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Published in: Indian Journal of Pediatrics 12-13/2016

01-12-2016 | Original Article

Vitamin D Status in Infants with Two Different Wheezing Phenotypes

Authors: Ali Ozdemir, Dilek Dogruel, Ozlem Yilmaz

Published in: Indian Journal of Pediatrics | Issue 12-13/2016

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Abstract

Objective

To investigate vitamin D levels in patients with recurrent wheeze at early ages of childhood.

Methods

In the present cross-sectional study, serum 25-hydroxy vitamin D [25 (OH)D], levels which is known as an indicator of vitamin D adequacy, was examined in infants with three or more wheezing attacks.

Results

A total of 186 infants with recurrent wheezing were included in the study along with 118 healthy control peers. The recurrent wheezing study participants were classified into two groups according to Asthma Predictive Index (API) positivity and compared to control subjects regarding their serum vitamin D status. The API negative group had the lowest mean serum 25 (OH)D level (n = 121; 22.71 ± 10.76 ng/ml) followed by API positive group (n = 65; 24.08 ± 9.02 ng/ml) compared to healthy group (26.24 ± 11.88 ng/ml) (p < 0.05). In addition, higher vitamin D deficiency was observed in infants in API negative group (52.1 %; p < 0.01) and API positive group (38.5 %; p < 0.05) than control group (31.4 %).

