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儿童维生素D与新冠病毒病严重程度的关联

Association of vitamin D and severity of COVID-19 in children.

作者信息

Karimian Pegah, Tahami Motahareh Sadat, Sayyahfar Shirin, Aghajani Delavar Motahare

机构信息

Department of Pediatrics, School of Medicine, Iran University of Medical Sciences, Ali Asghar Children's Hospital, Tehran.

Research Center of Pediatric Infectious Diseases, Institute of Immunology and Infectious Diseases, Iran University of Medical Sciences, School of Medicine, Tehran.

出版信息

Eur J Transl Myol. 2022 Apr 20;32(2):10453. doi: 10.4081/ejtm.2022.10453.

Abstract

Vitamin has a major role in the functions of the immune system, and the efficacy of this vitamin in reducing inflammation has been identified. Considering the effects of vitamin D, this study research was performed for investigating the relationship between vitamin D and the severity of COVID-19 in children. This cross-sectional study was performed on 101 children infected with the new coronavirus from September 2020 to October 2021. Information on vitamin D levels, demographic factors, and clinical and laboratory findings were documented in information forms and prepared for statistical analyses. The average of children was 2.85 ± 0.85 years. Low oxygen saturation was observed in 35.3% of infected children. The level of involvement was higher in subjects with vitamin D levels higher than 30 and less than 10 ng/ml (p = 0.04). Clinical signs in cases with deficient and sufficient vitamin D levels were more severe in terms of tachypnea and tachycardia (p = 0.01). Children with vitamin D lower than 10 ng/ml showed more frequency (p = 0.02). Cases with moderate vitamin D had fewer gastrointestinal complications (p = 0.03). Also, oxygen levels were lower in children who had low levels of vitamin D (p = 0.02). Vitamin D levels were associated with levels of involvement, tachycardia, tachypnea, clinical signs, gastrointestinal problems, and O2 levels. Moderate vitamin D levels in children are a critical issue that should be considered.

摘要

维生素在免疫系统功能中起主要作用,并且这种维生素在减轻炎症方面的功效已得到确认。考虑到维生素D的作用,本研究旨在调查儿童维生素D与新冠病毒疾病(COVID-19)严重程度之间的关系。这项横断面研究于2020年9月至2021年10月对101名感染新型冠状病毒的儿童进行。维生素D水平、人口统计学因素以及临床和实验室检查结果等信息记录在信息表中,并准备进行统计分析。儿童的平均年龄为2.85±0.85岁。35.3%的感染儿童出现低氧饱和度。维生素D水平高于30 ng/ml和低于10 ng/ml的受试者受累程度更高(p = 0.04)。维生素D水平缺乏和充足的病例在呼吸急促和心动过速方面的临床症状更严重(p = 0.01)。维生素D低于10 ng/ml的儿童出现频率更高(p = 0.02)。维生素D水平中等的病例胃肠道并发症较少(p = 0.03)。此外,维生素D水平低的儿童氧水平也较低(p = 0.02)。维生素D水平与受累程度、心动过速、呼吸急促、临床症状、胃肠道问题和氧水平相关。儿童中等维生素D水平是一个应予以考虑的关键问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/486b/9295166/071199abc4f5/ejtm-32-2-10453-g001.jpg

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