Vitamin D sufficiency and the effect of its deficiency on the course of allergic diseases in children

Authors

DOI:

https://doi.org/10.15574/SP.2022.126.101

Keywords:

vitamin D, children, deficiency, allergic diseases

Abstract

The prevalence of allergic pathology is increasing significantly in both adults and children, and at the same time, the problem of vitamin D deficiency remains relevant. Recent studies have revealed a close connection between vitamin D deficiency and the development of allergic diseases in children. In addition to its role in bone and calcium metabolism, recent observations have shown its possible role as an immunomodulator in allergic diseases. This is due to the presence of vitamin D receptors in most cells of the human body. One of the most important functions of vitamin D is to modulate the response of the immune system, both innate and adaptive. Currently, there is no consensus on the possible mechanisms of vitamin D involvement in the pathogenesis of allergies. It is believed that the role of vitamin D in the pathogenesis of allergic diseases is due to its regulatory effect on the immune system, participation in antimicrobial protection and ensuring the barrier function of the skin and mucous membranes. In this regard, considerable attention is paid to the study of the role of vitamin D in the development and course of allergic diseases in children.

Purpose - to summarize the literature data on the biological role of vitamin D and the impact of its deficiency on the course of allergic diseases in children.

Results and conclusions. In most scientific studies, the adverse effect of vitamin D deficiency on the allergic process has been established - an insufficient level of 25(OH)D in blood serum was found in children with asthma, allergic rhinitis, atopic dermatitis and food allergies. Also, a number of authors found a connection between the status of vitamin D and the risk of development and exacerbation of an allergic disease or indicators of a severe course. Although other researchers deny such relationship. Despite the inconsistencies in the literature, it is possible to note the important role of vitamin D in the development and course of allergic diseases in children.

No conflict of interests was declared by the authors.

References

Allen KJ, Koplin JJ, Ponsonby AL et al. (2013). Vitamin D insufficiency is associated with challenge-proven food allergy in infants. J Allergy Clin Immunol. 131: 1109-1116. https://doi.org/10.1016/j.jaci.2013.01.017; PMid:23453797

Amorim C, Oliveira JM, Rodrigues A, Furlanetto KC, Pitta F. (2020). Vitamin D: association with eosinophil counts and IgE levels in children with asthma. Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. 47 (1): e20200279. https://doi.org/10.36416/1806-3756/e20200279; PMid:33174974 PMCid:PMC7889310

Aryan Z, Rezaei N, Camargo CA. (2017). Vitamin D status, aeroallergen sensitization, and allergic rhinitis: a systematic review and meta-analysis. Int Rev Immunol. 36 (1): 41-53. https://doi.org/10.1080/08830185.2016.1272600; PMid:28102718

Bäck O, Blomquist HK, Hernell O, Stenberg B. (2009). Does vitamin D intake during infancy promote the development of atopic allergy? Acta dermato-venereologica. 89 (1): 28-32. https://doi.org/10.2340/00015555-0541; PMid:19197538

Bartels LE, Jørgensen SP, Agnholt J, Kelsen J, Hvas CL, Dahlerup JF. (2007). 1,25-dihydroxyvitamin D3 and dexamethasone increase interleukin-10 production in CD4+ T cells from patients with Crohn's disease. International immunopharmacology. 7 (13): 1755-1764. https://doi.org/10.1016/j.intimp.2007.09.016; PMid:17996686

Bener A, Ehlayel MS, Tulic MK, Hamid Q. (2012). Vitamin D deficiency as a strong predictor of asthma in children. International archives of allergy and immunology. 157 (2): 168-175. https://doi.org/10.1159/000323941; PMid:21986034

Biggs L, Yu C, Fedoric B, Lopez AF, Galli SJ, Grimbaldeston MA. (2010). Evidence that vitamin D (3) promotes mast cell-dependent reduction of chronic UVB-induced skin pathology in mice. The Journal of experimental medicine. 207 (3): 455-463. https://doi.org/10.1084/jem.20091725; PMid:20194632 PMCid:PMC2839149

Brehm JM, Celedón JC, Soto-Quiros ME, Avila L, Hunninghake GM et al. (2009). Serum vitamin D levels and markers of severity of childhood asthma in Costa Rica. American journal of respiratory and critical care medicine. 179 (9): 765-771. https://doi.org/10.1164/rccm.200808-1361OC; PMid:19179486 PMCid:PMC2675563

Bugadze L, Manjavidze N, Jorjoliani L. (2018). Asthma control status and lung function in relation to vitamin d level in children with bronchial asthma. Georgian medical news. 283: 115-118.

