Table 2. Studies of vitamin D status in school-age children with asthma.
Author | Year | n (% male) |
Age (years) | Study Design | Sample | Outcome Measures | Findings |
---|---|---|---|---|---|---|---|
Brehm41 |
2009 |
616 (60) |
8.7 |
Cross-sectional |
Mild-to-severe persistent asthma |
Asthma exacerbations |
Increased 25(OH)D associated with reduced hospitalization, reduced anti-inflammatory medication use and reduced airway hyperresponsiveness |
Brehm69 |
2010 |
1024 (60) |
8.9 |
Prospective cohort |
Mild-to-moderate persistent asthma |
Hospitalization or emergency department visit |
Baseline 25(OH)D levels < 30 ng/mL associated with higher odds of hospitalization or emergency department over 4 y |
Chinellato70 |
2011 |
75 (60) |
9.6 |
Cross-sectional |
Well-controlled and poorly controlled asthma |
Spirometry, asthma control |
Positive correlations noted between 25(OH)D and asthma control |
Chinellato71 |
2011 |
45 (60) |
10 |
Cross-sectional |
Intermittent asthma |
Lung function and airway hyperresponsiveness |
Lower serum 25(OH)D associated with decreased lung function and increased airway hyperresponsiveness with exercise |
Freishtat72 |
2010 |
92 (63) |
11.1 |
Cross-sectional |
African Americans with and without asthma |
Physician-diagnosed asthma |
Decreased 25(OH)D in asthmatics vs. controls |
Majak73 |
2011 |
48 (67) |
11.5 |
Randomized, double-blind, parallel arm clinical trial |
Newly diagnosed asthma |
Asthma exacerbations |
Fewer exacerbations in children with vitamin D3 supplementation added to inhaled budesonide |
Searing74 |
2010 |
100 (64) |
7 |
Cross-sectional |
Moderate to severe persistent asthma |
Corticosteroid use and airflow limitation |
Decreased 25(OH)D associated with lower lung function and higher corticosteroid requirements |
Urashima75 | 2010 | 217 (57) | 10.0 | Randomized, double-blind clinical trial | Schoolchildren (allcomers), subgroup with physician-diagnosed asthma | Asthma exacerbations | Reduced risk of asthma exacerbations in the subgroup with asthma after vitamin D3 supplementation |