Evidence map›Paper›PMID 27274360›Full record

ArticleThe World Allergy Organization journal2016

World Allergy Organization-McMaster University Guidelines for Allergic Disease Prevention (GLAD-P): Vitamin D.

Juan José Yepes-Nuñez, Alessandro Fiocchi, Ruby Pawankar, Carlos A Cuello-Garcia, Yuan Zhang, Gian Paolo Morgano, Kangmo Ahn, Suleiman Al-Hammadi, Arnav Agarwal, Shreyas Gandhi and 17 more

Abstract read
In one paragraph

Article in The World Allergy Organization journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Environmental Interventions for Preventing Atopic Diseases.Current allergy and asthma reports · 2024
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  12. Halting the March: Primary Prevention of Atopic Dermatitis and Food Allergies.The journal of allergy and clinical immunology. In practice · 2020
    Article
  13. Review
  14. Primary Prevention of Food Allergy.Current allergy and asthma reports · 2019
    Review
  15. Review
  16. Review
  17. Review
  18. Primary Prevention of Food Allergy.Current allergy and asthma reports · 2017
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

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

27 authors.

Juan José Yepes-NuñezDepartment of Clinical Epidemiology & Biostatistics, McMaster University Health Sciences Centre, Room 2C16 1280 Main Street West, Hamilton, L8N 4K1 ON Canada.ORCID 0000-0002-9912-0031
Alessandro Fiocchi *Pediatric Hospital Bambino Gesù, Vatican City, Italy.
Ruby Pawankar *Department of Pediatrics, Nippon Medical School, Tokyo, Japan.
Carlos A Cuello-GarciaDepartment of Clinical Epidemiology & Biostatistics, McMaster University Health Sciences Centre, Room 2C16 1280 Main Street West, Hamilton, L8N 4K1 ON Canada.
Yuan ZhangDepartment of Clinical Epidemiology & Biostatistics, McMaster University Health Sciences Centre, Room 2C16 1280 Main Street West, Hamilton, L8N 4K1 ON Canada.
Gian Paolo MorganoDepartment of Clinical Epidemiology & Biostatistics, McMaster University Health Sciences Centre, Room 2C16 1280 Main Street West, Hamilton, L8N 4K1 ON Canada.
Kangmo AhnDepartment of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Suleiman Al-HammadiDepartment of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Arnav AgarwalFaculty of Medicine, University of Toronto, Toronto, ON Canada.
Shreyas GandhiFaculty of Medicine, University of Toronto, Toronto, ON Canada.
Kirsten BeyerCharité Klinik für Pädiatrie, Berlin, Germany.
Wesley BurksDepartment of Pediatrics, University of North Carolina, Chapel Hill, NC USA.
Giorgio W CanonicaUniversity of Genoa, IRCCS AOU San Martino-IST, Genoa, Italy.
Motohiro EbisawaDepartment of Allergy, Clinical Research Center for Allergology and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan.
Rose KamenwaDepartment of Pediatrics and Child Health, Aga Khan University Hospital, Nairobi, Kenya.
Bee Wah LeeDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Republic of Singapore.
Haiqi LiDepartment of Primary Child Care, Children's Hospital, Chongqing Medical University, Chongqing, China.
Susan PrescottDepartment of Immunology, Perth Children's Hospital, Telethon KIDS Institute, School of Paediatrics and Child Health, University of Western Australia, Crawley, Australia.
John J RivaDepartment of Clinical Epidemiology & Biostatistics, McMaster University Health Sciences Centre, Room 2C16 1280 Main Street West, Hamilton, L8N 4K1 ON Canada.
Lanny RosenwasserAllergy-Immunology Division, Children's Mercy Hospital & University of Missouri - Kansas City School of Medicine, Kansas City, MO USA.
Hugh SampsonJaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Michael SpiglerFood Allergy Research & Education (FARE), McLean, VA USA.
Luigi TerraccianoDepartment of Child and Maternal Medicine, University of Milan Medical School at the Melloni Hospital, Milan, Italy.
Andrea VeredaAllergology Department, Hospital Infantil Universitario Niño Jesus, Madrid, Spain.
Susan WasermanDepartment of Medicine, McMaster University, Hamilton, ON Canada.
Holger J SchünemannDepartment of Clinical Epidemiology & Biostatistics, McMaster University Health Sciences Centre, Room 2C16 1280 Main Street West, Hamilton, L8N 4K1 ON Canada.
Jan L BrożekDepartment of Clinical Epidemiology & Biostatistics, McMaster University Health Sciences Centre, Room 2C16 1280 Main Street West, Hamilton, L8N 4K1 ON Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of allergic diseases is approximately 10 % in infants whose parents and siblings do not have allergic diseases and 20-30 % in those with an allergic first-degree relative. Vitamin D is involved in the regulation of the immune system and it may play a role in the development, severity and course of asthma and other allergic diseases.

objectiveThe World Allergy Organization (WAO) convened a guideline panel to develop evidence-based recommendations addressing the use of vitamin D in primary prevention of allergic diseases.

methodsOur WAO guideline panel identified the most relevant clinical questions and performed a systematic review of randomized controlled trials and non-randomized studies (NRS), specifically cohort and case-control studies, of vitamin D supplementation for the prevention of allergic diseases. We also reviewed the evidence about values and preferences, and resource requirements (up to January 2015, with an update on January 30, 2016). We followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to develop recommendations.

resultsHaving reviewed the currently available evidence, the WAO guideline panel found no support for the hypothesis that vitamin D supplementation reduces the risk of developing allergic diseases in children. The WAO guideline panel suggest not using vitamin D in pregnant women, breastfeeding mothers, or healthy term infants as a means of preventing the development of allergic diseases. This recommendation does not apply to those mothers and infants who have other indications for prophylactic or therapeutic use of vitamin D. The panel's recommendations are conditional and supported by very low certainty evidence.

conclusionsWAO recommendations about vitamin D supplementation for the prevention of allergic diseases support parents, clinicians and other health care professionals in their decisions whether or not to use vitamin D in preventing allergic diseases in healthy, term infants.

Indexed as

Allergic DiseasesGRADEPractice guidelinesPreventionVitamin D

Identifiers

PMID27274360
PMCPMC4869275

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Registered trials

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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 OpenQuestion graph.