Camargo CA, Jr Clark S, Kaplan MS, Lieberman P, Wood RA. (2007). Regional differences in EpiPen prescriptions in the United States: the potential role of vitamin D. The Journal of allergy and clinical immunology. 120 (1): 131-136. https://doi.org/10.1016/j.jaci.2007.03.049

PMid:17559916

Chiu YE, Havens PL, Siegel DH, Ali O, Wang T, Holland KE, Galbraith SS, Lyon VB, Drolet BA. (2013). Serum 25-hydroxyvitamin D concentration does not correlate with atopic dermatitis severity. Journal of the American Academy of Dermatology. 69 (1): 40-46. https://doi.org/10.1016/j.jaad.2013.01.010; PMid:23415685 PMCid:PMC3661681

Chun RF, Lauridsen AL, Suon L, Zella LA, Pike JW, Modlin RL, Martineau AR, Wilkinson RJ, Adams J, Hewison M. (2010). Vitamin D-binding protein directs monocyte responses to 25-hydroxy- and 1,25-dihydroxyvitamin D. The Journal of clinical endocrinology and metabolism. 95 (7): 3368-3376. https://doi.org/10.1210/jc.2010-0195; PMid:20427486 PMCid:PMC2928899

Gupta A, Sjoukes A, Richards D, Banya W, Hawrylowicz C, Bush A, Saglani S. (2011). Relationship between serum vitamin D, disease severity, and airway remodeling in children with asthma. American journal of respiratory and critical care medicine. 184 (12): 1342-1349. https://doi.org/10.1164/rccm.201107-1239OC; PMid:21908411 PMCid:PMC3471128

Dogru M, Kirmizibekmez H, Yesiltepe Mutlu RG, Aktas A, Ozturkmen S. (2014). Clinical effects of vitamin D in children with asthma. International archives of allergy and immunology. 164 (4): 319-325. https://doi.org/10.1159/000366279; PMid:25277142

Dogru M, Suleyman A. (2016). Serum 25-hydroxyvitamin D3 levels in children with allergic or nonallergic rhinitis. International journal of pediatric otorhinolaryngology. 80: 39-42. https://doi.org/10.1016/j.ijporl.2015.11.013; PMid:26746610

Dogru M. (2018). Is vitamin D level associated with the natural course of atopic dermatitis? Allergologia et immunopathologia. 46 (6): 546-551. https://doi.org/10.1016/j.aller.2017.12.004; PMid:29559281

EAACI. (2016, Aug). Abstracts from the European Academy of Allergy and Clinical Immunology Congress, 11-15 June 2016. Vienna, Austria. Allergy. 71 (102): 3-633.

Elnady, HG, Abdel Hameed E, Fouda E, Abdel Shaheed A, Refaat E, Badawy E. (2011). Serum Vitamin D levels and markers of childhood asthma severity in Greater Cairo. Intensive Care Med. 37 (2): S355-356.

Esfandiar N, Alaei F, Fallah S et al. (2016). Vitamin D deficiency and its impact on asthma severity in asthmatic children. Ital J Pediatr. 42: 108. https://doi.org/10.1186/s13052-016-0300-5; PMid:27987538 PMCid:PMC5164917

Feng H, Xun P, Pike K, Wills AK, Chawes BL, Bisgaard H, Cai W, Wan Y, He K. (2017). In utero exposure to 25-hydroxyvitamin D and risk of childhood asthma, wheeze, and respiratory tract infections: A meta-analysis of birth cohort studies. The Journal of allergy and clinical immunology. 139 (5): 1508-1517. https://doi.org/10.1016/j.jaci.2016.06.065; PMid:27639938

Ferreira GB, Overbergh L, Verstuyf A, Mathieu C. (2013). 1α,25-Dihydroxyvitamin D3 and its analogs as modulators of human dendritic cells: a comparison dose-titration study. The Journal of steroid biochemistry and molecular biology. 136: 160-165. https://doi.org/10.1016/j.jsbmb.2012.10.009; PMid:23098690

Foong RE, Zosky GR. (2013). Vitamin D deficiency and the lung: disease initiator or disease modifier? Nutrients. 5 (8): 2880-2900. https://doi.org/10.3390/nu5082880; PMid:23896653 PMCid:PMC3775233

Foong RX, Meyer R, Dziubak R, Lozinsky AC, Godwin H, Reeve K et al. (2017). Establishing the prevalence of low vitamin D in non-immunoglobulin-E mediated gastrointestinal food allergic children in a tertiary centre. World Allergy Organ J. 10 (1): 4. https://doi.org/10.1186/s40413-016-0135-y; PMid:28101293 PMCid:PMC5225666

Global Health Metrics. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 396 (10258): 1204-1222.

Gorman S, Judge MA, Hart PH. (2010). Immune-modifying properties of topical vitamin D: focus on dendritic cells and T cells.J Steroid Biochem Mol Biol. 121: 247-249. https://doi.org/10.1016/j.jsbmb.2010.02.034; PMid:20211255

Guo H, Zheng Y, Cai X, Yang H, Zhang Y, Hao L, Jin Y, Yang G. (2018). Correlation between serum vitamin D status and immunological changes in children affected by gastrointestinal food allergy. Allergologia et immunopathologia. 46 (1): 39-44. https://doi.org/10.1016/j.aller.2017.03.005; PMid:28757197

Guo Y, Yu L, Deng YH et al. (2020). Associations between serum 25-hydroxyvitamin D levels and allergic sensitization in early childhood. Allergol Immunopathol (Madr). 48: 84-89. https://doi.org/10.1016/j.aller.2019.06.016; PMid:31601504

Hartmann B, Heine G, Babina M, Steinmeyer A, Zügel U, Radbruch A, Worm M. (2011). Targeting the vitamin D receptor inhibits the B cell-dependent allergic immune response. Allergy. 66 (4): 540-548. https://doi.org/10.1111/j.1398-9995.2010.02513.x; PMid:21121929

Haziroglu Okmen Z, Celiksoy MH, Topal E. (2021). The Effect of Serum Vitamin D Level on Allergic Rhinitis Symptoms in Children. Pediatric allergy, immunology, and pulmonology. 34 (4): 132-140. https://doi.org/10.1089/ped.2021.0161; PMid:34958245

Heine G, Hoefer N, Franke A, Nöthling U, Schumann RR, Hamann L, Worm M. (2013). Association of vitamin D receptor gene polymorphisms with severe atopic dermatitis in adults. British Journal of Dermatology. 168 (4): 855-858. https://doi.org/10.1111/bjd.12077; PMid:23034014

Hendaus MA, Jomha FA, Ehlayel M. (2016). Allergic diseases among children: nutritional prevention and intervention. Ther Clin Risk Manag. 7 (12): 361-372. https://doi.org/10.2147/TCRM.S98100; PMid:27022267 PMCid:PMC4788360

Holick MF. (2017). The vitamin D deficiency pandemic: approaches for diagnosis, treatment and prevention. Rev Endocr Metab Disord. 18: 153-165. https://doi.org/10.1007/s11154-017-9424-1; PMid:28516265

Hoe E, Nathanielsz J, Toh ZQ, Spry L, Marimla R, Balloch A, Mulholland K, Licciardi PV. (2016). Anti-Inflammatory Effects of Vitamin D on Human Immune Cells in the Context of Bacterial Infection. Nutrients. 8 (12): 806. https://doi.org/10.3390/nu8120806; PMid:27973447 PMCid:PMC5188461

