Vitamin D supplementation in the prevention of recurrent acute respiratory tract infections in children aged <5 years
| Autor: | Seshla S, Chitra C. Khanwelkar, Sujata A. Jadhav, Abhay Jadhav |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Respiratory tract infections pediatrics business.industry RC86-88.9 Standard treatment vitamin d Medical emergencies. Critical care. Intensive care. First aid General Medicine Odds ratio respiratory tract infections medicine.disease Placebo vitamin D deficiency Group B Internal medicine medicine Vitamin D and neurology Medicine Prospective cohort study business |
| Zdroj: | Journal of Medical Sciences, Vol 41, Iss 3, Pp 129-133 (2021) |
| ISSN: | 1011-4564 |
| Popis: | Background: Children with Vitamin D deficiency are at an increased risk for acute respiratory tract infections (ARTIs). Till now, few studies have been conducted on the use of Vitamin D against ARTIs, but the findings are conflicting and not conclusive. Aim: The aim was to study the effect of Vitamin D supplementation in the prevention of recurrent ARTIs in under-five children. Methods: In this prospective study, a total of 310 children aged between 1 and 5 years diagnosed with ARTI were included. They were randomized into two groups: Group A (oral Vitamin D 120,000 IU with standard treatment; n = 155) and Group B (placebo with standard treatment only; n = 155). Follow-up of the patient was done every month for a period of 6 months to document the recurrence of acute attacks of ARTI. R version 3.6.0 software was employed to analyze the data. Results: Twelve children (3.9%) in Group B were unable to follow-up, and hence, 143 were considered for statistical analyses in that group. Among the 298 children, 63.7% were males and majority (25.5%) of them were in the age group of 11–20 months. Cough (96%), fever (93%), and rhinitis (85.2%) were the commonly encountered symptoms. On day 4th (after Vitamin D supplementation), majority in Group A (40%) had recovered completely compared to Group B (5.6%). Within 5 days, Group A patients were 7 times (odds ratio: 6.97, Confidence interval: 3.5–13.8; P < 0.0001) more likely to have a high recovery rate compared to Group B patients. The proportion of patients with minimal attacks (three or four) of ARTI was significantly less in Group A (7.7%) compared to Group B (32.4%; P < 0.001). Conclusions: Children with Vitamin D supplementation had better and rapid recovery from ARTIs and reduced frequency of ARTI attacks. |
| Databáze: | OpenAIRE |
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