Association between antioxidant vitamins and asthma outcome measures: systematic review and meta-analysis
- PMID: 19406861
- DOI: 10.1136/thx.2008.101469
Association between antioxidant vitamins and asthma outcome measures: systematic review and meta-analysis
Abstract
Background: Epidemiological studies suggest that dietary intake of vitamins A, C and E may be associated with the occurrence of asthma. A systematic review and meta-analysis was conducted in accordance with MOOSE guidelines to determine whether vitamins A, C and E, measured as dietary intakes or serum levels, are associated with asthma.
Methods: MEDLINE, EMBASE, CINAHL, CAB abstracts and AMED (up to November 2007), conference proceedings and bibliographies of papers were searched to identify studies of asthma, wheeze or airway responsiveness in relation to intakes and serum concentrations of vitamins A, C and E. Pooled odds ratios (OR) or mean differences (MD) with 95% confidence intervals (CI) were estimated using random effects models.
Results: A total of 40 studies were included. Dietary vitamin A intake was significantly lower in people with asthma than in those without asthma (MD -82 microg/day, 95% CI -288 to -75; 3 studies) and in people with severe asthma than in those with mild asthma (MD -344 microg/day; 2 studies). Lower quantile dietary intakes (OR 1.12, 95% CI 1.04 to 1.21; 9 studies) and serum levels of vitamin C were also associated with an increased odds of asthma. Vitamin E intake was generally unrelated to asthma status but was significantly lower in severe asthma than in mild asthma (MD -1.20 microg/day, 95% CI -2.3 to -0.1; 2 studies).
Conclusions: Relatively low dietary intakes of vitamins A and C are associated with statistically significant increased odds of asthma and wheeze. Vitamin E intake does not appear to be related to asthma status.
Comment in
-
Nutritional effects on asthma aetiology and progression.Thorax. 2009 Jul;64(7):560. doi: 10.1136/thx.2008.112011. Thorax. 2009. PMID: 19561277 No abstract available.
Similar articles
-
Observational studies on the effect of dietary antioxidants on asthma: a meta-analysis.Respirology. 2008 Jun;13(4):528-36. doi: 10.1111/j.1440-1843.2008.01286.x. Epub 2008 Apr 10. Respirology. 2008. PMID: 18410255
-
Glaucoma and vitamins A, C, and E supplement intake and serum levels in a population-based sample of the United States.Eye (Lond). 2013 Apr;27(4):487-94. doi: 10.1038/eye.2013.10. Epub 2013 Feb 22. Eye (Lond). 2013. PMID: 23429409 Free PMC article.
-
Dietary and circulating antioxidant vitamins in relation to carotid plaques in middle-aged women.Am J Clin Nutr. 2002 Sep;76(3):582-7. doi: 10.1093/ajcn/76.3.582. Am J Clin Nutr. 2002. PMID: 12198003
-
Antioxidant vitamin supplementation reduces arterial stiffness in adults: a systematic review and meta-analysis of randomized controlled trials.J Nutr. 2014 Oct;144(10):1594-602. doi: 10.3945/jn.114.195826. Epub 2014 Aug 6. J Nutr. 2014. PMID: 25098780 Review.
-
The Effect of Vitamins on Glaucoma: A Systematic Review and Meta-Analysis.Nutrients. 2018 Mar 16;10(3):359. doi: 10.3390/nu10030359. Nutrients. 2018. PMID: 29547516 Free PMC article. Review.
Cited by
-
Intake of multivitamin supplements and incident asthma in Norwegian adults: the HUNT study.ERJ Open Res. 2015 Oct 6;1(2):00036-2015. doi: 10.1183/23120541.00036-2015. eCollection 2015 Oct. ERJ Open Res. 2015. PMID: 27730154 Free PMC article.
-
Inflammation and Nutritional Science for Programs/Policies and Interpretation of Research Evidence (INSPIRE).J Nutr. 2015 May;145(5):1039S-1108S. doi: 10.3945/jn.114.194571. Epub 2015 Apr 1. J Nutr. 2015. PMID: 25833893 Free PMC article. Review.
-
The Impact of Western Diet and Nutrients on the Microbiota and Immune Response at Mucosal Interfaces.Front Immunol. 2017 Jul 28;8:838. doi: 10.3389/fimmu.2017.00838. eCollection 2017. Front Immunol. 2017. PMID: 28804483 Free PMC article. Review.
-
Dietary antioxidants and flavonoids intake, and their association with inflammation and oxidative stress parameters in asthmatic women: a case-control study.J Clin Biochem Nutr. 2024 Jan;74(1):22-29. doi: 10.3164/jcbn.23-60. Epub 2023 Sep 30. J Clin Biochem Nutr. 2024. PMID: 38292125 Free PMC article.
-
Pediatric Obesity-Related Asthma: The Role of Nutrition and Nutrients in Prevention and Treatment.Nutrients. 2021 Oct 21;13(11):3708. doi: 10.3390/nu13113708. Nutrients. 2021. PMID: 34835964 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical