Relationship between Vitamin D Level and Recurrent Wheezy Chest in Pediatric Patients

Authors

  • Ikram Ullah Author
  • Sabir Khan Author
  • Zia Muhammad Author
  • Muhammad Shabir Author
  • Aimal Khan Author
  • Arooj Khan Author

DOI:

https://doi.org/10.51985/JBUMDC2025772

Keywords:

Paediatrics, Vitamin D deficiency, wheezing

Abstract

 Objective: To determine the association between serum vitamin D deficiency and recurrent wheezy chest in children aged
6-36 months.
Study Design and Study Setting: This case-control study was conducted at the Department of Paediatrics. Khyber Teaching
Hospital, Peshawar, from August 2024 to February 2025.
Methodology: Seventy children (35 cases with =3 wheezing episodes in the last year; 35 age-matched controls without
wheeze) were evaluated. They were enrolled after excluding those with chronic lung disease, allergies, or recent vitamin
D supplementation. Serum 25-OH-vitamin D <20 ng/mL defined deficiency. The sample size was calculated to have 80%
power and an á = 0.05. Data was analysed with IBM SPSS 25.0; an independent t-test and X2 test were applied; association
was quantified by odds ratio (OR) with CI 95%.
Results: Mean age was 16.7 ± 7.0 D in cases (18.8 ± 5.9 ng/mL) was lower than in controls (23.6 ± 5.8 ng/mL; p = 0.001).
Vitamin D deficiency was present in 66% cases versus 37% controls (p = 0.017). Children with deficiency had 3.24-fold
higher odds ratio of recurrent wheeze (95% CI 1.28-8.21; p = 0.013).
Conclusion: Vitamin D deficiency is significantly associated with recurrent wheezy chest in early childhood. Screening
and supplementation may decrease the wheezing burden in this age group. 

References

1. Crist AP, Hibbs AM. Prematurity-associated wheeze:

Current knowledge and opportunities for further investigation.

Pediatr Res. 2023 Jul;94(1):74-81. https://doi.org/10.1038/

s41390-022-02404-1.

2. Sharma S, Tasnim N, Agadi K, Asfeen U, Kanda J.

Vulnerability for respiratory infections in asthma patients:

A systematic review. Cureus. 2022 Sep 6;14(9):e28839.

https:// doi.org/10.7759/cureus.28839.

3. Huang JQ, Zhang J, Hao CL, Chen ZR. Association of

children's wheezing diseases with meteorological and

environmental factors in Suzhou, China. Sci Rep. 2022 Mar

23;12(1):5018. https://doi.org/10.1038/s41598-022-08985-5.

4. Tang Y, Yang Y, He R, Huang R, Zheng X, Liu C. Pathogens

and pathogenesis in wheezing diseases in children under 6.

Front Oncol. 2022 Jul 14;12:922214. https://doi.org/ 10.

3389/fonc.2022.922214.

5. Geng L, Tang X, Hua L, Liu H, Ren S, Zhong W, et al. The

analysis of risk factors for recurrent wheezing in infants and

clinical intervention. Transl Pediatr. 2023 Oct 30;12(10):

1810-1822. https://doi.org/10.21037/tp-23-45.

6. Forsström V,, Toivonen L, Homil K, Waris M, Pedersen

CT, Bønnelykke K, et al. Association of asthma risk alleles

with acute respiratory tract infections and wheezing illnesses

in young children. J Infect Dis. 2023 Oct 18;228(8):990-998.

https://doi.org/10.1093/infdis/jiad075.

7. Gohal G, Moni SS, Bakkari MA, Elmobark ME. A review on

asthma and allergy: Current understanding on molecular

perspectives. J Clin Med. 2024 Sep 27;13(19):5775. https://doi.

org/10.3390/jcm13195775

8. Shim JY. Wheezing in infants and preschoolers: phenotypes

and treatment options. Clin Exp Pediatr. 2023;66(1):26-27.

https://doi.org/10.3345/cep.2022.00619

9. Teijeiro A, Gómez RM. Wheezing-Related Relevant Factors

and the Role of Viral Bronchiolitis. Front Allergy.

2021;2:726972. https://doi.org/10.3389/falgy.2021.726972

10. Binns E, Tuckerman J, Licciardi PV, Wurzel D. Respiratory

syncytial virus, recurrent wheeze and asthma: A narrative

review of pathophysiology, prevention and future directions.

J Paediatr Child Health. 2022;58(10):1741-6. https://doi.org/

10.1111/jpc.16197

11. Ghaseminejad-Raeini A, Ghaderi A, Sharafi A, NematollahiSani B, Moossavi M, Derakhshani A, Sarab GA.

Immunomodulatory actions of vitamin D in various immunerelated disorders: a comprehensive review. Front Immunol.

2023;14:950465. https://doi.org/10.3389/fimmu.2023.950465

12. Bishop EL, Ismailova A, Dimeloe S, Hewison M, White JH.

Vitamin D and Immune Regulation: Antibacterial, Antiviral,

Anti-Inflammatory. JBMR Plus. 2021;5(1):e10405. https:/

/doi.org/10.1002/jbm4.10405

13. Loddo F, Nauleau S, Lapalus D, Tardieu S, Bernard O, Boubred

F. Association of Maternal Gestational Vitamin D

Supplementation with Respiratory Health of Young Children.

Nutrients. 2023;15(10):2380. https://doi.org/10.3390 /nu15

102380

14. Vasavada H, Patel S, Vora H, Agrawal R, Gamit K, Pagi R,

et al. Children at the Risk of Recurrent Wheezing: A Matched

Case-Control Study in a Tertiary Care Centre. Cureus.

2023;15(2):e35387. https://doi.org/10.7759/cureus.35387

15. Amrein K, Scherkl M, Hoffmann M, Neuwersch-Sommeregger

S, Köstenberger M, Tmava Berisha A, et al. Vitamin D

deficiency 2.0: an update on the current status worldwide.

Eur J Clin Nutr. 2020;74(11):1498-1513. https://doi.org/

10.1038/s41430-020-0558-y

Downloads

Published

2026-01-14

Issue

Section

Original Articles

Similar Articles

You may also start an advanced similarity search for this article.