Department of Pediatrics (I), Cangzhou Central Hospital, Cangzhou, P.R.
Eur Rev Med Pharmacol Sci. 2019 Sep;23(18):8133-8138. doi: 10.26355/eurrev_201909_19033.
To investigate the correlation of serum vitamin A, D, and E levels with a recurrent respiratory infection (RRI) in children.
The medical records of 422 children with RRI (a study group) in Cangzhou Central Hospital from January 2015 to December 2018 were retrospectively analyzed (the study group was divided into an active group and a stable group). Further 100 healthy children who underwent physical examination at the same time were enrolled as a control group. High-performance liquid chromatography (HPLC) was used to determine vitamin A, D, and E levels, so as to analyze their differences between the groups.
Vitamin A, D, and E in the active and stable groups were significantly lower than those in the control group (p < 0.001); in the active group they were significantly lower than those in the stable group (p < 0.001). According to partial correlation analysis, in children with active RRI, vitamin A was respectively positively correlated with vitamin D (r=0.945, p < 0.001), and vitamin E (r=0.988, p < 0.001). Moreover, vitamin E was positively correlated with vitamin D (r=0.959, p < 0.001).
The deficiency of vitamin A, D, and E is positively correlated with the disease activity of children with RRI. Therefore, the supplement of vitamin A, D, and E through dietary adjustment is beneficial to the rehabilitation of the children.
探讨血清维生素 A、D、E 水平与儿童反复呼吸道感染(RRI)的相关性。
回顾性分析 2015 年 1 月至 2018 年 12 月沧州市中心医院收治的 422 例 RRI 患儿(研究组)的病历资料(研究组分为活动组和稳定组),另选取同期 100 例健康体检儿童为对照组。采用高效液相色谱法(HPLC)测定维生素 A、D、E 水平,分析各组间差异。
活动组和稳定组患儿的维生素 A、D、E 水平明显低于对照组(p<0.001);活动组患儿明显低于稳定组(p<0.001)。经偏相关分析,在活动期 RRI 患儿中,维生素 A 分别与维生素 D(r=0.945,p<0.001)、维生素 E(r=0.988,p<0.001)呈正相关。且维生素 E 与维生素 D 呈正相关(r=0.959,p<0.001)。
维生素 A、D、E 缺乏与儿童 RRI 疾病活动度呈正相关。因此,通过饮食调整补充维生素 A、D、E 有利于患儿康复。