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Small vitamin D doses given during pregnancy do not reduce childhood asthma – meta-analysis Dec 2020

Prenatal vitamin D supplementation and child respiratory health: A systematic review and meta-analysis of randomized controlled trials

World Allergy Organ J. 2020 Dec; 13(12) Nov 21. doi: 10.1016/j.waojou.2020.100486
Amare Abera Tareke,a,∗ Addis Alem Hadgu,b Andualem Mossie Ayana,a and Taddese Alemu Zerfuc,d

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Background
Systematic review and meta-analyses of observational studies on maternal vitamin D status and risk of respiratory allergic conditions indicated that mothers who had supplementation during pregnancy could decrease the risk of recurrent wheeze or asthma in their offspring.

Objectives
We conducted this meta-analysis of Randomized Controlled Trials with the primary intention of detecting the effect of prenatal vitamin D supplementation on the offspring's asthma. Secondary outcomes under respiratory health include eczema, lower respiratory tract infections, Immunoglobulin E positive test, upper respiratory tract infections, and allergic rhinitis.

Methods
A comprehensive search of PubMed, ScienceDirect, Google Scholar, and Cochrane Library databases was performed to retrieve randomized controlled trials. Risk Ratio with 95% confidence intervals was computed from dichotomous data using a random-effects model, with I2 >50% representing notable heterogeneity.

Results
Six clinical trials met the inclusion criteria, involving a total of 2898 subjects (1461 experimental group and 1437 control group). There was non-significant inverse relationship between vitamin D intake during pregnancy and the occurrence of asthma in offspring (pooled RR = 0.89, 95% CI = 0.69–1.15, I2 = 46% and Z-static = 0.90, P-value = 0.37). There is no significant difference in the risk of assessed childhood respiratory problems due to maternal supplementation of vitamin D during pregnancy.

Conclusion and implications
Currently, there is no fertile evidence to promote vitamin D supplementation in pregnancy for childhood respiratory health. Future clinical trials should emphasize early initiation of vitamin D supplementation, consider 6 weeks to 6 months postnatal critical window for vitamin D deficiency for offspring, lower risk dose of vitamin D, and identify different phenotypes of asthma and response to vitamin D supplementation.


Created by admin. Last Modification: Saturday December 12, 2020 13:33:10 GMT-0000 by admin. (Version 1)

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14706 Prentala D and respiratory health meta-analysis.pdf PDF 2020 admin 12 Dec, 2020 13:34 668.28 Kb 27
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