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The association between hypovitaminosis D and pediatric allergic diseases: A Korean nationwide population-based study
Hea-Kyoung Yang1, Jaehee Choi, Woo Kyung Kim
13Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Insights
Low vitamin D levels are common in Korean schoolchildren and linked to increased symptoms of atopic dermatitis (AD) and allergic rhinitis (AR). This study highlights the association between vitamin D insufficiency and allergic disease prevalence in children.
Area of Science:
- Pediatric Allergy and Immunology
- Nutritional Science
- Public Health
Background:
- The relationship between vitamin D and allergic diseases remains debated.
- Understanding this link is crucial for public health initiatives.
Purpose of the Study:
- To examine the association between serum vitamin D levels and recent allergic disease symptoms in elementary schoolchildren.
- Investigate vitamin D status in a large cohort of young children.
Main Methods:
- A nationwide cross-sectional survey of 3720 children aged 6-7 years.
- Diagnoses of atopic dermatitis (AD), asthma, and allergic rhinitis (AR) based on medical treatment and physical examination.
- Serum 25-hydroxyvitamin D (25[OH]D) levels measured via chemiluminescent immunoassay.
Main Results:
- High prevalence of vitamin D insufficiency (64.0%) and deficiency (18.4%) observed.
- Lower vitamin D levels correlated with increased odds of allergic rhinitis and current atopic dermatitis.
- A significant association was found between lower vitamin D and positive skin-prick test reactivity.
Conclusions:
- Korean elementary schoolchildren exhibit a high prevalence of vitamin D deficiency and insufficiency.
- Low serum vitamin D levels are associated with recent symptoms of atopic dermatitis and allergic rhinitis in this population.
Background:
There is still considerable disagreement regarding the role of vitamin D in the development or exacerbation of allergic diseases.
Objective:
To investigate the association between serum vitamin D levels and recent symptoms of allergic diseases in elementary schoolchildren.
Methods:
A nationwide cross-sectional survey was conducted in children ages 6-7 years from 45 randomly selected elementary schools. The presence of atopic dermatitis (AD) or asthma was defined as medical treatment of children for AD or asthma within 12 months of the survey. The presence of allergic rhinitis (AR) was defined as medical treatment for AR during the past 12 months and a positive skin test response. Current AD was defined as confirmed eczema on physical examination. Serum 25-hydroxyvitamin D (25[OH]D) was measured by chemiluminescent immunoassay.
Results:
Questionnaire data and blood samples were collected from 3720 children. The overall prevalence rates of vitamin D insufficiency (20-29 ng/mL) and deficiency (<20 ng/mL) were 64.0% and 18.4%, respectively. For a 1 ng/mL decrease in 25(OH)D, the adjusted odds ratio (aOR) for AR was 1.020 (95% confidence interval [CI], 1.002-1.040) and the aOR for current AD was 1.027 (95% CI, 1.006-1.047). For each 1 ng/mL decrease in 25(OH)D, the aOR for positive skin-prick test reactivity was 1.013 (95% CI, 1.000-1.027). No significant association between vitamin D level and the prevalence of asthma was observed.
Conclusions:
A high prevalence of vitamin D deficiency and insufficiency was found in Korean elementary schoolchildren, and low vitamin D levels were associated with recent symptoms of AD and AR.
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