河北医科大学学报 ›› 2022, Vol. 43 ›› Issue (6): 666-670.doi: 10.3969/j.issn.1007-3205.2022.06.010

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血清25-羟维生素D水平与婴幼儿食物过敏的关系研究

  

  1. 1.河北医科大学第二医院儿科,河北 石家庄 050000;2.河北省安平市第二人民医院儿科,河北 安平 053600
  • 出版日期:2022-06-25 发布日期:2022-06-29
  • 作者简介:赵慧(1982-),女,河北石家庄人,河北医科大学第二医院主治医师,医学博士,从事儿童过敏性疾病诊治研究。
  • 基金资助:
    河北省医学科学研究课题计划(20190591)

Study on the relationship between serum 25-hydroxyvitamin D levels and food allergy in infants

  1. 1.Department of Pediatrics, the Second Hospital of Hebei Medical University, Shijiazhuang 
    050000, China; 2.Department of Pediatrics, the Second People′s Hospital of 
    Anping City, Hebei Province, Anping 053600, China
  • Online:2022-06-25 Published:2022-06-29

摘要: 目的 探讨血清25-羟维生素D水平与婴幼儿食物过敏的关系,并分析食物过敏的危险因素。
方法 纳入≤3岁确诊食物过敏的40例婴幼儿作为研究组,同时选取40例年龄匹配的健康儿童作为对照组。比较2组血清25-羟维生素D水平,并分析筛选食物过敏的可能危险因素。
结果 2组血清25-羟维生素D水平比较差异无统计学意义(P>0.05);在食物过敏组中维生素D缺乏与不足患儿所占比例更高(P<0.05)。血清25-羟维生素D水平在IgE介导的食物过敏与非IgE介导的食物过敏患儿中比较,差异无统计学意义(P>0.05)。单因素Logistic回归分析结果表明,过敏性疾病家族史、湿疹史及低维生素D水平可能是食物过敏的危险因素(P<0.05)。多因素Logistic回归分析表明,湿疹史是食物过敏的独立危险因素(P<0.05)。
结论 食物过敏患儿维生素D缺乏和不足者较多,但食物过敏和健康婴幼儿的血清25-羟维生素D水平差异无统计学意义;有湿疹史的婴幼儿,发生食物过敏的风险更高。


关键词: 食物过敏, 维生素D, 婴幼儿

Abstract: Objective To investigate the relationship between serum 25-hydroxyvitamin D levels and food allergy in infants, and to analyze the risk factors for food allergy. 
Methods A total of 40 infants aged ≤3 years with a diagnosis of food allergy were enrolled as the research group, while 40 age-matched healthy children were selected as the control group. Serum 25-hydroxyvitamin D levels were compared between two groups, and the potential risk factors for food allergy were analyzed. 
Results There was no significant difference in the level of serum 25-hydroxyvitamin D between two groups(P>0.05). The proportion of children with vitamin D deficiency and insufficiency was higher in the food allergy group(P<0.05). There was no significant difference in serum 25-hydroxyvitamin D level between children with IgE-mediated food allergy and those with non-IgE-mediated food allergy(P>0.05). Univariate Logistic regression analysis showed that family history of allergic diseases, eczema history and low vitamin D level might be the risk factors for food allergy(P<0.05). Multivariate Logistic regression analysis showed that eczema history was an independent risk factor for food allergy(P<0.05). 
Conclusion Serum vitamin D deficiency and insufficiency is more common in children with food allergy, but there is no significant difference in serum 25-hydroxyvitamin D levels between children with food allergy and healthy children. Infants with a history of eczema are at higher risk of developing food allergy. 


Key words: food allergy, vitamin D, infants and children