Long-term vitamin D insufficiency and associated risk factors for paediatric burns patients

Donna Langley, Pawel Sadowski, Zoe Dettrick, Giorgio Stefanutti, Roy M. Kimble, Craig F. Munns, Tuo Zang, Andrew .J.A. Holland, Mark Fear, Lisa Martin, Fiona Wood, Leila Cuttle

Research output: Contribution to journalArticlepeer-review

Abstract

Abstract
The most recognised role of vitamin D in the body is for calcium absorption, and sufficiency is defined as a vitamin D blood serum level greater than 20 ng/mL (50 nmol/L). In growing children, hypovitaminosis D is associated with bone and muscle weakness, fractures, and osteoporosis. Burns patients are at a greater risk of low vitamin D levels due to lack of ultraviolet rays reaching the skin during prolonged hospital admission and sun avoidance post-burn injury. This study aimed to identify any individual, seasonal or burn injury characteristics in paediatric patients that were associated with low total vitamin D levels. Three different vitamin D metabolites were analysed to identify if, and where, in the synthesis pathway any insufficiencies may be occurring. Liquid Chromatography Mass Spectrometry (LCMS) was used to concurrently assess vitamin D3 (25OHD3 or Calcifediol), its epimer (3epi-25(OH)D3), and its precursor Pre Vitamin D3 (Cholecalciferol), in the plasma from 193 Australian paediatric burn patients, compared to 46 healthy controls. The results indicated that 61 % of healthy controls and up to 76 % of all burn patients had below normal clinical ranges of Total 25OHD3 (25(OH)D3 + 3epi-25(OH)D3). However, there were no significant differences between patient groups (control, acute, scarring, and reconstructive). The season of sample collection contributed significantly to total vitamin D levels but patients who were undergoing reconstructive surgery 1–17 years post-burn had consistently low vitamin D levels across all seasons. Routine screening, dietary monitoring, and potential supplementation of vitamin D in the burns population is recommended as it may impact recovery, growth and development of the child post-burn.

Original languageEnglish
Pages (from-to)147-156
Number of pages10
JournalBurns Open
Volume8
Issue number2
Early online date4 Apr 2024
DOIs
Publication statusPublished - Apr 2024

Fingerprint

Dive into the research topics of 'Long-term vitamin D insufficiency and associated risk factors for paediatric burns patients'. Together they form a unique fingerprint.

Cite this