Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study

Vitamin D has emerged as a key factor in innate immunity. Its involvement in the pathogenesis of urinary tract infections (UTIs) has gained a lot of attention recently. The objective of this study is to investigate the association between serum 25-hydroxyvitamin D (25(OH)D) levels and first-time or...

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Main Authors: Carmen Muntean, Maria Săsăran
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/8/5/419
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author Carmen Muntean
Maria Săsăran
author_facet Carmen Muntean
Maria Săsăran
author_sort Carmen Muntean
collection DOAJ
description Vitamin D has emerged as a key factor in innate immunity. Its involvement in the pathogenesis of urinary tract infections (UTIs) has gained a lot of attention recently. The objective of this study is to investigate the association between serum 25-hydroxyvitamin D (25(OH)D) levels and first-time or recurrent UTIs in children. A prospective, case-control study was conducted on 101 pediatric patients, who were divided into two groups: 59 patients with UTIs and 42 age-matched healthy controls. Serum 25(OH)D was determined in each child and expressed in ng/mL. Vitamin D presented significantly lower values in study group subjects than in healthy controls (<i>p</i> < 0.01). Moreover, a significantly higher prevalence of vitamin D insufficiency and deficiency was found in children with UTIs (<i>p</i> < 0.01). Patients with recurrent UTIs presented significantly lower levels of vitamin D than those with first-time UTIs (<i>p</i> = 0.04). Urinary tract abnormalities did not seem to exercise an additional effect upon vitamin D levels within the study group. In conclusion, first-time and recurrent UTIs are associated with lower vitamin D levels. Further studies are necessary to validate our findings, as well as future longitudinal research regarding efficacy of vitamin D supplementation in children with UTIs.
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spelling doaj.art-5baee6ac4cf84be794f1630c5ca081d92023-11-21T20:30:27ZengMDPI AGChildren2227-90672021-05-018541910.3390/children8050419Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control StudyCarmen Muntean0Maria Săsăran1Department of Paediatrics I, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Târgu Mureș, Gheorghe Marinescu Street No. 38, 540142 Târgu Mureș, RomaniaDepartment of Paediatrics III, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Târgu Mureș, Gheorghe Marinescu Street No. 38, 540142 Târgu Mureș, RomaniaVitamin D has emerged as a key factor in innate immunity. Its involvement in the pathogenesis of urinary tract infections (UTIs) has gained a lot of attention recently. The objective of this study is to investigate the association between serum 25-hydroxyvitamin D (25(OH)D) levels and first-time or recurrent UTIs in children. A prospective, case-control study was conducted on 101 pediatric patients, who were divided into two groups: 59 patients with UTIs and 42 age-matched healthy controls. Serum 25(OH)D was determined in each child and expressed in ng/mL. Vitamin D presented significantly lower values in study group subjects than in healthy controls (<i>p</i> < 0.01). Moreover, a significantly higher prevalence of vitamin D insufficiency and deficiency was found in children with UTIs (<i>p</i> < 0.01). Patients with recurrent UTIs presented significantly lower levels of vitamin D than those with first-time UTIs (<i>p</i> = 0.04). Urinary tract abnormalities did not seem to exercise an additional effect upon vitamin D levels within the study group. In conclusion, first-time and recurrent UTIs are associated with lower vitamin D levels. Further studies are necessary to validate our findings, as well as future longitudinal research regarding efficacy of vitamin D supplementation in children with UTIs.https://www.mdpi.com/2227-9067/8/5/419vitamin Durinary tract infectionschildrenrecurrencedeficiency
spellingShingle Carmen Muntean
Maria Săsăran
Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study
Children
vitamin D
urinary tract infections
children
recurrence
deficiency
title Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study
title_full Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study
title_fullStr Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study
title_full_unstemmed Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study
title_short Vitamin D Status and Its Role in First-Time and Recurrent Urinary Tract Infections in Children: A Case-Control Study
title_sort vitamin d status and its role in first time and recurrent urinary tract infections in children a case control study
topic vitamin D
urinary tract infections
children
recurrence
deficiency
url https://www.mdpi.com/2227-9067/8/5/419
work_keys_str_mv AT carmenmuntean vitamindstatusanditsroleinfirsttimeandrecurrenturinarytractinfectionsinchildrenacasecontrolstudy
AT mariasasaran vitamindstatusanditsroleinfirsttimeandrecurrenturinarytractinfectionsinchildrenacasecontrolstudy