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Published on: November 4, 2010
Serum vitamin A, zinc and visual function in children with moderate to severe persistent asthma
Diana Andino1, James Moy2, Bruce I Gaynes1
1Department of Ophthalmology, Stritch School of Medicine, Loyola University Chicago , Maywood , IL , USA.
Insights
Children with asthma show lower vitamin A and zinc levels, though not a true deficiency. Their contrast sensitivity is reduced, but not linked to these nutrient levels.
Area of Science:
- Pediatric Pulmonology
- Nutritional Science
- Ophthalmology
Background:
- Asthma is a common childhood illness with complex factors, potentially including nutritional deficits.
- The role of vitamin A and zinc deficiency in pediatric asthma is understudied.
- This research investigates vitamin A and zinc levels and visual function in urban children with persistent asthma.
Purpose of the Study:
- To examine the prevalence of vitamin A and zinc deficiency in urban children with moderate-to-severe persistent asthma.
- To assess the relationship between these nutrient levels and visual function.
- To compare these parameters between asthmatic children and a control group.
Main Methods:
- A cross-sectional case-control study was conducted on urban children aged 8-18.
- Serum vitamin A and zinc levels were measured.
- Visual function was assessed using Snellen visual acuity and Peli Robson contrast sensitivity tests.
Main Results:
- Asthmatic children had statistically lower median serum vitamin A and zinc levels compared to controls.
- No evidence of frank vitamin A or zinc deficiency was found in either group.
- Reduced contrast sensitivity was observed in asthmatic children, independent of vitamin A or zinc levels.
Conclusions:
- Children with chronic asthma exhibit lower serum vitamin A and zinc levels, potentially linked to disease processes.
- Frank vitamin A or zinc deficiency was not identified.
- The observed reduction in contrast sensitivity in asthmatic children is not explained by vitamin A or zinc levels.
Abstract:
Background: Asthma is a common childhood disorder with complex pathobiologic components that may include aspects of nutritional deficit. The contribution of vitamin deficiency, specifically vitamin A, as part of the disease complex has not been well studied, particularly among at risk children. In this study, we examined the prevalence of vitamin A as well as zinc deficiency in conjunction with visual function among an urban pediatric population sample with moderate-severe persistent asthma. Methods: A cross-sectional case-control assessment of serum vitamin A, zinc and visual function among urban children with and without asthma was undertaken. Inclusion criteria involved (1) well-controlled pediatric asthmatic patients between the ages of 8-18 with corrected vision of at least 20/25 in each eye and (2) chronic use of a combination beta agonist-steroid inhaler. Visual function was assessed by Snellen visual acuity and Peli Robson contrast sensitivity assessment. Results: Overall, 24 patients were enrolled for study with body mass index and age matched between asthmatic and control groups. Median serum vitamin A and zinc levels among control subjects was statistically higher compared to asthmatics (p = 0.0303 and p = 0.0111, respectively). Based on age-based reference levels there was no evidence of vitamin A or zinc deficiency among asthmatics or controls. Serum vitamin A and zinc were found to directly correlate with body mass index (p = 0.0074 and p = 0.0474, respectively), but not age or measures of visual function. Contrast sensitivity was however significantly reduced among asthmatic subjects (p = 0.0003). Conclusions: Children with chronic asthma demonstrate reduced levels of vitamin A and zinc that may be related to disease pathobiology however, evidence of frank zinc or vitamin A deficiency was not demonstrated. Reduced contrast sensitivity found in the asthmatic group appears unrelated to serum vitamin A and/or zinc levels.
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