Hornsby E, Pfeffer PE, Laranjo N, Cruikshank W, Tuzova M, Litonjua AA, Weiss ST, Carey VJ, O'Connor G, Hawrylowicz C. (2018). Vitamin D supplementation during pregnancy: Effect on the neonatal immune system in a randomized controlled trial. The Journal of allergy and clinical immunology. 141 (1): 269-278.e1. https://doi.org/10.1016/j.jaci.2017.02.039; PMid:28552588

Hyppönen E, Berry DJ, Wjst M, Power C. (2009). Serum 25-hydroxyvitamin D and IgE - a significant but nonlinear relationship. Allergy. 64 (4): 613-620. https://doi.org/10.1111/j.1398-9995.2008.01865.x; PMid:19154546

Ibrahim HM, El-Taieb MA, Hassan MH, Mohamed A, Kotop EA, Abd-Ellah OH, Hegazy EM. (2020). Relations between vitamin D3, total and specific IgE for house dust mites in atopic dermatitis patients. Scientific reports. 10 (1): 21000. https://doi.org/10.1038/s41598-020-77968-1; PMid:33268802 PMCid:PMC7710713

Ismail MF, Elnady HG, Fouda EM. (2013). Genetic variants in vitamin D pathway in Egyptian asthmatic children: a pilot study. Human Immunology. 74 (12): 1659-1664. https://doi.org/10.1016/j.humimm.2013.08.284; PMid:24007655

Kangmo Ahn, Jihyun Kim, Hyunyoung Jeon, Hyunmi Kim, Youngshin Han, Kwon Jung, Sumi Eo, Mijin Ahn, Young-Min Kim. (2016). Ultraviolet Sun Exposure Is Associated with the Acute Symptoms of Atopic Dermatitis in Young Children. Journal of Allergy and Clinical Immunology. 137 (2): AB153. https://doi.org/10.1016/j.jaci.2015.12.630

Kavitha TK, Gupta N, Kabra SK, Lodha R. (2017). Association of Serum Vitamin D Levels with Level of Control of Childhood Asthma. Indian Pediatr. 54 (1): 29-32. https://doi.org/10.1007/s13312-017-0992-7; PMid:28141562

Kim MJ, Kim SN, Lee YW, Choe YB, Ahn KJ. (2016). Vitamin D Status and Efficacy of Vitamin D Supplementation in Atopic Dermatitis: A Systematic Review and Meta-Analysis. Nutrients. 8 (12): 789. https://doi.org/10.3390/nu8120789; PMid:27918470 PMCid:PMC5188444

Kim SH, Ban GY, Park HS, Kim SC, Ye YM. (2016). Regional differences in vitamin D levels and incidence of food-induced anaphylaxis in South Korea. Annals of allergy, asthma & immunology: official publication of the American College of Allergy, Asthma, & Immunology. 116 (3): 237-243.e1. https://doi.org/10.1016/j.anai.2015.12.021; PMid:26803537

Kim YM, Kim J, Lee JY, Kim M, Kim H, Jung K, Eo S, Ahn M, Ahn K. (2017). Impact of solar ultraviolet radiation on atopic dermatitis symptoms in young children: A longitudinal study. Pediatric allergy and immunology: official publication of the European Society of Pediatric Allergy and Immunology. 28 (6): 551-556. https://doi.org/10.1111/pai.12746; PMid:28631848

Kolokotroni O, Middleton N, Kouta C, Raftopoulos V, Yiallouros PK. (2015). Association of Serum Vitamin D with Asthma and Atopy in Childhood: Review of Epidemiological Observational Studies. Mini Rev Med Chem. 15 (11): 881-899. https://doi.org/10.2174/1389557515666150519105541; PMid:25985951

Lee SA, Hong S, Kim HJ, Lee SH, Yum HY. (2013). Correlation between serum vitamin d level and the severity of atopic dermatitis associated with food sensitization. Allergy, asthma & immunology research. 5 (4): 207-210. https://doi.org/10.4168/aair.2013.5.4.207; PMid:23814673 PMCid:PMC3695234

Lee YW, Choon SE, Izham S. (2019). Serum 25-Hydroxyvitamin D deficiency in Malaysian children with severe atopic dermatitis. The Medical journal of Malaysia. 74 (4): 259-265.

