The relationship between serum levels of vitamin D with asthma and its symptom severity: A case–control study

• Rasoul Nasiri Kalmarzi ^[1] ; A. Zamani ^[1] ; A. Fathallahpour ^[1] ; E. Ghaderi ^[1] ; Ramesh Rahehagh ^[1] ; W. Kooti ^[1]
  1. [1] Kurdistan University of Medical Sciences

     Kurdistan University of Medical Sciences

     Irán

     
• Localización: Allergologia et immunopathologia: International journal for clinical and investigate allergology and clinical immunology, ISSN-e 1578-1267, ISSN 0301-0546, Vol. 44, Nº. 6, 2016, págs. 547-555
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Background Asthma is a heterogeneous disease characterised by chronic inflammatory airways, and is affected by several immunological factors. One of the most discussed and researched hypotheses is the relationship between vitamin D serum levels with asthma. This study aimed to investigate the relationship between vitamin D serum levels with asthma and pulmonary functions in children in Kurdistan province, Iran.

    Materials and methods In this case–control study, 120 children ranging from 6 to 18 years were referred in summer for investigation. Participants were divided into two groups: asthma group, N = 60; and control group, N = 60. After serum separation, samples were analysed using vitamin D ELISA kit. Additionally, pulmonary function test and serum IgE levels were measured in both groups. Data were analysed using Chi-square test and multiple regression analysis in SPSS15.

    Results No difference was shown between the groups in terms of gender composition (male: 57.5; female: 42.5) (P > 0.05). Average Vitamin D serum level in the case group (17.98 ± 8.68) was less than in control group (22.35 ± 6.26) (P < 0.01). In addition, the difference of vitamin D deficiency in level of suboptimal between the asthma (17.77 ± 6.41) and the control group (24.9 ± 3.18) was statistically significant (P < 0.0001). Positive correlation existed between vitamin D levels with FEV1, FVC, and FEV1/FVC. Multiple regression analysis showed a reverse relationship between vitamin D levels with IgE serum levels; this remained after adjustment for potential confounders (e.g. age, sex, BMI, FEV1, and FVC).

    Conclusion The results showed that serum levels of vitamin D in asthma patients were less than in healthy people, and also reduced lung function in these patients. So, the serum levels of vitamin D in asthma patients must be checked continuously.