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Pediatric Headache Patients Are at High Risk of Vitamin D Insufficiency
Éloïse R Deschênes1,2, Jeffrey Do3, Anne Tsampalieros2
1Undergraduate Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Insights
Children with headaches show higher rates of vitamin D insufficiency compared to those with epilepsy. Further research is needed to explore vitamin D supplementation for pediatric headaches.
Area of Science:
- Pediatric Neurology
- Nutritional Science
Background:
- Vitamin D deficiency is linked to headaches in adults, but pediatric data is limited.
- Understanding vitamin D status in children with headaches is crucial for potential interventions.
Purpose of the Study:
- To determine and compare serum vitamin D levels in children experiencing headaches versus those with epilepsy.
- To identify the prevalence of vitamin D insufficiency in these pediatric groups.
Main Methods:
- Retrospective analysis of serum 25-hydroxyvitamin D [25(OH)D] concentrations in children aged 2-17 years.
- Comparison between children with headaches (n=117) and children with epilepsy (n=236).
- Vitamin D insufficiency defined as serum 25(OH)D < 50 nmol/L.
Main Results:
- Children with headaches had a median serum 25(OH)D of 56 nmol/L, compared to 70 nmol/L in children with epilepsy.
- Vitamin D insufficiency was significantly higher in children with headaches (42%) than in those with epilepsy (25%) (P=.002).
- Adjusted analysis revealed lower vitamin D levels in children with headaches (average 9 nmol/L lower; P=.029).
Conclusions:
- Pediatric headaches are associated with a higher prevalence of vitamin D insufficiency.
- Further prospective studies are warranted to investigate the therapeutic potential of vitamin D supplementation for pediatric headaches.
Background:
Vitamin D deficiency has been associated with headaches in adults, but data for children with headaches are sparse.
Objective:
To describe vitamin D levels in children with headaches.
Methods:
We retrospectively analyzed serum 25(OH)D concentrations in children aged 2-17 years with headaches compared to children with epilepsy at the Children's Hospital of Eastern Ontario between October 1, 2014, and August 19, 2021. Serum 25(OH)D <50 nmol/L was classified as insufficient.
Results:
Vitamin D concentrations of 353 children (117 with headaches; 236 with epilepsy) were analyzed. The median age in years was 10 (interquartile range [IQR] 5, 14); 50.4% of subjects were female. The median serum 25(OH)D was 56 nmol/L (IQR 41, 69) in children with headaches and 70 nmol/L (IQR 50, 95) in children with epilepsy. Vitamin D insufficiency was present in 42% of children with headaches and 25% of children with epilepsy (P = .002). In a multivariable linear regression model adjusting for age, sex and seasonality, children with headaches had serum 25(OH)D concentrations that were on average 9 nmol/L (95% CI-16.76, -0.96) lower compared to children with epilepsy (P = .029).
Conclusion:
The prevalence of vitamin D insufficiency is higher in children with headaches compared to children with epilepsy. Prospective studies are needed to assess if vitamin D supplementation may have a therapeutic effect on pediatric headaches.
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