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Asthma supplementation by Vitamin D (any amount) reduced attacks by 25 percent – meta-analysis April 2019

Association between vitamin D status and asthma control: A meta-analysis of randomized trials.

Respir Med. 2019 Apr;150:85-94. doi: 10.1016/j.rmed.2019.02.016
Wang M1, Liu M2, Wang C1, Xiao Y1, An T1, Zou M3, Cheng G4.

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Overview Asthma and Vitamin D


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BACKGROUND:
There is a controversy in terms of the efficacy of vitamin D supplementation in improving asthma symptom control. Moreover, whether there is a difference in the treatment effect with respect to baseline vitamin D status remains unknown. This meta-analysis was to assess the correlations of vitamin D status with asthma-related respiratory outcomes.

METHODS:
PubMed, EMBASE, and Cochrane Library were searched for randomized controlled trials of vitamin D supplementation in patients with asthma. Primary outcomes were the rate of asthma exacerbation and predicted percentage of forced expiratory volume in first second (FEV1%). Secondary outcomes were asthma control test (ACT) scores, fractional exhaled nitric oxide (FeNO), interleukin-10 (IL-10) and adverse events.

RESULTS:
A total of 14 randomized controlled trials (1421 participants) fulfilled the inclusion. Vitamin D supplementation was associated with a significant reduction in the rate of asthma exacerbation by 27% (RR: 0.73 95%Cl (0.58-0.92)).
In subgroup analysis, the protective effect of exacerbation was restricted in patients with vitamin D insufficiency (vitamin D < 30 ng/ml) (RR: 0.76 95%Cl (0.61-0.95)).
An improvement of FEV1% was demonstrated in patients with vitamin D insufficiency and air limitation (FEV1% < 80%) (MD: 8.3 95%Cl (5.95-10.64). No significant difference was observed in ACT scores, FeNO, IL-10 and adverse events.

CONCLUSIONS:
Vitamin D supplementation reduced the rate of asthma exacerbation, especially in patients with vitamin D insufficiency. Additionally, the benefit of vitamin D had a positive effect on pulmonary function in patients with air limitation and vitamin D insufficiency.

Created by admin. Last Modification: Saturday May 11, 2019 02:51:43 GMT-0000 by admin. (Version 4)

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ID Name Comment Uploaded Size Downloads
11937 Asthma meta.pdf PDF 2019 admin 11 May, 2019 02:45 3.13 Mb 52
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