Is there a potential link between vitamin D and pulmonary morbidities in preterm infants?
Journal of the Chinese Medical Association, online 9 Nov 2017, https://doi.org/10.1016/j.jcma.2017.07.011
Yang Yang, Yun Feng, Xu Chen, Xiao-nan Mao, Jing-han Zhang, Li Zhao, You-yan Zhao, Rui Cheng,
- Preemie Respiratory Distress Syndrome is 5X more likely if low vitamin D – Dec 2020
- Respiratory distress after preterm birth is more likely if low vitamin D – review April 2015
- All preemies with Chronic Lung Disease had low vitamin D levels– July 2015
- No preemie had even 30 ng of vitamin D, lower D associated with more Respiratory Distress – Aug 2013
- Immature lungs in immature newborns – Vitamin D helps – Sept 2018
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Background: There hasn't been conclusive proof about the association between vitamin D and pulmonary morbidities of prematurity.
Methods: 106 preterm infants were retrospectively included into this study. Clinical data and blood samples of all the patients were collected within 24 h of admission.
Results
- (1) Respiratory distress syndrome (RDS) patients were mainly concentrated in “≤30 weeks” stage when compared with other two gestational age groups. The only significant decrease of vitamin D concentration between RDS and non-RDS patients reflected in “≤30 weeks” stage (RDS vs. non-RDS: 29.48 ± 13.06 vs. 40.47 ± 20.52 nmol/l).
- (2) __Bronchopulmonary dysplasia (BPD))) patients were also concentrated in “≤30 weeks” stage. Vitamin D concentration showed significant difference both in “≤30 weeks” stage and “30–34 weeks” stage (≤30 weeks stage, BPD vs. non-BPD: 33.20 ± 16.51 vs. 39.21 ± 16.65 nmol/l; 30–34 weeks stage, BPD vs. non-BPD: 30.36 ± 15.50 vs. 41.21 ± 20.40 nmol/l).
- (3) Though vitamin D concentration in Mechanical ventilation (MV) group was lower than non-MV group, there're no significant differences.
- (4) Vitamin D concentration in dead cases was significant lower than survival patients at discharge.
- (5) It showed a good correlation between vitamin D concentration and serum Ca, serum P, duration of MV and duration of oxygen support in “≤30 weeks” stage.
Conclusion
The significant decrease of vitamin D concentration between RDS and non-RDS patients only reflected in “≤30 weeks” stage. And significant decrease of vitamin D concentration in BPD patients was both showed in “≤30 weeks” stage and “30–34 weeks” stage, which is consistent with “duration of oxygen support”. However, the overall effect did not show any difference in all preterm infants. It seems that the appropriate concentration of vitamin D is beneficial to lung maturation of human. Certainly, large sample, multi-center randomized controlled trials are necessary.
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