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Vitamin D deficiency in children with bronchial asthma in southern Jordan: a cross-sectional study
Enas Al-Zayadneh1, Nedal Awad Alnawaiseh2, Salma Ajarmeh3
1Department of Paediatrics, School of Medicine, The University of Jordan, Amman, Jordan.
Insights
Vitamin D deficiency is common in Jordanian children with asthma. Low vitamin D levels significantly correlate with increased asthma severity in pediatric patients.
Area of Science:
- Pediatric Pulmonology
- Nutritional Biochemistry
- Public Health
Background:
- Bronchial asthma is a prevalent chronic respiratory condition in children.
- Vitamin D deficiency is a growing global health concern with potential links to immune function and respiratory health.
Purpose of the Study:
- To evaluate serum 25-hydroxyvitamin D (25-OH vitamin D) levels in Jordanian children diagnosed with bronchial asthma.
- To investigate the relationship between 25-OH vitamin D status and asthma severity and control in this pediatric population.
Main Methods:
- A cross-sectional study was conducted involving 98 children aged 1-14 years with asthma or recurrent wheezing.
- Serum 25-OH vitamin D levels were measured.
- Asthma severity and control were assessed using standardized criteria and questionnaires.
Main Results:
- A high prevalence of vitamin D deficiency (41.8%) and insufficiency (34.7%) was observed among the studied children.
- Only 23.5% of children had sufficient 25-OH vitamin D levels.
- A significant correlation was identified between lower 25-OH vitamin D levels and increased asthma severity.
Conclusions:
- Vitamin D deficiency is highly prevalent in Jordanian children suffering from bronchial asthma.
- Low serum 25-OH vitamin D levels are significantly associated with greater asthma severity in this cohort.
Objectives:
To assess serum 25-hydroxycholecalciferol (25-OH vitamin D) levels in Jordanian children with bronchial asthma, and to examine correlations between 25-OH vitamin D levels and asthma severity and control.
Methods:
A cross-sectional study was conducted at the Paediatric Chest Clinic, Al-Karak Governmental Hospital, Southern Jordan, between May 2015 and February 2016. Serum 25-hydroxyvitamin D level was determined in children aged 1-14 years diagnosed with bronchial asthma (6-14 years) or recurrent wheezing episodes (<6 years). Asthma severity was determined based on the Global Initiative for Asthma assessment, the Asthma Control Test, and the Childhood Asthma Control Test. Demographic and clinical characteristics were compared between patients with low and normal 25-OH vitamin D levels, and correlations between asthma severity and 25-OH vitamin D level were assessed.
Results:
Out of 98 included children, 25-OH vitamin D levels were deficient and insufficient in 41 (41.8%) and 34 (34.7%) children, respectively. Only 23 (23.5%) had sufficient 25-OH vitamin D levels. A significant correlation was found between severity of asthma symptoms and 25-OH vitamin D deficiency.
Conclusion:
25-OH vitamin D deficiency is highly prevalent in Jordanian children with bronchial asthma and correlates significantly with asthma severity.
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