Prevalence of Vitamin D Deficiency and its Association with Disease Severity in Children Hospitalized with Acute

Maria Nicolae1, Cristina Maria Mihai1,2,3, Tatiana Chisnoiu2,3

  • 1Phd School of Medicine, Ovidius University of Constanta, Romania.

Insights

Vitamin D deficiency (VDD) in children is linked to more severe acute respiratory infections (ARI). Low vitamin D levels correlate with increased illness severity, fever, and longer hospital stays in pediatric patients.

Area of Science:

  • Pediatric Medicine
  • Infectious Diseases
  • Nutritional Science

Background:

  • Vitamin D deficiency (VDD) is a widespread issue in children.
  • VDD is suspected to influence the severity of acute respiratory infections (ARI).

Purpose of the Study:

  • To determine the prevalence of VDD in hospitalized pediatric patients with ARI.
  • To investigate the association between VDD and ARI severity and clinical outcomes.

Main Methods:

  • A 4-year prospective case-control study involving 400 pediatric patients (0-18 years) hospitalized with ARI.
  • Patients were divided into groups with low vitamin D (cases, n=200) and normal vitamin D (controls, n=200).
  • Clinical severity, inflammatory markers, fever, oxygen needs, and hospital stay duration were analyzed.

Main Results:

  • Low vitamin D levels were significantly linked to severe ARI (26.5% vs. 5.5%).
  • Patients with VDD had higher rates of fever (61.0% vs. 32.0%) and oxygen therapy needs (69.5% vs. 21.0%).
  • Higher C-reactive protein levels, clinical severity scores, and longer hospital stays were observed in the VDD group.

Conclusions:

  • Vitamin D deficiency is strongly associated with increased ARI severity in pediatric inpatients.
  • VDD correlates with adverse clinical outcomes, including prolonged hospitalization.
Abstract

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