Conclusions

Low levels of 25 (OH)D were detected in infants with two different phenotypes of recurrent wheeze. Vitamin D deficiency may play a role in the pathogenesis of infants with recurrent wheezing.
Literature
1.
2.
go back to reference Liu AH, Covar RA. Asthma: clinical features, outcomes, and prognosis. In: Taussig LM, Landau LI, Le Souëf PN, Martinez FD, Morgan WJ, Sly PD, editors. Pediatric respiratory medicine. Philadelphia: Mosby EIsevier; 2008. p. 805–27.CrossRef Liu AH, Covar RA. Asthma: clinical features, outcomes, and prognosis. In: Taussig LM, Landau LI, Le Souëf PN, Martinez FD, Morgan WJ, Sly PD, editors. Pediatric respiratory medicine. Philadelphia: Mosby EIsevier; 2008. p. 805–27.CrossRef
3.
go back to reference Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. N Engl J Med. 1995;332:133–8.CrossRefPubMed Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. N Engl J Med. 1995;332:133–8.CrossRefPubMed
4.
go back to reference Castro-Rodriguez JA, Holberg CJ, Wright AL, Martinez F. A clinical index to define risk of asthma in young children with recurrent wheeze. Am J Respir Crit Care Med. 2000;162:1403–6.CrossRefPubMed Castro-Rodriguez JA, Holberg CJ, Wright AL, Martinez F. A clinical index to define risk of asthma in young children with recurrent wheeze. Am J Respir Crit Care Med. 2000;162:1403–6.CrossRefPubMed
5.
go back to reference GuiIbert TW, Morgan WJ, Zeiger RS, et al. Atopic characteristics of children with recurrent wheezing at risk for the development of childhood asthma. J Allergy Clin Immunol. 2004;114:1282–7.CrossRef GuiIbert TW, Morgan WJ, Zeiger RS, et al. Atopic characteristics of children with recurrent wheezing at risk for the development of childhood asthma. J Allergy Clin Immunol. 2004;114:1282–7.CrossRef
6.
go back to reference Comberiati P, Tsabouri S, Piacentini GL, Serena M, Minniti F, Peroni PG. Is vitamin D deficiency correlated with childhood wheezing and asthma? Front Biosci (Elite Ed). 2014;6:31–9. Comberiati P, Tsabouri S, Piacentini GL, Serena M, Minniti F, Peroni PG. Is vitamin D deficiency correlated with childhood wheezing and asthma? Front Biosci (Elite Ed). 2014;6:31–9.
7.
9.
go back to reference White JH. Vitamin D as an inducer of cathelicidin antimicrobial peptide expression: past, present and future. J Steroid Biochem Mol Biol. 2010;121:234–8.CrossRefPubMed White JH. Vitamin D as an inducer of cathelicidin antimicrobial peptide expression: past, present and future. J Steroid Biochem Mol Biol. 2010;121:234–8.CrossRefPubMed
10.
go back to reference Bosse Y, Maghni K, Hudson TJ. 1 alpha,25-dihydroxy-vitamin D3 stimulation of bronchial smooth muscle cells induces autocrine, contractility, and remodeling process. Physiol Genomics. 2007;29:161–8.CrossRefPubMed Bosse Y, Maghni K, Hudson TJ. 1 alpha,25-dihydroxy-vitamin D3 stimulation of bronchial smooth muscle cells induces autocrine, contractility, and remodeling process. Physiol Genomics. 2007;29:161–8.CrossRefPubMed
11.
go back to reference Damera G, Fogle HW, Lim P, et al. Vitamin D inhibits growth of human airway smooth muscle cells through growth factor-induced phosphorylation of retinoblastoma protein and checkpoint kinase 1. Br J Pharmacol. 2009;158:1429–41.CrossRefPubMedPubMedCentral Damera G, Fogle HW, Lim P, et al. Vitamin D inhibits growth of human airway smooth muscle cells through growth factor-induced phosphorylation of retinoblastoma protein and checkpoint kinase 1. Br J Pharmacol. 2009;158:1429–41.CrossRefPubMedPubMedCentral
12.
go back to reference Keet CA, McCormack MC, Peng RD, Matsui EC. Age-and atopy-dependent effects of vitamin D on wheeze and asthma. J Allergy Clin Immunol. 2011;128:414–6.CrossRefPubMedPubMedCentral Keet CA, McCormack MC, Peng RD, Matsui EC. Age-and atopy-dependent effects of vitamin D on wheeze and asthma. J Allergy Clin Immunol. 2011;128:414–6.CrossRefPubMedPubMedCentral
13.
go back to reference Bener A, Ehlavel MS, Bener HZ, Hamid Q. The impact of vitamin D deficiency on asthma, allergic rhinitis and wheezing in children: an emerging public health problem. J Family Community Med. 2014;21:154–61.CrossRefPubMedPubMedCentral Bener A, Ehlavel MS, Bener HZ, Hamid Q. The impact of vitamin D deficiency on asthma, allergic rhinitis and wheezing in children: an emerging public health problem. J Family Community Med. 2014;21:154–61.CrossRefPubMedPubMedCentral
14.
