Flexeder, C. ; Thiering, E. ; Koletzko, S.* ; Berdel, D.* ; Lehmann, I.* ; von Berg, A.* ; Hoffmann, B.* ; Bauer, C.P.* ; Heinrich, J. ; Schulz, H.
     
 
    
        
Higher serum 25(OH)D concentrations are associated with improved FEV1 and FVC in adolescence.
    
    
        
    
    
        
        Eur. Respir. J. 49:1601804 (2017)
    
    
    
		
		
			
				Vitamin D plays a role in the development of the immune system and the lung, as well as in airway remodelling. Therefore, this study investigated the association between serum 25-hydroxyvitamin D (25(OH)D) concentrations and spirometric lung function parameters at age 15 years.In the German birth cohorts GINIplus and LISAplus, lung function testing by spirometry and 25(OH)D measurements were performed during the 15-year follow-up examinations. Valid lung function measurements pre- and/or post-bronchodilation and serum 25(OH)D concentrations, which were adjusted for the date of blood sampling to account for seasonal variability, were available for 2607 adolescents. Associations between 25(OH)D concentrations and spirometric parameters were analysed using generalised additive models adjusted for confounding factors.Serum 25(OH)D concentrations were significantly associated with forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1) and FEV1/FVC measured before bronchodilation after adjustment for potential confounders: FEV1 increased by 10 mL (95% CI 2-17), FVC by 20 mL (95% CI 12-28) and FEV1/FVC decreased by 0.177% (95% CI -0.286 to -0.067) per 10 nmol·L(-1) increase in 25(OH)D concentrations. Flow rates (forced expiratory flow rates at 25, 50 and 75% of exhaled FVC (FEF25, FEF50, FEF75) and mean flow rate between 25 and 75% of FVC (FEF25-75)) were not associated with vitamin D. Similar associations were observed for lung function parameters measured after bronchodilation.Vitamin D concentrations are positively associated with volume-related lung function parameters pre- and post-bronchodilation, suggesting structural changes in peripheral airways.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
        Typ der Hochschulschrift
        
    
 
    
        Herausgeber
        
    
    
        Schlagwörter
        25-hydroxyvitamin D Levels; Childhood Lung-function; Vitamin-d; Birth Cohort; Nutritional Intervention; Allergic Disease; Immune-system; Asthma; Adults; Age
    
 
    
        Keywords plus
        
    
 
    
    
        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2017
    
 
    
        Prepublished im Jahr 
        
    
 
    
        HGF-Berichtsjahr
        2017
    
 
    
    
        ISSN (print) / ISBN
        0903-1936
    
 
    
        e-ISSN
        1399-3003
    
 
    
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	    Band: 49,  
	    Heft: 4,  
	    Seiten: ,  
	    Artikelnummer: 1601804 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            European Respiratory Society
        
 
        
            Verlagsort
            Sheffield
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
    
        Institut(e)
        Institute of Epidemiology (EPI)
    
 
    
        POF Topic(s)
        30202 - Environmental Health
80000 - German Center for Lung Research
30503 - Chronic Diseases of the Lung and Allergies
    
 
    
        Forschungsfeld(er)
        Genetics and Epidemiology
    
 
    
        PSP-Element(e)
        G-504000-009
G-504000-008
G-501800-391
G-503900-001
G-503900-003
    
 
    
        Förderungen
        
    
 
    
        Copyright
        
    
 	
    
    
    
    
        Erfassungsdatum
        2017-05-29