Abstract

Background it has been shown that low serum 25-hydroxyvitamin D concentration was associated with a higher risk of upper and lower respiratory infections in children Aim to evaluate vitamin D concentration and selected biochemical markers in infants and children with recurrent wheeze. Methods a case-control study has been carried out to measure serum vitamin D concentration; on 33 patients with recurrent wheeze, their ages ranged from 4-60 months; over the period from the1stof March 2014 to the end of June 2014. Forty-two age and sex matched healthy children were selected as control group. List of investigation was measured by spectrophotometer as serum calcium, phosphorus, alkaline phosphatase and 25-OH vitamin. Result Frequency of breast feeding in the first two years of life was low in wheezy children and significantly shorter duration of breast feeding less than 4 months in wheezy children than control group, P value 0.01. Vitamin D concentration was significantly low in children with recurrent wheeze than the control group; (21.69 ng/ml, 39.36 ng/ml) respectively with p-value 0.000 The severity of vitamin D deficiency was significant in children with recurrent wheeze, severe deficiency of vitamin D There is no significant relation observed between mean Vitamin D concentration and selected variables of infants and children with wheeze (p value >0.05) Conclusion vitamin D supplementation may be considered in infants and children with recurrent wheeze.

Highlights

  • There are many studies highlighting associations between childhood asthma and vitamin D deficiency

  • Selected characteristics of patients with wheeze and control group High frequency of breast feeding reported in the control group than children with recurrent wheeze, (38.1%,27.3%) respectively but statistically non-significant result, with significantly shorter duration of breast feeding less than 4 months in wheezy children than control group (39.1%,5.6%) respectively p value 0.01

  • Current study shows no significant difference of atopic tendency in children with recurrent wheeze and control group; similar result was concluded by Linneberg, et al study in Denmark.[20]

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Summary

Introduction

There are many studies highlighting associations between childhood asthma and vitamin D deficiency. The evidence suggests that there is a protective effect of higher vitamin D level primary prevention of asthma and itsexacerbations.[2] Almost all cells in the body possess vitamin D receptors, including cells of the immune system. Vitamin D deficiency can affect Th1 and Th2 cytokines, which may contribute to the development of atopy.[3] Vitamin D, can modulate the innate and adaptive immune responses; 1, 25-Dihydroxyvitamin D stimulates innate (macrophage) immunity by enhancing bacterial killing but it modulates adaptive (lymphocyte) immunity to minimize inflammation and autoimmune disease. Vitamin D, can modulate the innate and adaptive immune responses; 1, 25-Dihydroxyvitamin D stimulates innate (macrophage) immunity by enhancing bacterial killing but it modulates adaptive (lymphocyte) immunity to minimize inflammation and autoimmune disease. 4 During a bacterial infection, macrophages acquire the capacity to convert circulating 25 vitamin D into

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