A new study has found that fish oil and vitamin D supplements in pregnancy lower the risk of croup in babies and young children. The findings will be presented at the European Respiratory Society International Congress in Barcelona, Spain.
Croup is a viral chest infection that affects young children. It causes a
characteristic ‘barking’ cough, a hoarse voice and difficulty breathing. Croup is
common and usually mild, but some children will need hospital treatment and
breathing support.
The study included 736 pregnant women being cared for by COPSAC since 2010.
The women were divided up into four groups. One group were given a high-
dose vitamin D supplement (2800 international units per day) and fish oil
containing long-chain n-3-polyunsaturated fatty acids (2.4 grams), the second
the group were given high-dose vitamin D and olive oil, the third group were given standard-dose vitamin D (400 international units per day) and fish oil, and these final groups were given standard-dose vitamin D and olive oil.
All the women took the supplements daily from their 24th week of pregnancy until one week after their babies were born. Neither the women nor the researchers knew which supplements they were taking until the end of the study.
Researchers monitored the children until they were three years old and any
who were suspected of suffering from croup was diagnosed by a doctor or via
their medical records. There was a total of 97 cases of croup amongst the
children.
Overall, children whose mothers took the fish oil had an 11 per cent risk of
croup, compared to 17 per cent in the children whose mothers took olive oil (a
38 per cent decrease). Children whose mothers took high-dose vitamin D had
an 11 per cent risk of croup, compared to an 18 per cent risk in those whose
mothers took the standard-dose vitamin D (a 40 per cent decrease).
Dr Brustad said: “Our findings suggest that vitamin D and fish oil could be
beneficial against childhood croup in sufficiently high doses. These are
relatively cheap supplements meaning that this could be a very cost-effective
approach to improving young children’s health.
“We are not sure of the exact mechanisms behind the beneficial effects of
vitamin D and fish oil, but it could be that they can stimulate the immune
system to help babies and young children clear infections more effectively.”
The research team working at COPSAC have already investigated other
potential benefits of vitamin D and fish oil during pregnancy, including its
effects on bone development, the central nervous system, body composition
and asthma. They will continue to follow the children in the study and plan to
investigate why some children are more prone to infections in childhood than others.
Professor Rory Morty from the University of Heidelberg is chair of the European
Respiratory Society’s lung and airway developmental biology group and was
not involved in the research. He said: “We know that lung health in babies and
young children can be influenced during pregnancy. For example, babies
whose mothers smoke tend to have worse lung health. We are increasingly
seeing that elements of a mother’s diet can also help or hinder a baby’s lung
development.
“This research suggests that taking vitamin D and fish oil supplements during
pregnancy could have benefits for babies and young children. We would like to
see further research in this area to support these findings as this could lead to
new recommendations for supplementation during pregnancy. Pregnant
women should always speak to their doctor before taking supplements.”
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