{"id":3638,"date":"2017-06-05T00:00:00","date_gmt":"2017-06-05T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/25-hydroxyvitamin-d-supplementation-and-health-service-utilization-for-upper-respiratory-tract-infection-in-young-children\/"},"modified":"2023-06-14T19:20:51","modified_gmt":"2023-06-14T23:20:51","slug":"25-hydroxyvitamin-d-supplementation-and-health-service-utilization-for-upper-respiratory-tract-infection-in-young-children","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/25-hydroxyvitamin-d-supplementation-and-health-service-utilization-for-upper-respiratory-tract-infection-in-young-children\/","title":{"rendered":"25-Hydroxyvitamin D supplementation and health-service utilization for upper respiratory tract infection in young children"},"content":{"rendered":"<p><strong>Objective<\/strong> &#x2014; Upper respiratory tract infections (URTI) are the most common and costly condition of childhood. Low vitamin D levels have been hypothesized as a risk factor for URTI. The primary objective was to determine if serum vitamin D levels were associated with health-service utilization (HSU) for URTI including hospital admission, emergency department visits and outpatient sick visits. The secondary objectives were to determine whether oral vitamin D supplementation in pregnancy or childhood was associated with HSU for URTI.<\/p>\n<p><strong>Design<\/strong> &#x2014; Cohort study. HSU was determined by linking each child&apos;s provincial health insurance number to health administrative databases. Multivariable quasi Poisson regression was used to evaluate the association between 25-hydroxyvitamin D, vitamin D supplementation and HSU for URTI.<\/p>\n<p><strong>Setting<\/strong> &#x2014; Toronto, Canada.<\/p>\n<p><strong>Subjects<\/strong> &#x2014; Children participating in the TARGet Kids! network between 2008 and 2013.<\/p>\n<p><strong>Results<\/strong> &#x2014; Healthy children aged 0-5 years (n 4962) were included; 52 % were male and mean 25-hydroxyvitamin D was 84 nmol\/l (range 11-355 nmol\/l). There were 105 (2 %), 721 (15 %) and 3218 (65 %) children with at least one hospital admission, emergency department visit or outpatient sick visit for URTI, respectively. There were no statistically significant associations between 25-hydroxyvitamin D or vitamin D supplementation and HSU for URTI.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; A clinically meaningful association between vitamin D (continuously and dichotomized at &lt;50 and &lt;75 nmol\/l) and HSU for URTI was not identified. While vitamin D may have other benefits for health, reducing HSU for URTI does not appear to be one of them.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; Upper respiratory tract infections (URTI) are the most common and costly condition of childhood. Low vitamin D levels have been hypothesized as a risk factor for URTI. The primary objective was to determine if serum vitamin D levels were associated with health-service utilization (HSU) for URTI including hospital admission, emergency department visits and [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[57,62,52,27],"migration-helper-qa-sample-set":[],"class_list":["post-3638","journal_article","type-journal_article","status-publish","hentry","topic-diet-and-nutrition","topic-health-services-research","topic-lung-health","topic-pediatrics"],"acf":{"citation":"Omand JA, To T, O&apos;Connor DL, Parkin PC, Birken CS, Thorpe KE, Maguire JL. <em>Public Health Nutr. <\/em>2017; 20(10):1816-24. Epub 2017 Jun 5.","source_url":"https:\/\/www.cambridge.org\/core\/journals\/public-health-nutrition\/article\/25hydroxyvitamin-d-supplementation-and-healthservice-utilization-for-upper-respiratory-tract-infection-in-young-children\/B600CEDA41F3E1F3CA2F90E582ED80B5\/core-reader","ices_scientist":[1111,1311,1166],"site":[6735],"research_program":[6746],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"D13D3EE1-3BAB-47B8-AE8A-0B95117C8A47","sitecore_item_name":"25-Hydroxyvitamin-D-supplementation-and-health-service-utilization-for-upper-respiratory-tract","sitecore_field_values":"{\n  \"Title\": \"25-Hydroxyvitamin D supplementation and health-service utilization for upper respiratory tract infection in young children\",\n  \"Short title\": \"25-Hydroxyvitamin D supplementation\",\n  \"Summary\": \"This study found that while vitamin D may have other benefits for health, reducing health-service utilization for upper respiratory tract infections does not appear to be one of them.\",\n  \"Citation\": \"<p>Omand JA, To T, O'Connor DL, Parkin PC, Birken CS, Thorpe KE, Maguire JL. <em>Public Health Nutr. <\/em>2017; 20(10):1816-24. Epub 2017 Jun 5.<\/p>\",\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; Upper respiratory tract infections (URTI) are the most common and costly condition of childhood. Low vitamin D levels have been hypothesized as a risk factor for URTI. The primary objective was to determine if serum vitamin D levels were associated with health-service utilization (HSU) for URTI including hospital admission, emergency department visits and outpatient sick visits. The secondary objectives were to determine whether oral vitamin D supplementation in pregnancy or childhood was associated with HSU for URTI.<\/p>n<p><strong>Design<\/strong> &mdash; Cohort study. HSU was determined by linking each child's provincial health insurance number to health administrative databases. Multivariable quasi Poisson regression was used to evaluate the association between 25-hydroxyvitamin D, vitamin D supplementation and HSU for URTI.<\/p>n<p><strong>Setting<\/strong> &mdash; Toronto, Canada.<\/p>n<p><strong>Subjects<\/strong> &mdash; Children participating in the TARGet Kids! network between 2008 and 2013.<\/p>n<p><strong>Results<\/strong> &mdash; Healthy children aged 0-5 years (n 4962) were included; 52 % were male and mean 25-hydroxyvitamin D was 84 nmol\/l (range 11-355 nmol\/l). There were 105 (2 %), 721 (15 %) and 3218 (65 %) children with at least one hospital admission, emergency department visit or outpatient sick visit for URTI, respectively. There were no statistically significant associations between 25-hydroxyvitamin D or vitamin D supplementation and HSU for URTI.<\/p>n<p><strong>Conclusions<\/strong> &mdash; A clinically meaningful association between vitamin D (continuously and dichotomized at &lt;50 and &lt;75 nmol\/l) and HSU for URTI was not identified. While vitamin D may have other benefits for health, reducing HSU for URTI does not appear to be one of them.<\/p>n<p><a href=\"https:\/\/www.cambridge.org\/core\/journals\/public-health-nutrition\/article\/25hydroxyvitamin-d-supplementation-and-healthservice-utilization-for-upper-respiratory-tract-infection-in-young-children\/B600CEDA41F3E1F3CA2F90E582ED80B5\/core-reader\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{A3C3BA7B-3DD2-4E8B-9A23-F71AAB03A06D}|{002C9B1A-B097-4316-A26A-BA3C0A3B8FA9}|{3520E276-FC47-4BE8-BC0D-5FD075E6DBEF}|{A734E87A-C5BA-4101-8D06-BB26CA7156D4}\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"ICES Scientists\": \"{198CB764-0CEA-499E-A508-1CAAAD283C90}|{24686E19-C59B-4F9D-ABDE-A180630819B6}|{A19126BC-800F-4DF9-BD56-6AF8AC35A4AE}\",\n  \"Posted Date\": \"20170605T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2017\/June\/25-Hydroxyvitamin-D-supplementation-and-health-service-utilization-for-upper-respiratory-tract"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | 25-Hydroxyvitamin D supplementation and health-service utilization for upper respiratory tract infection in young children<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; Upper respiratory tract infections (URTI) are the most common and costly condition of childhood. 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