Vitamin D level is inversely related to allergen sensitization for risking atopic dermatitis in early childhood
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Updated: Jun 29, 2025

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Chin-Hsuan Shen1,2, Chun-Bing Chen3,4, Meng-Han Chiang5
1College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Insights
Low vitamin D levels in children are linked to a higher risk of allergen sensitization and atopic dermatitis (AD). This study highlights vitamin D
Area of Science:
- Pediatric Allergy and Immunology
- Nutritional Biochemistry
- Dermatology
Background:
- Limited research exists on the impact of serum vitamin D on early childhood allergen sensitization and atopic dermatitis (AD).
- Understanding this relationship is crucial for identifying potential preventative strategies for allergic diseases.
Purpose of the Study:
- To investigate the association between serum vitamin D status and the risk of allergen sensitization in early childhood.
- To explore the influence of vitamin D levels on the development and prevalence of atopic dermatitis (AD).
Main Methods:
- Prospective enrollment of children with AD and healthy controls (HC) at 0.5, 2, and 4 years.
- Measurement of serum 25-hydroxyvitamin D (25[OH]D) levels using Elecsys Vitamin D Total assay.
- Analysis of specific IgE for allergens and total serum IgE using ImmunoCAP assay.
Main Results:
- Children with AD exhibited significantly lower vitamin D levels at ages 2 and 4 compared to HC.
- A higher prevalence of food and mite sensitization was observed in children with AD across all ages.
- Vitamin D levels showed an inverse relationship with allergen sensitization at age 4 and were important for sensitization and AD at ages 2 and 4.
Conclusions:
- Vitamin D deficiency is strongly associated with an increased prevalence of allergen sensitization.
- This heightened sensitization may increase susceptibility to atopic dermatitis (AD) in early childhood.
Background:
There are few studies concerning the impact of serum vitamin D status on the risk of allergen sensitization and atopic dermatitis (AD) during early childhood.
Method:
Children with AD and age-matched healthy controls (HC) were prospectively enrolled at age 0.5, 2, and 4 years. Serum 25-hydroxyvitamin D (25[OH]D) level was measured using Elecsys Vitamin D Total assay. The study utilized the ImmunoCAP assay to analyze specific IgE for food and inhalant allergens, along with total serum IgE levels. It explored the connection between vitamin D levels and allergen sensitization, as well as their influence on AD at different ages.
Results:
A total of 222 children including 95 (59 AD and 36 HC), 66 (37 AD and 29 HC), and 61 (32 AD and 29 HC) children were classified at age 0.5, 2, and 4 years, respectively. In children with AD, there was a significantly lower vitamin D level at age 2 and 4, but a significantly higher prevalence of food and mite sensitization at all ages in comparison with HC (P < 0.001). Vitamin D level was found to be inversely related to the prevalence of allergen sensitization at age 4 (P < 0.05). However, vitamin D level appeared to have high importance for allergen sensitization at all ages and AD at age 2 and 4 years.
Conclusion:
Vitamin D deficiency is strongly associated with heightened prevalence of allergen sensitization, potentially increasing the susceptibility to AD in early childhood.
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