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Ahoon M, Farid-Hosseini R, Tehrani H, Rafat-Panah H, Ahanchian H, Yousefzadeh H, et al . Evaluation the Effect of Supplements Containing Vitamin D and Trace Elements in Patients with Moderate to Severe Asthma. rbmb.net 2024; 13 (1) :40-50
URL: http://rbmb.net/article-1-600-en.html
Allergy research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:   (482 Views)
Background: Asthma is a common and major allergic disease in the world. We aimed to investigate the impact of supplements with vitamin D, folic acid, selenium, zinc, and copper in patients with moderate to severe asthma.

Method: In this clinical trial study 70 patients above six years old with moderate to severe asthma, were divided into two groups, randomly; one group received daily Asmavit syrup, 10 ml (Asmavit, Vitabiotics Ltd, London, UK), and the other group received daily 1000 IU vitamin D3 drops (Asmavit, Vitabiotics Ltd, London, UK) for two months along with ordinary treatment for asthma. Clinical and physical examinations, immunological and biochemical tests were carried out for each patient before and after the treatment.

Results: The mean age of patients was 39.9± 14.7 years old, and the mean disease duration was 8.8 ± 9.8 years. A significant increase in lung function, asthma control, and quality of life score tests was observed in both groups after the treatment (P< 0.05). There was no significant difference in cytokines expression levels before and after the treatment with vitamin D3 or Asmavit (P> 0.05). Serum levels of selenium and folic acid before treatment were correlated with disease severity, while post-treatment vitamin D levels significantly increased FEV1 (P> 0.05). Oxidative stress levels reduced in both groups, with greater reduction in the vitamin D group (P< 0.05).

Conclusion: Supplements, particularly vitamin D, when combined with standard asthma treatment, may effectively improve clinical symptoms and enhance the quality of life for asthmatic patients.
Full-Text [PDF 357 kb]   (114 Downloads)    
Type of Article: Original Article | Subject: Immunology
Received: 2020/11/7 | Accepted: 2020/11/15 | Published: 2024/10/22

