Vitamin D supplementation and the risk of colds in patients with asthma

Loren C. Denlinger, Tonya S. King, Juan Carlos Cardet, Timothy Craig, Fernando Holguin, Daniel J. Jackson, Monica Kraft, Stephen P. Peters, Kristie Ross, Kaharu Sumino, Homer A. Boushey, Nizar N. Jarjour, Michael E. Wechsler, Sally E. Wenzel, Mario Castro, Pedro C. Avila

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Rationale: Restoration of vitamin D sufficiency may reduce asthma exacerbations, events that are often associated with respiratory tract infections and cold symptoms. Objectives: To determine whether vitamin D supplementation reduces cold symptom occurrence and severity in adults with mild to moderate asthma and vitamin D insufficiency. Methods: Colds were assessed in the AsthmaNet VIDA (Vitamin D Add-on Therapy Enhances Corticosteroid Responsiveness) trial, in which 408 adult patients were randomized to receive placebo or cholecalciferol (100,000 IU load plus 4,000 IU/d) for 28 weeks as add-on therapy. The primary outcome was cold symptom severity, which was assessed using daily scores on the 21-item Wisconsin Upper Respiratory Symptom Survey. Measurements and Main Results: A total of 203 participants experienced at least one cold. Despite achieving 25-hydroxyvitamin D levels of 41.9 ng/ml (95% confidence interval [CI], 40.1-43.7 ng/ml) by 12 weeks, vitamin D supplementation had no effect on the primary outcome: the average peak WURSS-21 scores (62.0 [95% CI, 55.1-68.9; placebo] and 58.7 [95% CI, 52.4-65.0; vitamin D]; P = 0.39). The rate of colds did not differ between groups (rate ratio [RR], 1.2; 95% CI, 0.9-1.5); however, among African Americans, those receiving vitamin D versus placebo had an increased rate of colds (RR, 1.7; 95% CI, 1.1-2.7; P = 0.02). This was also observed in a responder analysis of all subjects achieving vitamin D sufficiency, regardless of treatment assignment (RR, 1.4; 95% CI, 1.1-1.7; P = 0.009). Conclusions: Our findings in patients with mild to moderate asthma undergoing an inhaled corticosteroid dose reduction do not support the use of vitamin D supplementation for the purpose of reducing cold severity or frequency.

Original languageEnglish (US)
Pages (from-to)634-641
Number of pages8
JournalAmerican journal of respiratory and critical care medicine
Volume193
Issue number6
DOIs
StatePublished - Mar 15 2016
Externally publishedYes

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Keywords

  • Asthma
  • Upper respiratory tract infection
  • Vitamin D
  • WURSS-21

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Denlinger, L. C., King, T. S., Cardet, J. C., Craig, T., Holguin, F., Jackson, D. J., Kraft, M., Peters, S. P., Ross, K., Sumino, K., Boushey, H. A., Jarjour, N. N., Wechsler, M. E., Wenzel, S. E., Castro, M., & Avila, P. C. (2016). Vitamin D supplementation and the risk of colds in patients with asthma. American journal of respiratory and critical care medicine, 193(6), 634-641. https://doi.org/10.1164/rccm.201506-1169OC