Evidence map›Paper›PMID 40936023›Full record

ArticleEuropean journal of pediatrics2025

Association between serum 25-hydroxyvitamin D concentrations and respiratory infections in US preschool children: a population-based study.

Yingli Lin, Li Tian, Qi Chen, Shuang Chen

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Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yingli LinDepartment of Early Childhood Education, Shaoxing Vocational & Technical College, Shaoxing, Zhejiang, China.
Li TianDepartment of Pediatrics, Sanming First Hospital Affiliated to Fujian Medical University, Sanming, Fujian, China.
Qi ChenDepartment of Pediatrics, Tiantai People's Hospital of Zhejiang Province (Tiantai Branch of Zhejiang Provincial People's Hospital), Hangzhou Medical College, Taizhou, Zhejiang, China. lza120120@163.com.
Shuang ChenDepartment of Pediatrics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China. xuping120120@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitamin D deficiency has been implicated in pediatric respiratory health, yet evidence regarding its role in preschool children remains inconsistent. This study investigated the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and respiratory infections in a nationally representative cohort of US preschool children. Cross-sectional analysis included 3316 children aged 2-6 years from NHANES (2007-2016). Vitamin D status was categorized as deficiency (< 50 nmol/L), insufficiency (50-74.9 nmol/L), and sufficiency (≥ 75 nmol/L). Respiratory outcomes included caregiver-reported head/chest colds and severe infections (influenza/pneumonia/ear infections) within 30 days. Multivariable logistic regression adjusted for sociodemographic, lifestyle, dietary, and clinical confounders. Dose-response relationships and subgroup heterogeneity were rigorously assessed. Vitamin D deficiency prevalence was 8.1%, with 52% of the cohort exhibiting suboptimal status (< 75 nmol/L). Deficient children had 56% higher odds of respiratory infections versus sufficient counterparts (adjusted OR: 1.56; 95% CI: 1.17-2.09). Stronger associations emerged for head/chest colds (OR: 1.47; 95% CI: 1.09-1.97) than severe infections (OR: 1.24; 95% CI: 0.70-2.18). Subgroup analyses revealed elevated risks in children aged 4-6 years (OR: 1.93; 95% CI: 1.35-2.76), female children (OR: 1.81; 95% CI: 1.17-2.80), low-income households (OR: 1.59; 95% CI: 1.10-2.30), and underweight individuals (OR: 1.61; 95% CI: 1.13-2.31). Exposure to secondhand smoke further amplified deficiency-related infection risks (OR: 1.54; 95% CI: 1.12-2.10). Adequate vitamin D intake (≥ 6.7 mcg/day) attenuated deficiency-related risks (OR: 1.37; 95% CI: 0.68-2.76). Conclusions: Vitamin D deficiency is independently associated with increased respiratory infection risk in preschool children, particularly in vulnerable subgroups. These findings support targeted screening and supplementation strategies to mitigate early childhood morbidity.

Indexed as

Respiratory Tract InfectionsVitamin DVitamin D DeficiencyChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleNutrition SurveysPrevalenceRisk FactorsUnited States25-hydroxyvitamin DVitamin D25-Hydroxyvitamin DNHANESPreschool childrenRespiratory infectionsVitamin D deficiency

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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.