Status of vitamin D levels in bronchial asthmatic Children at Tertiary Care Hospital, Tirupathi

  • Sudheer P Department of Pediatrics, Sri Venkateswara Ramnarain Ruia Government General Hospital, Tirupathi
  • Jayachandra Naidu T Department of Pediatrics, Sri Venkateswara Ramnarain Ruia Government General Hospital, Tirupathi

Abstract

The current study was carried out to estimate the levels of vitamin D in asthmatic children and to know the relation between the two. A total of 75 asthmatic children were included between 6-12 years of age based on symptoms and divided into mild, moderate, severe persistent asthmatic. Standard laboratory tests which include Absolute eosinophil count (AEC), Vitamin D levels, calcium, phosphorous, alkaline phosphatase (ALP) for asthmatic children. Blood samples were collected and Vitamin D levels were estimated using high performance liquid chromatography (HPLC) technique. The results of the current study has shown significant correlation between vitamin D and severity of asthma with male to female child ratio is 1.5:1. The total of 94.67% asthmatic children had vitamin D levels <30 ng/ml. 72% of asthmatic children had deficient levels of vit D i.e. <20 ng/ml. Mean serum Vitamin D is highest in mild persistent asthmatic group with value 23.73 +/- 8.03 ng/ml and lowest in severe persistent group with value 11.09 +/- 4.26 ng/ml. The ALP levels are raised in highest in severe persistent asthmatic group which is 252.36 +/- mg/dl.  Lowest levels of ALP in mild persistent asthmatic group which is 163.44 +/- 36.6 mg/dl. 64% (48) of asthmatic children had AEC <400 and 36% (27) had AEC >400. The present study concludes that vitamin D deficiency is more common in asthmatic children (94.67%) who are attending the department of pediatrics, S.V.R.R.G.G.H., Tirupati and confirms that there is significant inverse correlation between severity of asthma and vitamin D levels.

Keywords: Children, Asthma and Vitamin D

References

Brown SD, Calvert HH, Fitzpatrick AM. 2012. Vitamin D and asthma. Dermato Endocrinol, 4 (2): 137- 45
Chambers ES, Nanzer AM, Richards DF et al., 2012. Serum 25-dihydroxyvitamin D levels correlate with CD4(+) Foxp3(+) T-cell numbers in moderate/severe asthma. J Allergy Clin Immunol, 130 (2): 542-544
Finklea JD, Grossmann RE, Tangpricha V. 2011. Vitamin D and chronic lung disease: a review of molecular mechanisms and clinical studies. Adv Nutr, 2 (3): 244-253.
Yin K, Agrawal DK. 2014. Vitamin D and inflammatory diseases. J Inflam Res, 7: 69-87.
Maalmi H, Berraies A, Tangour E et al., 2012.The impact of vitamin D deficiency on immune T cells in asthmatic children: a case-control study. J Asthma Allergy, 5: 11-19.
Reichel H, Koeffler, HP, Norman AW. 1989. The Role of the Vitamin D Endocrine System in Health and Disease. N Engl J Med, 320: 980-991.
Wicherts IS, Van Schoor NM, Boeke AJP et al., 2007. Vitamin D Status Predicts Physical Performance and Its Decline in Older Persons. J Clin Endocrin Metab, 92(6): 2058-2065.
Visser M, Deeg DJ, Puts MT et al., 2006. Low serum concentrations of 25-hydroxyvitamin D in older persons and the risk of nursing home admission. The American Journal of Clinical Nutrition, 84(3): 616–622,
John R Dyer. 2007. Infrared Spectroscopy. In: John R. Dyer. Editors. Applications of absorption spectroscopy of organic compounds. Eastern Economy Edition. Prentice – Hall of India. New Delhi. Pg. 22-57.
Khan GM, Meidan VK. 2007. Drug release kinetics from tablet matrices based on ethyl cellulose ether derivatives: A comparison between different formulations. Drug Develop Ind Pharm, 36, 627-39.
Eleazar Suchiang et al., 2016. Assessment of 25 (OH) Vitamin D3 in Asthmatic Children in S.P.M.C.H.I, Jaipur. IOSR Journal of Dental and Medical Sciences, 15(6): 16-22.
Elnadya HG, Foudac EM, Elsheikh OM et al., 2013. Serum vitamin D level as a predictor of bronchial asthma in Egyptian children. Journal of the Arab Society for Medical Research, 8: 67-73
Avinash Kumar, Ratan Gupta, Debata PK et al., 2014. Levels of Vitamin D in Patients of Childhood Asthma. Pediatric Oncall Journal, 11(4): 102-107.
Statistics
100 Views | 161 Downloads
How to Cite
P, S., & Naidu T, J. (2019). Status of vitamin D levels in bronchial asthmatic Children at Tertiary Care Hospital, Tirupathi. Journal of Integral Sciences, 2(1), 17-20. Retrieved from https://jisciences.com/index.php/journal/article/view/26
Section
Research Article(s)