References
1. McCloud E, Papoutsakis C. A medical nutrition therapy primer for childhood asthma: current and emerging perspectives. J Am Diet Assoc. 2011;111(7):1052-64. [DOI:10.1016/j.jada.2011.04.005] [PMID]
2. Adkinson, N., Bochner, BS, Burks, WA, Busse, WW, Holgate, ST, O'Hehir, RE. Middleton's Allergy: Principles and Practice. 2013; Mosby Elsevier, St Louis.
3. Allen S, Britton JR, Leonardi-Bee JA. Association between antioxidant vitamins and asthma outcome measures: systematic review and meta-analysis. Thorax. 2009l;64(7):610-9. [DOI:10.1136/thx.2008.101469] [PMID]
4. Paul G, Brehm JM, Alcorn JF, Holguín F, Aujla SJ, Celedón JC. Vitamin D and asthma. Am J Respir Crit Care Med. 2012;185(2):124-32. [DOI:10.1164/rccm.201108-1502CI] [PMID] []
5. Sausenthaler S, Loebel T, Linseisen J, Nagel G, Magnussen H, Heinrich J. Vitamin E intake in relation to allergic sensitization and IgE serum concentration. Cent Eur J Public Health. 2009;17(2):79-85. [DOI:10.21101/cejph.a3521] [PMID]
6. Moreno-Macias H, Romieu I. Effects of antioxidant supplements and nutrients on patients with asthma and allergies. J Allergy Clin Immunol. 2014;133(5):1237-44; quiz 1245. [DOI:10.1016/j.jaci.2014.03.020] [PMID]
7. Brehm JM, Schuemann B, Fuhlbrigge AL, Hollis BW, Strunk RC, Zeiger RS, et al.Childhood Asthma Management Program Research Group. Serum vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study. J Allergy Clin Immunol. 2010;126(1):52-8.e5. [DOI:10.1016/j.jaci.2010.03.043] [PMID] []
8. Korn S, Hübner M, Jung M, Blettner M, Buhl R. Severe and uncontrolled adult asthma is associated with vitamin D insufficiency and deficiency. Respir Res. 2013;14(1):25. [DOI:10.1186/1465-9921-14-25] [PMID] []
9. Chinellato I, Piazza M, Sandri M, Peroni D, Piacentini G, Boner AL. Vitamin D serum levels and markers of asthma control in Italian children. J Pediatr. 2011;158(3):437-41. [DOI:10.1016/j.jpeds.2010.08.043] [PMID]
10. Lin JH, Matsui W, Aloe C, Peng RD, Diette GB, Breysse PN, Matsui EC. Relationships between folate and inflammatory features of asthma. J Allergy Clin Immunol. 2013;131(3):918-20. [DOI:10.1016/j.jaci.2012.10.046] [PMID] []
11. Comhair SA, Erzurum SC. Redox control of asthma: molecular mechanisms and therapeutic opportunities. Antioxid Redox Signal. 2010;12(1):93-124. [DOI:10.1089/ars.2008.2425] [PMID] []
12. Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O. Oxidative stress and antioxidant defense. World Allergy Organ J. 2012;5(1):9-19. [DOI:10.1097/WOX.0b013e3182439613] [PMID] []
13. Ariaee N, Farid R, Shabestari F, Shabestari M, Jabbari Azad F. Trace Elements Status in Sera of Patients with Allergic Asthma. Rep Biochem Mol Biol. 2016;5(1):20-25.
14. Matsui EC, Matsui W. Higher serum folate levels are associated with a lower risk of atopy and wheeze. J Allergy Clin Immunol. 2009;123(6):1253-9.e2. [DOI:10.1016/j.jaci.2009.03.007] [PMID] []
15. Yousefzadeh H, Jabbari Azad F, Rastin M, Banihashemi M, Mahmoudi M. Expression of Th1 and Th2 Cytokine and Associated Transcription Factors in Peripheral Blood Mononuclear Cells and Correlation with Disease Severity. Rep Biochem Mol Biol. 2017;6(1):102-111.
16. National Asthma Education and Prevention Program. Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary Report 2007. J Allergy Clin Immunol. 2007;120(5 Suppl):S94-138. [DOI:10.1016/j.jaci.2007.09.029]
17. Lotfi HR, Ebrahimi Atri A, Hashemi Javaheri AA, Norouzi K. The Effect of Six Weeks Supine Movement in Water on the Pain and Disability in Men with Chronic Low Back Pain Due to Lumbar Disc Herniation. J Paramed Sci Rehab. 2016;5(1):14-9.
18. Liam CK, Loo KL, Wong CM, Lim KH, Lee TC. Skin prick test reactivity to common aeroallergens in asthmatic patients with and without rhinitis. Respirology. 2002;7(4):345-50. [DOI:10.1046/j.1440-1843.2002.00409.x] [PMID]
19. Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, et al, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. General considerations for lung function testing. Eur Respir J. 2005;26(1):153-61. [DOI:10.1183/09031936.05.00034505] [PMID]
20. Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus P, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol. 2004;113(1):59-65. [DOI:10.1016/j.jaci.2003.09.008] [PMID]
21. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax. 1992;47(2):76-83. [DOI:10.1136/thx.47.2.76] [PMID] []
22. Bar Yoseph R, Livnat G, Schnapp Z, Hakim F, Dabbah H, Goldbart A, Bentur L. The effect of vitamin D on airway reactivity and inflammation in asthmatic children: A double-blind placebo-controlled trial. Pediatr Pulmonol. 2015;50(8):747-53. [DOI:10.1002/ppul.23076] [PMID]
23. Guo CH, Liu PJ, Lin KP, Chen PC. Nutritional supplement therapy improves oxidative stress, immune response, pulmonary function, and quality of life in allergic asthma patients: an open-label pilot study. Altern Med Rev. 2012;17(1):42-56.
24. Arshi S, Fallahpour M, Nabavi M, Bemanian MH, Javad-Mousavi SA, Nojomi M, et al. The effects of vitamin D supplementation on airway functions in mild to moderate persistent asthma. Ann Allergy Asthma Immunol. 2014;113(4):404-9. [DOI:10.1016/j.anai.2014.07.005] [PMID]
25. Lange NE, Litonjua A, Hawrylowicz CM, Weiss S. Vitamin D, the immune system and asthma. Expert Rev Clin Immunol. 2009 Nov;5(6):693-702. [DOI:10.1586/eci.09.53] [PMID] []
26. Pojsupap S, Iliriani K, Sampaio TZ, O'Hearn K, Kovesi T, Menon K, McNally JD. Efficacy of high-dose vitamin D in pediatric asthma: a systematic review and meta-analysis. J Asthma. 2015;52(4):382-90. [DOI:10.3109/02770903.2014.980509] [PMID]
27. Beigelman A, Zeiger RS, Mauger D, Strunk RC, Jackson DJ, Martinez FD, et al. The association between vitamin D status and the rate of exacerbations requiring oral corticosteroids in preschool children with recurrent wheezing. J Allergy Clin Immunol. 2014;133(5):1489-92, 1492.e1-3. [DOI:10.1016/j.jaci.2014.02.024] [PMID] []
28. Kerley CP, Elnazir B, Faul J, Cormican L. Vitamin D as an adjunctive therapy in asthma. Part 2: A review of human studies. Pulm Pharmacol Ther. 2015;32:75-92. [DOI:10.1016/j.pupt.2015.02.010] [PMID]

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