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Vitamin D insufficiency among hospitalised children in the Northern Territory

Binks, Michael J., Smith-Vaughan, Heidi C., Bar-Zeev, Naor, Chang, Anne B. and Andrews, Ross M. (2014). Vitamin D insufficiency among hospitalised children in the Northern Territory. Journal of Paediatrics and Child Health,50(7):512-518.

Document type: Journal Article
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IRMA ID cmartelxPUB174
Title Vitamin D insufficiency among hospitalised children in the Northern Territory
Author Binks, Michael J.
Smith-Vaughan, Heidi C.
Bar-Zeev, Naor
Chang, Anne B.
Andrews, Ross M.
Journal Name Journal of Paediatrics and Child Health
Publication Date 2014
Volume Number 50
Issue Number 7
ISSN 1034-4810   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84904044739
Start Page 512
End Page 518
Total Pages 7
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Aim
Acute lower respiratory infections (ALRIs) are the most common reason for hospitalisation of young children in the Northern Territory of Australia. International studies have linked vitamin D deficiency with increased risk of ALRI in paediatric populations, but this has not been explored in tropical regions such as the Top End of the Northern Territory. The aim of this study is to determine the prevalence of vitamin D insufficiency among children hospitalised with ALRI in the Northern Territory.
Methods
Vitamin D serum metabolite (25OHD3) levels were retrospectively measured using liquid chromatography–mass spectrometry in 74 children (64% male; 57% Indigenous) aged less than 3 years admitted to Royal Darwin Hospital in the Northern Territory of Australia between May 2008 and May 2010.
Results
There were 44 (59%) ALRI-classified hospitalisations and 30 (41%) non-ALRI-classified hospitalisations. The most common ALRI diagnoses were bronchiolitis (n = 22, 30%) and pneumonia (n = 21, 28%), whereas the most common non-ALRI diagnosis was gastroenteritis (n = 20, 27%). Overall, 24/74 (32%) children had 25OHD3 levels <75 nmol/L (insufficiency). For children hospitalised with ALRI, 23% (10/44) had vitamin D insufficiency compared with 47% (14/30) among children hospitalised for other reasons (odds ratio 0.34, 95% confidence interval 0.11–1.03; P = 0.043). Twelve of the 20 (60%) children hospitalised for gastroenteritis had vitamin D insufficiency.
Conclusions
Vitamin D insufficiency was observed in almost one-third of these hospitalised children. Children hospitalised with an ALRI were less likely to have vitamin D insufficiency compared with children hospitalised for other conditions (predominantly gastroenteritis).
Keywords Acute lower respiratory infection
ALRI
Northern Territory
Vitamin D
DOI http://dx.doi.org/10.1111/jpc.12623   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Wed, 19 Aug 2015, 12:35:02 CST