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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.
Background:
Vitamin D deficiency (VDD) is highly prevalent in pediatric patients, and it has been implicated in the pathogenesis and clinical severity of acute respiratory infections (ARI).
Objectives:
To evaluate the prevalence of VDD and its association with ARI disease severity and clinical outcomes in hospitalized pediatric patients.
Methods:
A 4-year prospective case-control study, conducted between 2021 and 2024, in two Romanian pediatric hospitals, included 400 inpatients, aged 0-18 years, admitted for ARI. Patients were stratified into cases with a low level of vitamin D (n=200) and controls with a normal vitamin D (n=200). Clinical severity of ARI, inflammatory biomarkers, presence of fever, need for supplemental oxygen, and length of hospital stay were recorded and analyzed in both cases and controls.
Results:
Low serum vitamin D levels were significantly associated with severe ARI (26.5% vs. 5.5%), fever at admission (61.0% vs. 32.0%), and increased requirement for oxygen therapy (69.5% vs. 21.0%). Cases also exhibited higher C-reactive protein levels (3.50 vs. 1.64mg/L), higher clinical severity scores (3.77 vs. 1.62), and longer hospital length of stay (4.68 vs. 2.89 days).
Conclusions:
Vitamin D deficiency was strongly associated with increased disease severity and adverse clinical outcomes in pediatric inpatients with ARI.
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