Vitamin D profile in autism spectrum disorder children and its relation to the disease severity

Amira Mansour, Ayman Amer, Ali Sobh, Maysaa Zaki, Tamer Abou-Elsaad
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Abstract

The study aimed to investigate whether vitamin D deficiency is a common finding in autism spectrum disorder (ASD) children and whether such deficiency is related to ASD severity and language age or not. A cross-sectional observational study was conducted on ASD children aged 2-6 years. The participants were 80 Egyptian children with ASD. All participants were assessed using DSM-V, the Childhood Autism Rating Scale (CARS), language assessment, and assessment of serum vitamin D using ADVIA Centaur Vit D assay. About 63.8% of ASD children have vitamin D insufficiency, 28.8 % have vitamin D deficiency, and 7.4% have normal serum levels. No correlation was found between serum vitamin D and language age (r = -0.085, P = 0.451), DSM 5 severity levels (r = 0.015, P= 0.894), and CARS scores (r= 0.075, P= 0.511). ASD children have lower serum vitamin D levels, which may be one of the environmental factors contributing to ASD development in genetically susceptible individuals, and its correction may be helpful as adjuvant therapy for ASD.
自闭症谱系障碍儿童的维生素 D 含量及其与疾病严重程度的关系
该研究旨在调查自闭症谱系障碍(ASD)儿童是否普遍缺乏维生素D,以及这种缺乏是否与自闭症谱系障碍的严重程度和语言年龄有关。该研究针对 2-6 岁的自闭症谱系障碍儿童开展了一项横断面观察研究。研究对象为 80 名患有 ASD 的埃及儿童。所有参与者均接受了 DSM-V、儿童自闭症评定量表(CARS)、语言评估以及使用 ADVIA Centaur 维生素 D 检测仪进行的血清维生素 D 评估。约 63.8% 的自闭症儿童维生素 D 不足,28.8% 的自闭症儿童维生素 D 缺乏,7.4% 的自闭症儿童血清维生素 D 水平正常。血清维生素 D 与语言年龄(r = -0.085,P = 0.451)、DSM 5 严重程度(r = 0.015,P = 0.894)和 CARS 评分(r = 0.075,P = 0.511)之间没有相关性。ASD儿童的血清维生素D水平较低,这可能是导致遗传易感个体发生ASD的环境因素之一,其纠正可能有助于ASD的辅助治疗。
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