Evidence map›Paper›PMID 40781660›Full record

Trial reportBMC pediatrics2025

Effect of vitamin D supplementation on inflammatory status and behavioral symptoms in children with autism spectrum disorders: a double-blind randomized clinical trial.

Zohreh Javadfar, Shahin Soltani, Firoozeh Khamoushi, Maryam Sharifi, Shima Moradi, Shahab Rezaeian, Ali Akbar Foroughi, Sahar Cheshmeh, Mehdi Taghaddosi, Fariborz Bahrehmand

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Zohreh JavadfarClinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Shahin SoltaniResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Firoozeh KhamoushiStudent research committee, School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Maryam SharifiStudent research committee, School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Shima MoradiStudent research committee, School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran. shima.moradi1400@yahoo.com.
Shahab RezaeianInfectious Diseases Research Center, Health Policy and Promotion Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ali Akbar ForoughiDepartment of Clinical Psychology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sahar CheshmehMolecular and Experimental Nutritional Medicine Department, University of Potsdam, Nuthetal, Germany.
Mehdi TaghaddosiDepartment of Immunology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Fariborz BahrehmandMedical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Funding

Deputy for Research and Technology, Kermanshah University of Medical Sciences 4020490
6 · The paper itself

Abstract

purposeInflammation in early childhood has been proposed as a clinically recognized risk factor for developing autism spectrum disorder (ASD). Since vitamin D has an anti-inflammatory role, this trial was aimed to evaluate the effects of vitamin D supplementation on TNF-α and IL-37 status and behavioral problems in children with ASD.

methodsThis parallel double-blind clinical trial study was conducted on 43 ASD children who were randomly allocated into two studied groups the vitamin D drop group received 300 IU/kg daily (n = 22) and, the control group (n = 21) for 15 weeks. Serum levels of 25(OH) D (ng/ml), and inflammatory indices including tumor necrosis factor-alpha (TNF-α) (ng/ml), and interleukin 37 (IL-37) (ng/ml) were measured at the start and end of the study. Moreover, the Real-Life Rating Scale for Autism (RLRS) questionnaire assessed behavioral symptoms.

resultsOf the participants, 55.6% in the intervention group and 44.4% in the control group were boys (P = 0.24). After 15 weeks of vitamin D supplementation, serum 25(OH) D levels significantly increased (P = 0.001), while TNF-α (P < 0.001) and IL-37 (P = 0.004) levels significantly decreased. The total RLRS score in the intervention group significantly decreased (P = 0.005), but no significant changes were observed in its subcategories (e.g., Sensory Motor Behaviors, Social Relationship to People) due to small, non-significant improvements accumulating to affect the total score. Between-group comparisons for RLRS were non-significant (P = 0.165).

conclusionThe trial highlighted the possible anti-inflammatory role of vitamin D in children with ASD, as well as improving behavioral disorders. LEVEL OF EVIDENCE: Level I- randomized controlled trial.

trial registrationIRCT20170827035936N3, https://irct.behdasht.gov.ir/trial/27012 ; registration date: 16/09/2023.

Indexed as

Autism Spectrum DisorderDietary SupplementsInflammationInterleukin-1Tumor Necrosis Factor-alphaVitamin DVitaminsChildChild, PreschoolDouble-Blind MethodFemaleHumansMale25-hydroxyvitamin DIL37 protein, humanInterleukin-1Tumor Necrosis Factor-alphaVitamin DVitaminsAutism spectrum disordersBehavioral symptomsInterleukin-37Tumor necrosis factor-alphaVitamin d

Identifiers

PMID40781660
PMCPMC12333158

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.