International Journal of Contemporary Pediatrics | March-April 2018 | Vol 5 | Issue 2 Page 520
International Journal of Contemporary Pediatrics
Karanam S et al. Int J Contemp Pediatr. 2018 Mar;5(2):520-525
http://www.ijpediatrics.com pISSN 2349-3283 | eISSN 2349-3291
Original Research Article
Vitamin D status in asthmatic children and its correlation to
asthma control
Sandeep Karanam, Soumya Reddy*, Ramesh H.
INTRODUCTION
Asthma is a common disease, affecting an estimated 330
million individuals worldwide with a reported prevalence
of 5-20% in children aged between 6-15yrs.
1,2
Like many
other chronic disorders, childhood asthma is likely to
have an impact on the social and emotional aspects of
lives of children and their families. In addition, there may
be considerable financial burden on families. It also
reduces the quality of life of children as it leads to growth
retardation, inability to exercise and nocturnal bouts of
wheezing resulting in loss of sleep that may impair
daytime concentration at school.
Bronchial Asthma is defined as a chronic inflammatory
disorder of the airways associated with increased airway
hyper-responsiveness, recurrent episodes of wheezing,
breathlessness, chest tightness and coughing, particularly
at night/early morning.
Airway inflammation produces airflow limitation through
acute bronchoconstriction, chronic mucus plug formation
ABSTRACT
Background: Asthma is a common chronic inflammatory disease of the airways, affecting around 330 million
individuals worldwide. Factors like genetic predisposition, early allergen exposure, diet and vitamin D status are all
proposed to influence the development and severity of asthma. Epidemiologic data suggests that low serum vitamin D
(<30 ng/mL) in children with asthma is associated with more symptoms and exacerbations. The objectives of this
study were to determine serum levels of vitamin D in asthmatic children (6-15 years) and to establish a relation
between serum vitamin D levels and asthma control.
Methods: We conducted a cross sectional observational study. A total of 60 children with asthma were studied to
know the relationship between serum vitamin D levels and asthma control, assessed according to Global Initiative for
Asthma guidelines (GINA).
Results: Only 33.33% of children had sufficient vitamin D levels. Mean±SD vitamin D level of study population was
23.38±8.75. 45% children had well controlled asthma, 28.3% were partly controlled and 26.7% were uncontrolled.
Significant (p <0.001) inverse association was found between level of asthma control and vitamin D status.
Significant positive correlation was found between percent predicted forced expiratory volume in 1 second and forced
vital capacity (P <0.01). Subjects with well controlled asthma had higher serum levels of 25 (OH) D than children
with partially controlled or uncontrolled asthma.
Conclusions: Hypovitaminosis D is frequent in children with asthma and is associated with exacerbations, decreased
lung functions and severe disease.
Keywords: Asthma, Asthma control, Hypovitaminosis D, Vitamin D
Department of Paediatrics, JJM Medical College, Davangere, Karnataka, India
Received: 15 December 2017
Accepted: 19 January 2018
*Correspondence:
Dr. Soumya Reddy,
E-mail: sr2390@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20180547