Do infants with cow's milk protein allergy have inadequate levels of vitamin D?

Objective: To verify whether infants with cow's milk protein allergy (CMPA) have inadequate vitamin D levels. Methods: This cross‐sectional study included 120 children aged 2 years or younger, one group with CMPA and a control group. The children were recruited at the pediatric gastroenterology...

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Bibliographic Details
Main Authors: Cristiane M. Silva, Silvia A. da Silva, Margarida M. de C. Antunes, Gisélia Alves Pontes da Silva, Emanuel Sávio Cavalcanti Sarinho, Katia G. Brandt
Format: Article
Language:Portuguese
Published: Brazilian Society of Pediatrics 2017-11-01
Series:Jornal de Pediatria (Versão em Português)
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Online Access:http://www.sciencedirect.com/science/article/pii/S2255553617300678
Description
Summary:Objective: To verify whether infants with cow's milk protein allergy (CMPA) have inadequate vitamin D levels. Methods: This cross‐sectional study included 120 children aged 2 years or younger, one group with CMPA and a control group. The children were recruited at the pediatric gastroenterology, allergology, and pediatric outpatient clinics of a university hospital in the Northeast of Brazil. A questionnaire was administered to the caregiver and blood samples were collected for vitamin D quantification. Vitamin D levels <30 ng/mL were considered inadequate. Vitamin D level was expressed as mean and standard deviation, and the frequency of the degrees of sufficiency and other variables, as proportions. Results: Infants with CMPA had lower mean vitamin D levels (30.93 vs.35.29 ng/mL; p = 0.041) and higher deficiency frequency (20.3% vs.8.2; p = 0.049) than the healthy controls. Exclusively or predominantly breastfed infants with CMPA had higher frequency of inadequate vitamin D levels (p = 0.002). Regardless of sun exposure time, the groups had similar frequencies of inadequate vitamin D levels (p = 0.972). Conclusions: Lower vitamin D levels were found in infants with CMPA, especially those who were exclusively or predominantly breastfed, making these infants a possible risk group for vitamin D deficiency.
ISSN:2255-5536