Vitamin D deficiency and adult asthma exacerbations

J Asthma. 2014 Nov;51(9):950-5. doi: 10.3109/02770903.2014.930883. Epub 2014 Jul 2.

Abstract

Objectives: There is growing evidence indicating a connection between vitamin D deficiency and the severity of asthma exacerbations. This study seeks to assess the relationship between vitamin D deficiency and the number and severity of asthma exacerbation in adults.

Methods: A retrospective analysis was conducted in 92 patients being treated for asthma at the University of New Mexico Adult Asthma Clinic. Serum 25-hydroxyvitamin D3 levels were analyzed in adults with mild to severe persistent asthma. Using multi-variant modeling, the relationship was examined between serum vitamin D levels and the odds of asthma exacerbations ranging in severity from moderate to severe over the span of five years.

Results: This study demonstrates that vitamin D sufficiency was significantly associated with a decreased total number of asthma exacerbations (incidence rate ratio [IRR]: 0.61, 95% confidence interval [CI]: 0.44-0.84, p = 0.002), decreased total severe asthma exacerbations (IRR: 0.41, 95% CI: 0.24-0.72, p = 0.002) and decreased emergency room visits (IRR: 0.42, 95% CI: 0.20-0.88, p = 0.023).

Conclusion: Vitamin D deficiency may be linked to the risk of severe asthma exacerbations in adults.

Keywords: Analysis; FEV1; deficient; hospitalization; preventative; severity; sufficient.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Asthmatic Agents / therapeutic use
  • Asthma / blood
  • Asthma / drug therapy
  • Asthma / epidemiology*
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • New Mexico
  • Retrospective Studies
  • Severity of Illness Index
  • Vitamin D Deficiency / epidemiology*

Substances

  • Anti-Asthmatic Agents