Evidence map›Paper›PMID 34600517›Full record

ArticleBMC pediatrics2021

Hypovitaminosis D and risk factors in pediatric epilepsy children.

Napakjira Likasitthananon, Charcrin Nabangchang, Thitiwan Simasathien, Suchavadee Vichutavate, Voraluck Phatarakijnirund, Piradee Suwanpakdee

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.7field-weighted citation impact, top 4% of its field
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

10 citing papers in PubMed, 21 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Napakjira LikasitthananonNeurology Division, Department of Pediatrics, Phramongkutklao Hospital, Bangkok, Thailand.
Charcrin NabangchangNeurology Division, Department of Pediatrics, Phramongkutklao Hospital, Bangkok, Thailand.
Thitiwan SimasathienNeurology Division, Department of Pediatrics, Phramongkutklao Hospital, Bangkok, Thailand.
Suchavadee VichutavateEndocrine Division, Department of Pediatrics, Phramongkutklao Hospital, Bangkok, Thailand.
Voraluck PhatarakijnirundEndocrine Division, Department of Pediatrics, Phramongkutklao Hospital, Bangkok, Thailand.
Piradee SuwanpakdeeNeurology Division, Department of Pediatrics, Phramongkutklao Hospital, Bangkok, Thailand. piradee@pedpmk.org.
Phramongkutklao Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-seizure medication (ASM) treatment is one of the significant risk factors associated with abnormal vitamin D status in epilepsy patients. Multiple studies have shown that adult epilepsy patients can exhibit vitamin D deficiency. However, there are few reports investigating pediatric epilepsy patients. In this study, we aimed to identify risk factors related to hypovitaminosis D in pediatric epilepsy patients in Thailand.

methodsA cross-sectional retrospective cohort study was conducted in 138 pediatric epilepsy patients who received anticonvulsants from April 2018 to January 2019. Demographic data, seizure types, puberty status, physical activity, duration, and types of anti-seizure medications were analyzed. Patients with abnormal liver function, abnormal renal function, and who received vitamin D supplements or ketogenic diet containing vitamin D were excluded. Levels of serum vitamin D (25(OH)D) were measured.

resultsAll 138 subjects were enrolled, the age ranged from 1.04 - 19.96 years; (mean = 9.65 ± 5.09), the mean serum 25(OH) D level was 26.56 ± 9.67 ng/ml. The prevalence of vitamin D deficiency was 23.2% and insufficiency was 47.8% respectively. Two risk factors-puberty status (OR 5.43, 95% CI 1.879-15.67) and non-enzyme-inhibiting ASMs therapy (OR 3.58, 95% CI 1.117-11.46)-were significantly associated with hypovitaminosis D, as shown by multivariate analyses.

conclusionsOur study reports the high prevalence of hypovitaminosis D in pediatric epilepsy patients in Thailand despite being located in the tropical zone. These findings can guide clinicians to measure vitamin D status in pediatric epilepsy patients particularly when they reach puberty and/or are using non-enzyme-inhibiting ASMs therapy. Early detection of vitamin D status and prompt vitamin D supplementation can prevent fractures and osteoporosis later in life.

trial registrationTCTR20210215005 ( http://www.clinicaltrials.in.th/ ).

Indexed as

EpilepsyVitamin D DeficiencyAdolescentAdultChildChild, PreschoolCross-Sectional StudiesHumansInfantPrevalenceRetrospective StudiesRisk FactorsVitamin DYoung AdultVitamin DAnti-seizure medicationsHypovitaminosis DPediatric epilepsy; vitamin D deficiency

Identifiers

PMID34600517
PMCPMC8487104
OpenAlexW3203817590

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.