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Published on: August 7, 2017
Can Getting Enough Vitamin D during Pregnancy Reduce the Risk of Getting Asthma in Childhood?
Evangelia Bountouvi1, Konstantinos Douros1, Anna Papadopoulou1
1Third Department of Pediatrics, Athens University Medical School, University General Hospital "Attikon", Athens, Greece.
Insights
Maternal vitamin D levels during pregnancy may influence childhood asthma risk. Supplementation shows potential benefits for asthma-related traits, particularly in vitamin D-deficient mothers at high risk.
Area of Science:
- Perinatology
- Pediatric Allergy
- Nutritional Immunology
Background:
- Rising global asthma prevalence and vitamin D deficiency suggest a link.
- Maternal vitamin D status during gestation may impact fetal programming for asthma.
- Previous observational studies yielded inconclusive results regarding this association.
Purpose of the Study:
- To investigate the effect of maternal vitamin D supplementation during pregnancy on asthma development in offspring.
- To explore the potential benefits of vitamin D for high-risk pregnancies.
Main Methods:
- Randomized controlled trials (RCTs) were conducted.
- Increased vitamin D doses were administered to pregnant women at high risk for having an asthmatic child.
- Outcomes focused on asthma incidence and asthma-related phenotypes in children.
Main Results:
- RCTs indicated a potential association between maternal vitamin D supplementation and asthma-related phenotypes, rather than asthma diagnosis itself.
- No significant adverse effects were noted due to the low toxicity of vitamin D supplements.
Conclusions:
- Maternal vitamin D supplementation may offer benefits for asthma-related traits in offspring.
- Pregnant women at high risk for asthma in their children, especially if vitamin D deficient, might benefit from supplementation.
Abstract:
The worldwide increase in asthma prevalence during the last decades and the re-emergence of vitamin D deficiency in many populations hinted toward an underlying association between these two conditions. Since asthma is presented with high incidence in childhood and neonatal vitamin D stores depend on maternal vitamin levels, a possible programming effect of maternal vitamin D status during gestation was suggested. Observational and longitudinal studies on this subject led to inconclusive results with glimmer of positivity. In the randomized controlled clinical trials (RCTs) that followed, increased doses of vitamin D were tested in pregnant women being at high risk of having an asthmatic child. Although, the results of RCTs showed a potential association with asthma-related phenotypes rather than asthma per se, the low toxicity of vitamin D supplements make it tempting to speculate that pregnant women at a high risk of obtaining a child with asthma may be benefited, especially if they are vitamin D deficient.
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