Vitamin D and Pediatric Otitis Media with Effusion: A Cross Sectional Study
摘要
Otitis media with effusion (OME) is a common cause of hearing impairment in children. ‘Recent evidence suggests a role for Vitamin D in immune regulation and susceptibility to ENT infections. This study aimed to evaluate the association between serum Vitamin D levels and Otitis media with effusion in children. Methodology: A prospective case control study was conducted among children ages 2 to 8 years in a tertiary care hospital, Chengalpattu. 50 children were enrolled in both cases and controls group respectively. Vitamin D levels were assessed in both the groups and the values were compared. Statistical analysis was performed using unpaired t-tests and chi-square tests. The mean age of cases was significantly higher than controls (6.7 ± 1.0 vs. 5.5 ± 1.2 years; p < 0.001), and male predominance was observed among cases (76% vs. 56%; p = 0.04). Vitamin D levels were significantly lower in the case group compared to controls across all categories: deficiency (18.2 ± 4.5 vs. 22.6 ± 5.1 ng/mL; p = 0.001), insufficiency (24.7 ± 2.8 vs. 26.9 ± 3.0 ng/mL; p = 0.032), and normal levels (32.1 ± 3.6 vs. 34.8 ± 4.2 ng/mL; p = 0.040). The role of demographic and nutritional factors (Vitamin D) in the development or severity of otitis media with effusion was established. Routine Vitamin D assessment should be considered in children with persistent OME.