Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Public Health, Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Ital J Pediatr. 2018 Dec 17;44(1):150. doi: 10.1186/s13052-018-0587-5.
Vitamin D plays an important role in etiology of Autism Spectrum Disorders (ASDs). We aimed to evaluate the serum 25 - hydroxyl vitamin D level among children with ASDs in Ahvaz city, Iran.
It was a cross-sectional study which had conducted on 62 subjects in two groups: a case group (n = 31) consisted of ASD children who study in especial schools; and a control group (n = 31) of healthy children who were selected by simple random sampling from regular schools in Ahvaz city, Iran during 2016. Maching between two groups has done regarding Socioeconomic status, type and amount of food intake, place of living and age. The levels of serum 25 - hydroxyl vitamin D were assessed in early morning means fasted state and also measured using ELISA method. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20. The significant level was considered < 0.05.
In ASD children, the average serum 25-hydroxyvitamine D level was 9.03 ± 4.14 ng/mg. In ASD group, 96.8% (30 subjects) had vitamin D deficiency. In healthy children group, average serum 25-hydroxyvitamine D level was 15.25 ± 7.89 ng/mg. Average serum 25-hydroxyvitamine D level in intervention group was significantly lower than the control group (P > 0.001). Although the parents of patients in control group reported longer exposure to sun (27.42 m per day against 33.06 m per day), no significant difference was observed between these groups in terms of exposure to sun (P < 0.05).
A significant difference was observed between serum 25-hydroxyvitamine D levels between the healthy and ASD children. It is recommended to use vitamin D supplement in children with ASDs under medical care.
维生素 D 在自闭症谱系障碍 (ASD) 的发病机制中起着重要作用。我们旨在评估伊朗阿瓦士市 ASD 儿童的血清 25-羟维生素 D 水平。
这是一项横断面研究,共纳入 62 名受试者,分为两组:病例组(n=31)由在特殊学校就读的 ASD 儿童组成;对照组(n=31)为伊朗阿瓦士市普通学校的健康儿童,通过简单随机抽样选取。两组之间进行了社会经济地位、食物摄入种类和数量、居住地点和年龄的匹配。采用酶联免疫吸附试验(ELISA)法检测清晨空腹状态下血清 25-羟维生素 D 水平。采用统计软件包(SPSS)version 20 进行数据分析。显著性水平设为<0.05。
在 ASD 儿童中,血清 25-羟维生素 D 平均水平为 9.03±4.14ng/mg。ASD 组中,96.8%(30 例)存在维生素 D 缺乏。在健康对照组中,血清 25-羟维生素 D 平均水平为 15.25±7.89ng/mg。干预组平均血清 25-羟维生素 D 水平显著低于对照组(P>0.001)。尽管对照组患儿家长报告的日照时间较长(27.42m 每天对 33.06m 每天),但两组之间的日照时间差异无统计学意义(P<0.05)。
健康儿童和 ASD 儿童的血清 25-羟维生素 D 水平存在显著差异。建议在医疗照护下为 ASD 儿童补充维生素 D。