Liu J, Dong YQ, Yin J, Yao J, Shen J, Sheng GJ, Li K, Lv HF, Fang X, Wu WF. (2019). Meta-analysis of vitamin D and lung function in patients with asthma. Respiratory research. 20 (1): 161. https://doi.org/10.1186/s12931-019-1072-4; PMid:31590675 PMCid:PMC6781357

Marino R, Misra M. (2019). Extra-Skeletal Effects of Vitamin D. Nutrients. 11 (7): 1460. https://doi.org/10.3390/nu11071460; PMid:31252594 PMCid:PMC6683065

Marushko YuV, Hyshchak TV. (2021). Prevention of vitamin D deficiency in children. The state of the problem in the world and in Ukraine. Modern Pediatrics. Ukraine. 4: 116. https://doi.org/10.15574/SP.2021.116.36

Marushko YuV, Esipova SI, Gishchak TV. (2021). Influence of vitamin D provision on the course of acute respiratory infections in children. Modern Pediatrics. Ukraine. 7 (119): 73-80. https://doi.org/10.15574/SP.2021.119.73

Marushko Y, Hyshchak T, Chabanovych O. (2021). Features of the combined course of acute tonsillitis and pharyngitis in children with allergic rhinitis and the possibility of local therapy. Pediatrics Eastern Europe. 9 (4): 686-697. https://doi.org/10.34883/PI.2021.9.4.015

Marushko YuV, Moskovenko OD, Halushko BL. (2021). Cetirizine is an effective and safe antihistamine (literature review, results of clinical researches). Modern Pediatrics. Ukraine. 8 (120): 55-61. https://doi.org/10.15574/SP.2021.120.55

Martens PJ, Gysemans C, Verstuyf A, Mathieu C. (2020). Vitamin D's Effect on Immune Function. Nutrients. 12: 1248. https://doi.org/10.3390/nu12051248; PMid:32353972 PMCid:PMC7281985

Mesquita K de C, Igreja AC, Costa IM. (2013). Atopic dermatitis and vitamin D: facts and controversies. Brazilian Annals of Dermatology. 88 (6): 945-953. https://doi.org/10.1590/abd1806-4841.20132660; PMid:24474104 PMCid:PMC3900346

Meyer R, De Koker C, Dziubak R et al. (2015). A practical approach to vitamin and mineral supplementation in food allergic children. Clin Transl Allergy. 5: 11. https://doi.org/10.1186/s13601-015-0054-y; PMid:25780558 PMCid:PMC4361144

Munawwarah L, Evalina R, Sofyani S. (2018). Serum 25-hydroxyvitamin-D level and atopic dermatitis severity in children. Paediatrica Indonesiana. 57 (5): 234-238. https://doi.org/10.14238/pi57.5.2017.234-8

Mullins RJ, Clark S, Camargo CA. (2009). Regional variation in epinephrine autoinjector prescriptions in Australia: more evidence for the vitamin D-anaphylaxis hypothesis. Annals of allergy, asthma & immunology: official publication of the American College of Allergy, Asthma, & Immunology. 103 (6): 488-495. https://doi.org/10.1016/S1081-1206(10)60265-7; PMid:20084842

Muthian G, Raikwar HP, Rajasingh J, Bright JJ. (2006). 1,25 Dihydroxyvitamin-D3 modulates JAK-STAT pathway in IL-12/IFNgamma axis leading to Th1 response in experimental allergic encephalomyelitis. Journal of neuroscience research. 83 (7): 1299-1309. https://doi.org/10.1002/jnr.20826; PMid:16547967

Oktaria V, Dharmage SC, Burgess JA, Simpson JA, Morrison S, Giles GG, Abramson MJ, Walters EH, Matheson MC. (2013). Association between latitude and allergic diseases: a longitudinal study from childhood to middle-age. Annals of allergy, asthma & immunology: official publication of the American College of Allergy, Asthma, & Immunology. 110 (2): 80-85. https://doi.org/10.1016/j.anai.2012.11.005; PMid:23352525