go back to reference Hammar KS, Hedlin G, Konradsen JR, et al. Subnormal levels of vitamin D are associated with acute wheezing in young children. Acta Paediatr. 2014;103:856–61.CrossRef Hammar KS, Hedlin G, Konradsen JR, et al. Subnormal levels of vitamin D are associated with acute wheezing in young children. Acta Paediatr. 2014;103:856–61.CrossRef
15.
16.
go back to reference Jartti T, Ruuskanen O, Mansbach JM, Vuorinen T, Camargo CA. Low serum 25-hydroxyvitamin D levels are associated with increased risk of viral coinfections in wheezing children. J Allergy Clin Immunol. 2010;126:1074–6.CrossRefPubMedPubMedCentral Jartti T, Ruuskanen O, Mansbach JM, Vuorinen T, Camargo CA. Low serum 25-hydroxyvitamin D levels are associated with increased risk of viral coinfections in wheezing children. J Allergy Clin Immunol. 2010;126:1074–6.CrossRefPubMedPubMedCentral
17.
go back to reference Brehm JM, Schuemann B. Fuhlbrigge AL, et al; Childhood asthma management program research group. Serum vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study. J Allergy Clin Immunol. 2010;126:52–8. Brehm JM, Schuemann B. Fuhlbrigge AL, et al; Childhood asthma management program research group. Serum vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study. J Allergy Clin Immunol. 2010;126:52–8.
18.
go back to reference Brehm JM, CeIedon JC, Soto-Quiros ME, et al. Serum vitamin D levels and markers of severity of childhood asthma in Costa Rica. Am J Respir Crit Care Med. 2009;179:765–71.CrossRefPubMedPubMedCentral Brehm JM, CeIedon JC, Soto-Quiros ME, et al. Serum vitamin D levels and markers of severity of childhood asthma in Costa Rica. Am J Respir Crit Care Med. 2009;179:765–71.CrossRefPubMedPubMedCentral
19.
go back to reference Hollams EM, Hart PH, Holt BJ, et al. Vitamin D and atopy and asthma phenotypes in children: a longitudinal cohort study. Eur Respir J. 2011;38:1320–7.CrossRefPubMed Hollams EM, Hart PH, Holt BJ, et al. Vitamin D and atopy and asthma phenotypes in children: a longitudinal cohort study. Eur Respir J. 2011;38:1320–7.CrossRefPubMed
20.
go back to reference Özaydin E, Bütün MF, Cakir BC, Köse G. The association between vitamin D status and recurrent wheezing. Indian J Pediatr. 2013;80:907–10.CrossRefPubMed Özaydin E, Bütün MF, Cakir BC, Köse G. The association between vitamin D status and recurrent wheezing. Indian J Pediatr. 2013;80:907–10.CrossRefPubMed
21.
go back to reference Uysalol M, Uysalol EP, Yilmaz Y, et al. Serum level of vitamin D and trace elements in children with recurrent wheezing: a cross-sectional study. BMC Pediatr. 2014;14:270.CrossRefPubMedPubMedCentral Uysalol M, Uysalol EP, Yilmaz Y, et al. Serum level of vitamin D and trace elements in children with recurrent wheezing: a cross-sectional study. BMC Pediatr. 2014;14:270.CrossRefPubMedPubMedCentral
22.
go back to reference Beigelman A, Zeiger RS, Mauger D, et al. The association between vitamin D status and the rate of exacerbations requiring oral corticosteroids in preschool children with recurrent wheezing. J Allergy Clin Immunol. 2014;133:1489–92.CrossRefPubMedPubMedCentral Beigelman A, Zeiger RS, Mauger D, et al. The association between vitamin D status and the rate of exacerbations requiring oral corticosteroids in preschool children with recurrent wheezing. J Allergy Clin Immunol. 2014;133:1489–92.CrossRefPubMedPubMedCentral
23.
go back to reference Prasad S, Rana RK, Sheth R, Mauskar AV. A hospital based study to establish the correlation between recurrent wheeze and vitamin D deficiency among children less than 3 years of age. J Clin Diagn Res. 2016;10:SC18–21.PubMedPubMedCentral Prasad S, Rana RK, Sheth R, Mauskar AV. A hospital based study to establish the correlation between recurrent wheeze and vitamin D deficiency among children less than 3 years of age. J Clin Diagn Res. 2016;10:SC18–21.PubMedPubMedCentral
24.
go back to reference Akman AO, Tumer L, Hasanoglu A, Ilhan M, Cayci B. Frequency of vitamin D insufficiency in healthy children between 1 and 16 years of age in Turkey. Pediatr Int. 2011;53:968–73.CrossRefPubMed Akman AO, Tumer L, Hasanoglu A, Ilhan M, Cayci B. Frequency of vitamin D insufficiency in healthy children between 1 and 16 years of age in Turkey. Pediatr Int. 2011;53:968–73.CrossRefPubMed
Metadata
Title
Vitamin D Status in Infants with Two Different Wheezing Phenotypes
Authors
Ali Ozdemir
Dilek Dogruel
Ozlem Yilmaz
Publication date
01-12-2016
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 12-13/2016
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-016-2184-1

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