Asthma
Conditions
Brief summary
Epidemiological and observational studies have linked vitamin D deficiency with increased asthma/allergy incidence . Vitamin D insufficiency (\<75nmol/L) has been associated with increased incidence of severe childhood asthma. Further, high 25(OH)D levels were associated with reduced risk of recent hospitalization, lower use of anti-asthmatic medication and lower airway hyper-responsiveness in childhood asthmatics. The association between vitamin D and allergy and asthma appears to be stronger in children than adults, with some even suggesting that childhood asthma may may be caused by VDD.
Detailed description
Asthmatic children will be recruited in winter. After baseline testing, children will be randomized to take 2,000iu vitamin D or placebo daily for 15 weeks. After the 15 weeks, testing will be repeated. Tests involve blood draws, questionnaires and breathing tests.
Interventions
Soft gel capsules will be identical to the vitamin D intervention but contain no vitamin D.
Soft gel capsules will contain 2,000IU vitamin D.
Sponsors
Study design
Eligibility
Inclusion criteria
* Previous clinical diagnosis of asthma * Ability to perform pulmonary function tests * Established on anti-asthmatic pharmacotherapy with no expected change
Exclusion criteria
* Use of medications that influence vitamin D metabolism or absorption * Chronic, non-asthma medical issues e.g. endocrine, hepatic, renal, or bone-disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Paediatic Asthma Control Test (P-ACT) | 15 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mini paediatric asthma quality of life questionnaire | 15 weeks | — |
| Asthma Diary | 15 weeks | A 13 item diary to be filled out weekly by parents/gaurdians. |
| Biochemical markers (25(OH)D, total IgE, total calcium, albumin, PTH, phosphate, hsCRP, IgA and ECP. | 15 weeks | — |
| Pulmonary function | 15 weeks | FEV1, FVC, FEV1:FVC |
| Height velocity | 15 weeks | Rate of change in height |
| Global Initiative for Asthma Score | 15 weeks | — |