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Influenza -A infections half as often in children getting 1200 IU of vitamin D – RCT Jan 2018

Preventive Effects of Vitamin D on Seasonal Influenza A in Infants: A Multicenter, Randomized, Open, Controlled Clinical Trial.

Pediatr Infect Dis J. 2018 Jan 8. doi: 10.1097/INF.0000000000001890. [Epub ahead of print]

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Items in both categories Infant/Child and Immunity are listed here:

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Reduced Fever

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Reduced Wheezing

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Zhou J1, Du J1, Huang L2, Wang Y3, Shi Y3, Lin H2.
1 Department Of Pediatrics, The First People's Hospital Of Yongkang, China.
2 Dept Of Pediatrics, The Second Affiliated Hospital And Yuying Children's Hospital Of Wenzhou Medical U., Wenzhou, China.
3 Department Of Pediatrics, Jinhua People's Hospital, Jinhua, China.

OBJECTIVES:
This study aimed to evaluate the clinical efficacy and safety of vitamin D for preventing influenza A in 400 infants in a multicenter, randomized, open, controlled clinical trial.

METHODS:
The infants were randomized into low-dose and high-dose vitamin D groups, and serum calcium, inorganic phosphorus and 25-hydroxyvitamin D levels were detected thrice in 4 months. Infants infected with influenza A were monitored for symptoms including fever, cough, and wheezing. Pathogen levels and safety of vitamin D treatment were also evaluated.

RESULTS:
Of 121 cases in total, 78 and 43 cases of influenza A infection occurred in the low-dose and high-dose vitamin D groups, respectively. There was a significant difference between the groups (χ = 14.6324, P = 0.0001). Among the cases of influenza infection, the median durations for fever, cough, and wheezing were shorter in the high-dose vitamin D group than in the low-dose vitamin D group. The viral loads showed a downward trend in both groups, and were significantly different between the groups at the second and third detections. Additionally, the incidences of adverse events and severe adverse events were very low and not significantly different between the two groups.

CONCLUSION:
High-dose vitamin D (1200 IU) is suitable for the prevention of seasonal influenza as evidenced by rapid relief from symptoms, rapid decrease in viral loads, and disease recovery. In addition, high-dose vitamin D is probably safe for infants.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

PMID: 29315160 DOI: 10.1097/INF.0000000000001890

Created by admin. Last Modification: Wednesday January 10, 2018 16:34:12 UTC by admin. (Version 9)

Attached files

ID Name Comment Uploaded Size Downloads
9162 Influenza-A Wheezing.jpg admin 10 Jan, 2018 14:39 29.43 Kb 36
9160 Influenza -A fever.jpg admin 10 Jan, 2018 14:34 34.66 Kb 40
9159 Influenza-A 1200 IU.pdf PDF 2018 admin 10 Jan, 2018 14:34 1.72 Mb 19
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