TABLE 4.
SERUM VITAMIN D AND NUMBER OF HOSPITALIZATIONS AMONG COSTA RICAN CHILDREN WITH ASTHMA IN THE PREVIOUS YEAR
| Beta Coefficient (95% CI) (P Value)
|
||
|---|---|---|
| Outcome | Unadjusted | Multivariate Model* |
| Vitamin D deficiency (<20 ng/ml) | 1.9 (0.2 to 3.7) (0.03) | 2.3 (0.65 to 4.0) (0.006)† |
| Age, years | −0.02 (−0.25 to 0.21) (0.9) | |
| Female sex | 0.19 (−0.68 to 1.1) (0.7) | |
| BMI z-score | 0.1 (−0.30 to 0.51) (0.6) | |
| log10 dose–response slope for methacholine | 0.76 (−0.16 to 1.7) (0.1) | |
| Parental education | −0.06 (−0.43 to 0.3) (0.7) | |
| Positive IgE to cockroach | 1.1 (0.27 to 2.0) (0.01) | |
| Antiinflammatory medication use | 0.83 (−0.03 to 1.7) (0.06) | |
Boldface entries indicate significance.
The multivariate model is the final model after stepwise removal of covariates. Age, sex, and BMI z-score were forced into the model. Other variables also remained in the final models if they were significant at P < 0.05 or if they satisfied a change in estimate criterion (≥10%) in the beta coefficient. Variables removed include maternal asthma history, paternal asthma history, positive IgE to Ascaris, and positive IgE to dust mite.
In the multivariate model, a vitamin D level less than 20 ng/ml predicts a 10-fold increase in hospitalizations over a 1-year period.