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Published on: May 10, 2014
Vitamin Status in Children with Cystic Fibrosis Transmembrane Conductance Regulator Gene Mutation
Paulina Wysocka-Wojakiewicz1, Halina Woś2, Tomasz Wielkoszyński3
1Department of Pediatrics, Faculty of Medical Sciences, Medical University of Silesia, 40-752 Katowice, Poland.
Insights
Children with cystic fibrosis screen positive, inconclusive diagnosis (CFSPID) had higher vitamin D and E levels than those with cystic fibrosis (CF). However, neither group fully met dietary vitamin recommendations.
Area of Science:
- Pediatric Nutrition
- Clinical Biochemistry
- Genetic Disorders
Background:
- Vitamin metabolism is not well understood in children with cystic fibrosis screen positive, inconclusive diagnosis (CFSPID).
- Assessing vitamin A, D, E, and C status is crucial for this population.
Purpose of the Study:
- To determine the blood concentrations of vitamins A, D, E, and C in children with CFSPID.
- To compare vitamin status and intake between children with CFSPID, cystic fibrosis (CF), and healthy children (HC).
Main Methods:
- Study included 89 children: 28 CFSPID, 31 CF, and 30 HC.
- Blood vitamin levels (A, D, E, C) and dietary intake were analyzed using a three-day food diary.
Main Results:
- CFSPID children showed significantly higher serum vitamin D and E compared to CF children.
- No vitamin A or E deficiencies were observed in CFSPID patients.
- CF patients had higher dietary intake of vitamins D and E, but many CF patients had inadequate calorie, vitamin E, and vitamin A intake.
Conclusions:
- Children with CF and CFSPID do not meet all dietary vitamin recommendations.
- Vitamin deficiency was identified exclusively in children with CF, not in the CFSPID group.
Background:
The issue of vitamin metabolism in children with cystic fibrosis screen positive, inconclusive diagnosis (CFSPID) is not well known. The aim of this study was to determine the status of vitamins A, D, E, and C in the blood of a group of children with CFSPID.
Material And Methods:
A total of 89 children were enrolled in the study (Me: 3.6 years, 52.8% boys), as follows: 28 with CFSPID, 31 with CF (cystic fibrosis), and 30 HC (healthy children). Their blood concentrations of vitamins A, D, E, and C, and their dietary intake of these vitamins were analysed in the study groups on the basis of a three-day food diary.
Results:
The patients with CFSPID had significantly higher serum vitamin D (p = 0.01) and E (p = 0.04) concentrations, compared to the children with CF. None of the children with CFSPID revealed vitamin A or E deficiencies. Patients with CF had been consuming significantly higher vitamin D and E amounts (p = 0.01). The vitamin concentrations did not depend either on the pancreatic/liver function or on anthropometric parameters. In total, 32.14% of patients with CF did not cover the baseline recommended calorie intake, and 53.6% and 36% did not take the recommended vitamin E and vitamin A intake, respectively.
Conclusion:
Children with CF and CFSPID did not fully cover the dietary recommendations for vitamin supply, but vitamin deficiency was found only in CF.
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