June 4, 2014
PubMed

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.
Abstract

Related Concept Videos

Allergic Reactions02:06

Allergic Reactions

Overview
26.3K
Allergic Reactions: Anaphylaxis01:30

Allergic Reactions: Anaphylaxis

Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin,...
278
Allergic Drug Reactions01:27

Allergic Drug Reactions

Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing...
1.6K
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
39
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
99
Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial...
206