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Published on: April 11, 2019
Serum level of vitamin A in febrile children with and without seizure: A comparative study
Elham Bakhtiari1, Farhad Heydarian2, Fatemeh Azmoudeh2
1Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Insights
Serum vitamin A levels did not differ between febrile children and those with febrile seizures (FS). However, in children over 24 months, higher vitamin A levels were observed in the FS group, suggesting a potential role in older children.
Area of Science:
- Pediatrics
- Neurology
- Nutritional Science
Background:
- The role of vitamins and antioxidants in febrile seizures (FS) is under investigation.
- Vitamin A's influence on seizures is controversial, with potential to either suppress or provoke them.
Purpose of the Study:
- To compare serum vitamin A levels in febrile children and children experiencing febrile seizures.
- To investigate the relationship between vitamin A levels and febrile seizures in different age groups.
Main Methods:
- A cross-sectional study included 80 children aged 6-60 months, divided into 40 febrile children and 40 with FS.
- Serum vitamin A levels and other blood parameters were measured from blood samples.
Main Results:
- No significant difference in serum vitamin A levels was found between the febrile and FS groups overall.
- In children older than 24 months, serum vitamin A levels were significantly higher in the FS group compared to the febrile group (p=0.01).
- No significant difference was observed in children under 24 months.
Conclusions:
- Serum vitamin A levels do not appear to differ between febrile children with and without seizures in general.
- A surprising finding was the elevated vitamin A level in older children (over 24 months) with FS.
- Further research is necessary to validate these findings and elucidate the role of vitamin A in pediatric seizures.
Objective:
The role of vitamins and antioxidants in the febrile seizure (FS) has recently become of interest. The role of Vitamin A in seizure is remained controversial. It may suppress or provoke the seizure. In present study, the serum vitamin A level in febrile patients was compared with febrile seizure children for the first time.
Method:
In a cross-sectional study, eighty children aged 6-60 months including 40 febrile children and 40 children with FS were included. Blood samples were obtained, and the serum level of vitamin A and other blood parameters were measured.
Results:
Patients were similar in demographic characteristics (p = 0.06 for age and p = 0.41 for sex). The serum vitamin A level was 0.19 (0.12, 0.25) and 0.22 (0.17, 0.29) milligram per liter (mg/L) in febrile and FS group respectively (p = 0.33). In children aged less than 24 months the serum vitamin A level in FS and febrile group was 0.22 ± 0.07 and 0.24 ± 0.12 mg/L respectively (p = 0.56). In children aged more than 24 months the serum vitamin A level in FS group was higher significantly in comparison with febrile group (0.25 ± 0.11 and 0.16 ± 0.07 mg/L respectively, p = 0.01).
Conclusion:
Serum vitamin A level was not different in febrile children with and without seizure. Surprisingly in children aged more than 24 months, the serum level of vitamin A was higher in FS group than in the febrile children. More studies are needed to confirm the present observation.
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