PMID- 31183282 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 11 IP - 3 DP - 2019 Mar 22 TI - 25-hydroxy Vitamin D Levels in Pediatric Asthma Patients and its Link with Asthma Severity. PG - e4302 LID - 10.7759/cureus.4302 [doi] LID - e4302 AB - Aim Although the relationship between 25-hydroxy (25-OH) vitamin D and asthma is known, it is unknown if 25-OH vitamin D levels are correlated with asthma severity in pediatric patients. The aim of this study was to compare the blood 25-OH vitamin D levels of asthma patients and healthy control groups and to evaluate any correlation between asthma severity and blood 25-OH vitamin D levels in pediatric asthma patients. Methods This is a cross-sectional study which shows the 25-OH vitamin D levels of asthma patients and compared to healthy controls followed by a tertiary pediatric clinic. We investigated the effect of 25-OH vitamin D levels on the severity of asthma. The severity of asthma was determined mainly by the duration of asthma diagnosis, a number of attacks in the previous year, anti-inflammatory medication usage in a previous year, atopy presence in the family, skin prick test positivity, and immunoglobulin E (IgE) levels of asthma patients. Results Compared with control groups, asthma patients had significantly lower 25-OH vitamin D, calcium (Ca) levels, and higher number of patients who had a 25-OH vitamin D deficiency, (p<0.0001, p<0.0001, p<0.0001, respectively). We found a correlation between blood 25-OH vitamin D levels and force expiratory capacity in one second (FEV1) and forced vital capacity (FVC) respectively (p< 0.001, r=0.512), (p< 0.001, r=0.513). There was an association between FEV1, FVC and blood 25-OH vitamin D levels in terms of deficient levels (<20 ng/mL) or insufficient levels (>/=20 and <30 ng/mL) (p<0.001, r=0.459), (p< 0.001, r=0.450), respectively. Conclusions The 25-OH vitamin D levels were lower in pediatric asthma patients with worse spirometry results. Effects of Vitamin D supplementation need to be evaluated by well-designed studies. FAU - Ozturk Thomas, Gulten AU - Ozturk Thomas G AD - Pediatrics, Dr. Lutfi Kirdar Training & Research Hospital, Istanbul, TUR. FAU - Tutar, Engin AU - Tutar E AD - Pediatrics, Dr. Lutfi Kirdar Training & Research Hospital, Istanbul, TUR. FAU - Tokuc, Gulnur AU - Tokuc G AD - Pediatrics, Dr. Lutfi Kirdar Training & Research Hospital, Istanbul, TUR. FAU - Oktem, Sedat AU - Oktem S AD - Pediatrics, Dr. Lutfi Kirdar Training & Research Hospital, Istanbul, TUR. LA - eng PT - Journal Article DEP - 20190322 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC6538098 OTO - NOTNLM OT - 25-hydroxy vitamin d OT - asthma OT - disease severity COIS- The authors have declared that no competing interests exist. EDAT- 2019/06/12 06:00 MHDA- 2019/06/12 06:01 PMCR- 2019/03/22 CRDT- 2019/06/12 06:00 PHST- 2019/06/12 06:00 [entrez] PHST- 2019/06/12 06:00 [pubmed] PHST- 2019/06/12 06:01 [medline] PHST- 2019/03/22 00:00 [pmc-release] AID - 10.7759/cureus.4302 [doi] PST - epublish SO - Cureus. 2019 Mar 22;11(3):e4302. doi: 10.7759/cureus.4302.