Serum levels of vitamins A and D, and zinc in children with acute diarrhea: A cross-sectional study

Authors

  • Ali Bidari Emergency Department, Hazrat-e-RasoulAkram Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Azardokht Tabatabaei Pediatric Infectious Disease Research Center, Hazrat-e-RasoulAkram Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Elham Talachian Pediatric Gastroenterology division Ali-Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Samileh Noorbakhsh Department of Pediatric Infectious Diseases, Hazrat-e-RasoulAkram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abstract:

  Background: Diarrhea is a leading cause of mortality and morbidity during the early life period especially in developing countries. Micronutrients deficiencies have been proposed either as a risk factor or a consequence of diarrhea. Association studies highlight the relation of vitamins and minerals’ deficiencies with acute diarrhea. In this regard we aimed to evaluate the status of vitamins A and D, and zinc serum levels in children with acute diarrhea.   Methods : In this cross sectional study performed in a referral teaching hospital, we measured and compared baseline vitamin A, 25-hydroxy vitamin D (25(OH)D), and zinc serum levels in 25 children admitted with acute diarrhea and 25 other children who were admitted for undergoing elective surgeries.   Results : 25-(OH)D levels were significantly lower in the diarrhea group (p=0.03). We were unable to demonstrate a significant difference in the levels of vitamin A and zinc between the case and control groups (p= 0.14 and p=0.07, respectively).   Conclusion : We observed lower serum 25(OH)D levels in children with acute diarrhea. Whether this finding indicates a premorbid risk factor or simply a consequence of diarrhea needs further studies. Regardless of the cause and effect relationship, supplementation with vitamin D in acute diarrhea remains as a plausibleconsideration.   

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Journal title

volume 29  issue 1

pages  385- 391

publication date 2015-01

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