Pawankar R. (2014). Allergic diseases and asthma: a global public health concern and a call to action. World Allergy Organ J. 7: 1-3. https://doi.org/10.1186/1939-4551-7-12; PMid:24940476 PMCid:PMC4045871

Pfeffer PE, Hawrylowicz CM. (2018). Vitamin D in Asthma: Mechanisms of Action and Considerations for Clinical Trials. Chest. 153 (5): 1229-1239. https://doi.org/10.1016/j.chest.2017.09.005; PMid:28923762

Pollard SL, Lima JJ, Romero K, Tarazona-Meza C, Mougey E, Tomaino K, Malpartida-Guzmán G, Hansel NN, Checkley W, GASP Study Investigators. (2017). Associations between serum 25(OH)D concentrations and prevalent asthma among children living in communities with differing levels of urbanization: a cross-sectional study. Asthma research and practice. 3: 5. https://doi.org/10.1186/s40733-017-0033-2; PMid:28588900 PMCid:PMC5457560

Saad K, Abdelmoghny A, Aboul-Khair MD, Abdel-Raheem YF, Gad EF, Hammour AE, Hawary B, Zahran AM, Alblihed MA, Elhoufey A. (2020). Vitamin D Status in Egyptian Children with Allergic Rhinitis. Ear Nose Throat J: 508-512. https://doi.org/10.1177/0145561319850814; PMid:31088298

Sadeghi K, Wessner B, Laggner U, Ploder M, Tamandl D, Friedl J, Zügel U, Steinmeyer A, Pollak A, Roth E, Boltz-Nitulescu G, Spittler A. (2006). Vitamin D3 down-regulates monocyte TLR expression and triggers hyporesponsiveness to pathogen-associated molecular patterns. European journal of immunology. 36 (2): 361-370. https://doi.org/10.1002/eji.200425995; PMid:16402404

Santos H, Silva S, Paula E, Pereira-Ferrari L, Mikami L, Riedi CA, Chong-Neto HJ, Rosário NA. (2018). Vitamin D receptor gene mutations and vitamin d serum levels in asthmatic children. mutações do gene do receptor de vitamina d e níveis séricos de vitamina d em crianças com asma. Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo. 36 (3): 269-274. https://doi.org/10.1590/1984-0462/;2018;36;3;00016; PMid:30066819 PMCid:PMC6202901

Schauber J. (2006). Control of the innate epithelial antimicrobial response is cell-type specific and dependent on relevant microenvironmental stimuli. Immunology. 118: 509-519. https://doi.org/10.1111/j.1365-2567.2006.02399.x; PMid:16895558 PMCid:PMC1782325

Segovia-Ortí R, Barceló Bennasar A, De Sotto-Esteban D et al. (2021). Association between vitamin D status and allergen sensitization in pediatric subjects in the Balearic Islands. Pediatr Allergy Immunol. 32: 1183-1189. https://doi.org/10.1111/pai.13513; PMid:33811785

Sharif A, Haddad Kashani H, Sharif MR. (2020). Association of 25-hydroxy vitamin D with asthma and its severity in children: a case-control study. Clinical and molecular allergy: CMA. 18: 7. https://doi.org/10.1186/s12948-020-00122-9; PMid:32390767 PMCid:PMC7197187

Sharief S, Jariwala S, Kumar J, Muntner P, Melamed ML. (2011). Vitamin D levels and food and environmental allergies in the United States: results from the National Health and Nutrition Examination Survey 2005-2006. The Journal of allergy and clinical immunology. 127 (5): 1195-1202. https://doi.org/10.1016/j.jaci.2011.01.017; PMid:21329969 PMCid:PMC3085636

Shen SY, Xiao WQ, Lu JH, Yuan MY, He JR, Xia HM, Qiu X, Cheng KK, Lam K. (2018). Early life vitamin D status and asthma and wheeze: a systematic review and meta-analysis. BMC pulmonary medicine. 18 (1): 120. https://doi.org/10.1186/s12890-018-0679-4; PMid:30029599 PMCid:PMC6053833

