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Research paper

Vitamin D supplementation for preventing infections in children under five years of age

The Cochrane Database of Systematic Reviews
Q1
Nov 2016
Citations: 99
Influential: 3
Systematic Reviews / Meta-Analyses
90

Study answer

What this study found

Vitamin D supplementation did not show a clear benefit for preventing infections in young children. The largest trial found no reduction in the first or only episode of radiologically confirmed pneumonia (RR 1.06, 95% CI 0.89 to 1.26) or all-cause mortality (RR 1.43, 95% CI 0.54 to 3.74), but repeat episodes of radiologically confirmed pneumonia were higher (RR 1.69, 95% CI 1.28 to 2.21). Mean serum vitamin D concentrations increased by 7.72 ng/mL (0.50 higher to 14.93 higher) across four trials (266 participants). Trials evaluating vitamin D for prevention of TB or malaria were not…

Study & population
Systematic review and meta-analysis of randomized trials in children under five years of age in hospital, clinic, and community settings.
Intervention
Included vitamin D supplementation regimens were heterogeneous across trials.
Key limitation
The evidence base was sparse and heterogeneous, with only one large trial providing infection outcomes and several smaller trials mainly reporting serum vitamin D levels rather than clinical infections.
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Original abstract

Abstract Background Vitamin D is a micronutrient important for bone growth and immune function. Deficiency can lead to rickets and has been linked to various infections, including respiratory infections. The evidence on the effects of supplementation…