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儿童维生素D水平与新型冠状病毒肺炎感染之间的关联:一项病例对照研究

Association Between Vitamin D Levels and COVID-19 Infection in Children: A Case-Control Study.

作者信息

Bayrak Harun, Öztürk Didem, Bolat Ahmet, Ünay Bülent

机构信息

Department of General Pediatrics, University of Health Sciences Gülhane Faculty of Medicine, Ankara, Turkey.

Department of General Pediatrics, University of Health Sciences Gülhane Faculty of Medicine, Ankara, Turkey; Department of Pediatric Neurology, University of Health Sciences Gülhane Faculty of Medicine, Ankara, Turkey.

出版信息

Turk Arch Pediatr. 2023 May;58(3):250-255. doi: 10.5152/TurkArchPediatr.2023.22217.

Abstract

OBJECTIVE

Coronavirus disease 2019 (COVID-19) infection is seen in all age groups, and its symptoms are very variable. The course of the disease can be asymptomatic or mortal. In pediatric patients, vitamin D is thought to be protective against (COVID-19) with its immunomodulator, antiviral, anti-inflammatory, and epithelial integrity properties. Our aim is to investigate the relationship between (COVID-19) infection and vitamin D level.

MATERIALS AND METHODS

We included (COVID-19) patients between 1 month and 18 years of age and healthy control groups. We compared epidemiological, clinical, laboratory, and imaging findings in patients.

RESULTS

One hundred forty-nine patients were evaluated in our study. Seventy-three (49%) of them were (COVID-19)-positive patients and 76 (51%) of them were healthy control group. The mean 25(OH)-D vitamin level was 15.80 ng/mL (5-41.56) in (COVID-19) patients and 21.51 ng/mL (5-69.80) in the control group. Vitamin D level was shown to be statistically significantly lower in coronavirus disease 2019 patients (P < .001). It was observed that myalgia was more common in patients with low 25(OH)-D levels (P < .048).

CONCLUSION

Our study is one of the rare studies examining the relationship between (COVID19) and 25(OH)-D vitamins in the pediatric age group. Children with (COVID-19) have a lower 25(OH)-D vitamin level than the control group.

摘要

目的

2019冠状病毒病(COVID-19)感染可见于所有年龄组,其症状变化很大。疾病进程可能无症状或致命。在儿科患者中,维生素D因其免疫调节、抗病毒、抗炎和上皮完整性特性,被认为对(COVID-19)有保护作用。我们的目的是研究(COVID-19)感染与维生素D水平之间的关系。

材料与方法

我们纳入了1个月至18岁的(COVID-19)患者和健康对照组。我们比较了患者的流行病学、临床、实验室和影像学检查结果。

结果

我们的研究共评估了149例患者。其中73例(49%)为(COVID-19)阳性患者,76例(51%)为健康对照组。(COVID-19)患者的平均25(OH)-D维生素水平为15.80 ng/mL(5-41.56),对照组为21.51 ng/mL(5-69.80)。2019冠状病毒病患者的维生素D水平在统计学上显著较低(P <.001)。观察到25(OH)-D水平低的患者肌痛更常见(P <.048)。

结论

我们的研究是少数研究儿科年龄组(COVID-19)与25(OH)-D维生素之间关系的研究之一。(COVID-19)患儿的25(OH)-D维生素水平低于对照组。

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