Key result
Congenital heart disease linked to ~52% lower serum vitamin D levels in children.
Why the study?
Vitamin D plays important roles in bone metabolism, muscle activity, nervous system, and immunity, but its levels in children with congenital heart disease compared to healthy controls were not well characterized.
Does congenital heart disease associate with lower serum vitamin D levels in children compared to healthy controls?
Case-Control (n=112)
No
Does congenital heart disease associate with lower serum vitamin D levels in children compared to healthy controls?
Children with congenital heart disease have significantly lower serum vitamin D levels compared to healthy matched controls, suggesting a potential need for increased supplementation.
Answers are grounded in this paper and cite their sources.
May warrant vitamin D screening in congenital heart disease; hypothesis-generating and requires prospective trials before practice change.
Background Vitamin D is a fat-soluble vitamin that has an important function in bone metabolism, muscle activity, nervous system, and immunity. In this study, we compared the vitamin D level of children with congenital heart disease (CHD) with healthy control. Materials and Methods This case-control study was conducted on 56 children with CHD diagnosed with echocardiography and 56 healthy children with no sign of CHD matched for age, sex, and use of vitamin D supplementation. Participants were gathered from those who referred to the cardiac clinic of Vali-e-Asr hospital, Birjand, Iran, in 2017. Two ml of the blood sample was taken from all participants and serum vitamin D was assessed using Roche Diagnostic kit (Germany). The data analysis was achieved using SPSS software version 16 with descriptive statistics and Chi-square test. Results The median age of participants was 7 months (ranged1-24). The mean vitamin D serum level of all participants was 32.19 ng/ml (SD=28.79) (normal > 20). The level of vitamin D in the case and control group was 16.82 ng/ml (29.85-9.38), and 34.95 ng/ml (46.60-26.52), respectively; and this difference was significant (P<0.05). In the CHD patients group, 15 patients had vitamin D deficiency and 5 patients had high vitamin D levels. In the healthy patients’ group, these numbers were 2 and 21, respectively. Conclusion Based on the results, children with CHD had significantly lower levels of vitamin D; therefore, we suggest more vitamin D supplement be used for patients with CHD than healthy children.
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Salehi et al. (2020) conducted a case-control in Congenital heart disease (CHD) (n=112). Congenital heart disease vs. Healthy children was evaluated on Vitamin D serum level (p=<0.05). Children with congenital heart disease had significantly lower serum vitamin D levels compared to healthy matched controls (16.82 ng/ml vs 34.95 ng/ml; P<0.05).
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