Vitamin C and asthma in children: modification of the effect by age, exposure to dampness and the severity of asthma

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Hemilä , H , Al-Biltagi , M & Baset , A A 2011 , ' Vitamin C and asthma in children: modification of the effect by age, exposure to dampness and the severity of asthma ' , Clinical and Translational Allergy , vol. 1 . https://doi.org/10.1186/2045-7022-1-9

Title: Vitamin C and asthma in children: modification of the effect by age, exposure to dampness and the severity of asthma
Author: Hemilä, Harri; Al-Biltagi, Mohammed; Baset, Ahmed A.
Contributor: University of Helsinki, Department of Public Health
Date: 2011
Language: eng
Number of pages: 9
Belongs to series: Clinical and Translational Allergy
ISSN: 2045-7022
URI: http://hdl.handle.net/10138/223357
Abstract: BACKGROUND: We previously found a significant benefit of vitamin C supplementation in asthmatic children. PURPOSE: To test whether the effect of vitamin C on asthma is heterogeneous over the participant population. METHODS: Egyptian asthmatic children between 7 and 10 years of age (n = 60) were included in the cross-over trial. They were administered 0.2 grams per day of vitamin C and placebo for separate 6-week periods. The variation in the vitamin C effect on two clinically relevant outcomes was analyzed: the childhood asthma control test (C-ACT), which measures the severity of asthma symptoms (the scale ranges from 0 to 27 points, < 20 points indicating unsatisfactory asthma control), and FEV1. We used linear modeling to examine the variation of the vitamin C effect in the subgroups. RESULTS: The effect of vitamin C on the C-ACT was significantly modified by age and baseline C-ACT levels. In the children aged 7.0-8.2 years with a baseline C-ACT of 18 to 19 points, vitamin C increased the C-ACT score by 4.2 points (95% CI: 3.3-5.3); whereas in the children aged 8.3-10 years who had a baseline C-ACT of 14 to 15 points, vitamin C increased the C-ACT score by only 1.3 points (95% CI: 0.1-2.5). The effect of vitamin C on the FEV1 levels was significantly modified by age and exposure to dampness. In the children aged 7.0-8.2 years with no exposure to dampness, vitamin C increased the FEV1 level by 37% (95% CI: 34-40%), whereas in the children aged 8.3-10 years with exposure to dampness or mold in their bedroom more than one year prior to the study, vitamin C increased the FEV1 level by only 21% (95% CI: 18-25%). CONCLUSIONS: We found strong evidence that the effect of vitamin C on asthmatic children is heterogeneous. Further research is needed to confirm our findings and identify the groups of children who would receive the greatest benefit from vitamin C supplementation.
Subject: 3121 General medicine, internal medicine and other clinical medicine
317 Pharmacy
vitamin C
Asthma
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