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Published on: August 7, 2017
Association between vitamin D level and bronchopulmonary dysplasia: A systematic review and meta-analysis
Hye Won Park1,2, Gina Lim3, Yong-Mean Park1,2
1Department of Pediatrics, Konkuk University Medical Center, Seoul, Republic of Korea.
Insights
Neonatal vitamin D deficiency is linked to bronchopulmonary dysplasia (BPD). This meta-analysis confirms that low vitamin D levels at birth increase the risk of BPD in infants.
Area of Science:
- Neonatology
- Pediatric Pulmonology
- Nutritional Science
Background:
- Neonatal vitamin D deficiency is prevalent.
- Vitamin D is crucial for normal lung development.
- The link between vitamin D deficiency and bronchopulmonary dysplasia (BPD) is not fully understood.
Purpose of the Study:
- To evaluate the association between vitamin D status and the incidence of BPD.
- To synthesize existing evidence through a meta-analysis.
Main Methods:
- Systematic literature search of PubMed, EMBASE, Cochrane Library, and KoreaMed.
- Inclusion of 8 studies with a total of 909 infants.
- Newcastle-Ottawa Scale for quality assessment and I2 statistic for heterogeneity.
Main Results:
- Vitamin D deficiency at birth was significantly associated with BPD (OR 2.405, p=0.007).
- Low vitamin D levels at birth were also linked to BPD (SMD -1.463, p=0.046).
- Overall, 27.6% of infants in the included studies developed BPD.
Conclusions:
- Antenatal vitamin D deficiency and low vitamin D levels are associated with neonatal BPD.
- These findings highlight the potential importance of vitamin D supplementation in pregnancy.
- Further research may clarify optimal vitamin D levels for preventing BPD.
Abstract:
Neonatal vitamin D deficiency is common and is associated with development of pulmonary disease in children and adults. While the role of vitamin D in normal lung development is well established, the association between vitamin D deficiency and bronchopulmonary dysplasia (BPD) remains unclear. The present meta-analysis was conducted to evaluate the relationship between vitamin D and BPD. We identified relevant studies (n = 8) using the PubMed, EMBASE, Cochrane Library, and KoreaMed databases and applied the Newcastle-Ottawa Scale to assess the methodological components of each study, and used I2 statistic to evaluate heterogeneity. Comprehensive Meta-Analysis software version 3.3 was used for the statistical analysis. A total of 909 infants were included, of whom 251 (27.6%) were diagnosed with BPD. We found that both vitamin D deficiency at birth (four studies; OR 2.405; 95% CI 1.269 to 4.560; p = 0.007) and low levels of vitamin D at birth (four studies; standardized mean difference -1.463; 95% CI -2.900 to -0.027; p = 0.046) were associated with BPD. The compiled data suggest that antenatal vitamin D deficiency and low vitamin D levels are associated with neonatal BPD.
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