Tamašauskienė L, Gasiūnienė E, Lavinskienė S, Sakalauskas R, Šitkauskienė B. (2015). Evaluation of vitamin D levels in allergic and non-allergic asthma. Medicina (Kaunas, Lithuania). 51 (6): 321-327. https://doi.org/10.1016/j.medici.2015.11.003; PMid:26739673

Thomsen SF. (2015). Epidemiology and natural history of atopic diseases. Eur Clin Respir J: 2. https://doi.org/10.3402/ecrj.v2.24642; PMid:26557262 PMCid:PMC4629767

Tolppanen AM, Sayers A, Granell R, Fraser WD, Henderson J, Lawlor DA. (2013). Prospective association of 25-hydroxyvitamin d3 and d2 with childhood lung function, asthma, wheezing, and flexural dermatitis. Epidemiol. 24 (2): 310-319. https://doi.org/10.1097/EDE.obo13e318280dd5e; PMid:23377091

Van Oeffelen AA, Bekkers MB, Smit HA, Kerkhof M, Koppelman GH, Haveman-Nies A, van der ADL, Jansen EH, Wijga AH. (2011). Serum micronutrient concentrations and childhood asthma: the PIAMA birth cohort study. Pediatric allergy and immunology: official publication of the European Society of Pediatric Allergy and Immunology. 22 (8): 784-793. https://doi.org/10.1111/j.1399-3038.2011.01190.x; PMid:21929603

Veena Anand, Induprabha Yadev, Bindusha Sasidharan Anand et al. (2021). Vitamin D in Asthma Childhood Asthma and Vitamin D-case Control Study in an Academic Tertiary Care Hospital. J Pediatr Res. 8 (2): 188-194. https://doi.org/10.4274/jpr.galenos.2020.59387

Wang TJ, Zhang F, Richards JB, Kestenbaum B, van Meurs JB et al. (2010). Common genetic determinants of vitamin D insufficiency: a genome-wide association study. Lancet (London, England). 376 (9736): 180-188.

Willits EK, Wang Z, Jin J, Patel B, Motosue M, Bhagia A et al. (2017). Vitamin D and food allergies in children: A systematic review and meta-analysis. Allergy Asthma Proc. 38 (3): 21-28. https://doi.org/10.2500/aap.2017.38.4043; PMid:28441981

Willits EK, Wang Z, Jin J et al. (2017). Vitamin D and food allergies in children: a systematic review and meta-analysis. Allergy Asthma Proc. 38: 21-28. https://doi.org/10.2500/aap.2017.38.4043; PMid:28441981

Wollenberg A, Seba A, Antal AS. (2014). Immunological and molecular targets of atopic dermatitis treatment. The British journal of dermatology. 170 (1): 7-11. https://doi.org/10.1111/bjd.12975; PMid:24720588

World Health Organization. (2017). Asthma key facts.

Wu J, Zhong Y, Shen X, Yang K, Cai W. (2018). Maternal and early-life vitamin D deficiency enhances allergic reaction in an ovalbumin-sensitized BALB/c mouse model. Food & nutrition research: 62. https://doi.org/10.29219/fnr.v62.1401; PMCid:PMC5985744

Yang AR, Kim YN, Lee BH. (2016). Dietary intakes and lifestyle patterns of Korean children and adolescents with atopic dermatitis: Using the fourth and fifth Korean National Health and Nutrition Examination Survey (KNHANES IV, V), 2007-11. Ecology of food and nutrition. 55 (1): 50-64. https://doi.org/10.1080/03670244.2015.1072813; PMid:26595187

Yoo B, Park Y, Park K, Kim H. (2015). A 9-year Trend in the Prevalence of Allergic Disease Based on National Health Insurance Data. Journal of preventive medicine and public health = Yebang Uihakhoe chi. 48 (6): 301-309. https://doi.org/10.3961/jpmph.15.011; PMid:26639744 PMCid:PMC4676638

Published

2022-10-29

Issue

Section

Practical doctor school