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Published on: August 7, 2017
Effects of vitamin D levels on asthma control and severity in pre-school children
1Department of Pediatric Allergy and Immunology, Eskisehir State Hospital, Eskisehir, Turkey. aturkeli1965@hotmail.com.
Insights
Children with asthma have lower vitamin D levels, increasing their risk of poor asthma control and severity. Vitamin D sufficiency is linked to better asthma management in preschoolers.
Area of Science:
- Pediatrics
- Immunology
- Nutritional Science
Background:
- Asthma and vitamin D deficiency are increasingly prevalent, contributing to significant health issues.
- Understanding the interplay between vitamin D and childhood asthma is crucial for effective management.
Purpose of the Study:
- To compare vitamin D levels in preschool children with asthma versus healthy controls.
- To investigate the association between vitamin D status and asthma control and clinical parameters in young children.
Main Methods:
- Serum 25(OH)D3 levels were measured in 102 preschool children (1-4 years) with asthma and 102 healthy controls during winter.
- Asthma control was assessed using GINA guidelines and the TRACK tool.
- Asthma patients were categorized by vitamin D levels: sufficient, insufficient, and deficient.
Main Results:
- Children with asthma had significantly lower vitamin D levels (22.64 ng/ml) compared to controls (32.11 ng/ml).
- Vitamin D sufficiency correlated with fewer asthma exacerbations and better asthma control.
- Higher frequency of controlled asthma was observed in the vitamin D sufficient group.
Conclusions:
- Vitamin D deficiency and insufficiency are more common in preschool children with asthma.
- Lower vitamin D levels are associated with poorer asthma control and increased asthma severity in this age group.
Objective:
Prevalence of asthma and vitamin D deficiency has been increasing and leading to significant morbidities. This study aimed to compare the vitamin D levels in the pre-school children with asthma and in healthy controls and to assess the relationship between vitamin D levels and asthma clinical parameters and control.
Patients And Methods:
Vitamin D [25(OH)D3] levels were measured in 102 pre-school children, aged 1-4 years with asthma and 102 healthy controls in winter. The patients with asthma were grouped according to serum vitamin D levels as sufficient, insufficient and deficient. Asthma control was classified according to the Global Initiative for Asthma (GINA) guidelines and the Test for Respiratory and Asthma Control in Kids (TRACK) in 1-4 years-old children.
Results:
Serum vitamin D levels were 22.64 (9.96) ng/ml in the asthma group and 32.11 (14.74) ng/ml in the control group (p = 0.001). Total number of exacerbations during the previous year were significantly lower in the vitamin D sufficient group, compared to the deficient and insufficient groups (p = 0.03). Frequency of patients with controlled asthma was higher in the sufficient group compared to the deficient and insufficient groups (p = 0.001 and p = 0.001, respectively). There was a positive correlation between serum vitamin D levels and asthma control.
Conclusions:
The frequency of vitamin D deficiency and insufficiency was higher in children with asthma, compared to the controls. Therefore, we suggest that lower levels of vitamin D are associated with poor asthma control and increased asthma severity.
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