Examining the Vitamin D Status of Children With Solid Tumors.

Orsolya Juhász, Zsuzsanna Jakab, András Szabó, Miklós Garami

Journal: Journal of the American College of Nutrition 2021;39(2):128-134

PMID: 31169459

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Literature shows that 75% of the adult population worldwide experience vitamin D deficiency, of whom 13% fall under the category of extremely severe vitamin D deficiency (<10 ng/ml). The aim of this retrospective study was to compare the Vitamin D status of children with tumours or without. A secondary aim was to analyse the effects of vitamin D supplementation (as a complement to cancer treatment) on the vitamin D levels of children. The study included 173 children (males n=96; females n=77) aged between 0 and 18 who were treated for cancer. The control group consisted of 569 (males n=310; females n=259) children, aged 0 to 4 who received treatment at the clinic for reasons other than cancer. Results indicate that initial Vitamin D levels were significantly lower among children with cancer (19% lower than in the control group). A correlation between insufficient and deficient initial serum vitamin D levels and unfavourable prognosis was found. Authors suggest that vitamin D supplementation would be most efficient if medicine would follow the present trend of personalised therapy.

Abstract

: Our aims were to compare the vitamin D status of children with and without cancer and to examine the possible correlation between vitamin D levels in children with cancer before initiating treatment and prognosis. We compared the data of 173 children with cancer with those of 569 children without cancer. We measured a significant difference ( = 1.34E-08) between the vitamin D levels of children with cancer before treatment and children without cancer. There was a significant correlation between the initial vitamin D levels of children with cancer and the prognosis ( = 0.016, odds ratio = 51.33) at 5% significance. The average vitamin D level was 19.76% lower in the population with cancer compared with the average of the control group, and we found a correlation between the lower vitamin D levels in children with cancer and the adverse prognosis. We suggest that supplying vitamin D is reasonable and a prospective study of vitamin D in pediatric patients with cancer is recommended.

Address: 2nd Department of Pediatrics, Semmelweis University, Hungary.; 2nd Department of Pediatrics; National Childhood Cancer Registry, Semmelweis University, Hungary.

Patient Centred Factor

Clinical Imbalances

Laboratory Testing

Modifiable Lifestyle Factors

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