Seasonal, sex variations in vitamin d levels and their association with pulmonary function in children with asthma

Seasonal, sex variations in vitamin d levels and their association with pulmonary function in children with asthma

Background/aim: We aimed to examine the seasonal and sex variations in vitamin D levels in children with asthma and their associationswith lung function.Materials and methods: We conducted a cohort study involving children aged 7–17 years old with asthma. Vitamin D levels wereobtained and pulmonary function tests (PFTs) were performed in winter months (December, January, and February) and at the end ofsummer (August, September, and October). Seasonal and sex variations in vitamin D levels and lung function were examined.Results: A total of 56 children (26 males, mean age: 11.93 ± 1.8) were enrolled. The mean vitamin D level in winter was 13.36 ± 6.31 ng/mL and increased to 22.89 ± 7.83 ng/mL at the end of summer. Vitamin D levels were significantly lower in the female participants (P= 0.002) in winter. There was no difference in vitamin D levels at the end of the summer between the sexes. No correlations were foundbetween vitamin D levels and PFT parameters in winter or at the end of summer.Conclusion: There are seasonal and sex variations in vitamin D levels in children with asthma. Vitamin D levels do not correlate withlung function.

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  • 1. Paul G, Brehm JM, Alcorn JF, Holguin F, Aujla SJ et al. Vitamin D and asthma. American Journal of Respiratory and Critical Care Medicine 2012; 185 (2): 124-132. doi: 10.1164/rccm.201108- 1502CI
  • 2. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA et al. Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology and Metabolism 2011; 96 (7): 1911-1930. doi: 10.1210/jc.2011-0385
  • 3. Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. American Journal of Clinical Nutrition 2008; 87 (4): 1080S-1086S. doi: 10.1093/ajcn/87.4.1080S
  • 4. Hollick MF. Vitamin D deficiency. New England Journal of Medicine 2007; 357 (3): 266-281. doi: 10.1056/NEJMra070553
  • 5. Doğan N, Colak A, Güden N, Üstüner F. Vitamin D deficiency in children in Aegean region in Turkey. Cumhuriyet Medical Journal 2015; 37 (1): 17-22.
  • 6. Poopedi MA, Norris SA, Pettifor JM. Factors influencing the vitamin D status of 10-year-old urban South African children. Public Health Nutrition 2011; 14 (2): 334-339. doi: 10.1017/ S136898001000234X
  • 7. Pal BR, Marshall T, James C, Shaw NJ. Distribution analysis of vitamin D highlights differences in population subgroups: preliminary observations from a pilot study in UK adults. Journal of Endocrinology 2003; 179 (1): 119-129. doi: 10.1677/ joe.0.1790119
  • 8. Smith M. Seasonal, ethnic and gender variations in serum vitamin D3 levels in the local population of Peterborough. Bioscience Horizons 2010; 3 (2): 124-131.
  • 9. Brehm JM, Celedon JC, Soto-Quiros ME, Avila L, Hunninghake GM et al. Serum vitamin D levels and markers of severity of childhood asthma in Costa Rica. American Journal of Respiratory and Critical Care Medicine 2009; 179 (9): 765-771. doi: 10.1164/ rccm.200808-1361OC
  • 10. Alyasin S, Momen T, Kashef S, Alipour A, Amin R. The relationship between serum 25 hydroxy vitamin D levels and asthma in children. Allergy Asthma and Immunology Research 2011; 3 (4): 251-255. doi: 10.4168/aair.2011.3.4.251
  • 11. National Asthma Education and Prevention Program. Expert Panel Report 3
  • 12. (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary Report 2007. Journal of Allergy and Clinical Immunology 2007; 120 (5 Suppl): S94-138. Erratum in: Journal of Allergy and Clinical Immunology 2008; 121 (6): 1330.
  • 13. de la Hunty A, Wallace AM, Gibson S, Viljakainen H, LambergAllardt C et al. UK Food Standards Agency Workshop Consensus Report: the choice of method for measuring 25-hydroxyvitamin D to estimate vitamin D status for the UK National Diet and Nutrition Survey. British Journal of Nutrition 2010; 104 (4): 612-619. doi: 10.1017/S000711451000214X
  • 14. Lee JY, So TY, Thackray J. A review on vitamin D deficiency treatment in pediatric patients. Journal of Pediatric Pharmacology and Therapeutics 2013; 18 (4): 277-291. doi: 10.5863/1551-6776-18.4.277
  • 15. Misra M, Pacaud D, Petryk A, Collett-Solberg PF, Kappy M. Drug and Therapeutics Committee of the Lawson Wilkins Pediatric Endocrine Society. Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics 2008; 122 (2): 398-417.
  • 16. doi: 10.1542/peds.2007-1894
  • 17. Ross AC, Taylor CL, Yaktine AL, Del Valle HB (editors). Dietary Reference Intakes of Calcium and Vitamin D. Institute of Medicine Committee to Review Dietary Reference Intakes for Vitamin D and Calcium. Washington, DC, USA: The National Academies Press (US); 2011.
  • 18. American Thoracic Society. Standardization of spirometry, 1994 update. American Journal of Respiratory and Critical Care Medicine 1995; 152: 1107-1136.
  • 19. Holmlund-Suila E, Koskivirta P, Metso T, Andersson S, Makitie O et al. Vitamin D deficiency in children with a chronic illness – seasonal and age-related variations in serum 25-hydroxy Vitamin D concentrations. PLOS One 2013; 8 (4): e60856. doi: 10.1371/journal.pone.0060856
  • 20. Whiting SJ, Langlois KA, Vatanparast H, Greene-Finestone LS. The vitamin D status of Canadians relative to the 2011 dietary reference intakes: an examination in children and adults with and without supplement use. American Journal of Clinical Nutrition 2011; 94 (1): 128-135. doi: 10.3945/ajcn.111.013268
  • 21. Wu AC, Tantisira K, Li L, Fuhlbrigge AL, Weiss ST et al. Childhood Asthma Management Program Research Group. Effect of vitamin D and inhaled corticosteroid treatment on lung function in children. American Journal of Respiratory and Critical Care Medicine 2012; 186 (6): 508-513. doi: 10.1164/ rccm.201202-0351OC
  • 22. Chinellato I, Piazza M, Sandri M, Peroni DG, Cardinale F et al. Serum vitamin D levels and exerciseinduced bronchoconstriction in children with asthma. European Respiratory Journal 2011; 37: 1366-1370. doi: 10.1183/09031936.00044710
  • 23. Searing DA, Zhang Y, Murphy JR, Hauk PJ, Goleva E et al. Decreased serum vitamin D levels in children with asthma are associated with increased corticosteroid use. Journal of Allergy and Clinical Immunology 2010; 125 (5): 995-1000. doi: 10.1016/j.jaci.2010.03.008
  • 24. Babar MZM, Hussain M, Majeed SA. Vitamin D supplementation improves FEV1 in patients of Bronchial Asthma. Pakistan Journal of Medical Sciences 2017; 33 (5): 1144-1147. doi: 10.12669/pjms.335.12990