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Bronchial asthma and hypovitaminosis D in Saudi children
Huria M Aldubi1, Eman M Alissa1, Hayat Z Kamfar2
1Department of Clinical Biochemistry, King AbdulAziz University, Jeddah 21483, Saudi Arabia.
Insights
Low vitamin D levels are common in children with asthma and linked to increased allergy and asthma severity markers. This suggests vitamin D deficiency may worsen childhood asthma.
Area of Science:
- Pediatric Allergy and Immunology
- Nutritional Immunology
- Respiratory Medicine
Background:
- Asthma is a prevalent childhood respiratory condition triggered by immune overreactions to environmental factors.
- Vitamin D possesses known immunomodulatory effects, making it a potential factor in asthma development and severity.
Purpose of the Study:
- To examine the association between vitamin D status and indicators of asthma severity in Saudi children.
- To investigate correlations between vitamin D levels and various immunological and inflammatory markers related to asthma.
Main Methods:
- A study involving 70 Saudi children (with and without asthma) in Jeddah.
- Assessment of asthma control using the Childhood Asthma Control Test, pulmonary function tests (peak expiratory flow), and anthropometric measurements.
- Analysis of blood samples for vitamin D (25-hydroxyvitamin D), bone profile, cytokine profiles (IL-10, TNF-α, PDGF), IgE, and eosinophil counts.
Main Results:
- High prevalence of vitamin D deficiency (hypovitaminosis D) observed in asthmatic children.
- Significantly elevated markers of allergy and asthma severity were noted in children with vitamin D deficiency compared to controls.
- Lower 25-hydroxyvitamin D levels correlated with increased asthma prevalence and severity markers.
Conclusions:
- Hypovitaminosis D is widespread in the studied population, particularly among children with asthma.
- Vitamin D deficiency is associated with increased allergy markers and asthma severity in children.
- The findings highlight a significant link between low vitamin D levels and childhood asthma.
Background:
Asthma, a common lung disease in children, is caused by excessive immune responses to environmental antigens.
Objective:
Given the immuno-modulatory properties of vitamin D, the aim of the current study was to investigate the relationship between vitamin D levels and markers of asthma severity.
Methods:
This was investigated in a 70 Saudi children with and without asthma and were recruited from the King Abdul Aziz University Hospital, Jeddah, Saudi Arabia, over the period of 11 months (May 2011-April 2012). Childhood asthma control test instrument was employed to assess the level of asthma control among asthmatic patients. Anthropometric measurements were taken and interviewer-administrated questionnaire was completed for all study participants. Pulmonary function test was performed by recording changes in the peak expiratory flow. Venous blood samples were withdrawn for measurements of vitamin D, bone profile, cytokines profile (interleukin-10, tumor necrosis factor-alpha, platelets derived growth factor), and atopy markers (IgE and eosinophil count).
Results:
Hypovitaminosis D is highly prevalent among asthmatic children with highly significant increase in several markers of allergy and asthma severity as compared with healthy control children. Significant correlations between several inflammatory and immunological markers and vitamin D levels were also found. Finally, lower 25-hydroxyvitamin D levels were associated with a higher asthma prevalence in multivariable analysis.
Conclusion:
Our study showed that hypovitaminosis D is highly prevalent in the whole population in addition to a highly significant increase in several markers of allergy and asthma severity among asthmatic children as compared with healthy control children.
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