Vitamin D status of pediatric epilepsy patients and evaluation of affecting factors

Abstract Background The use of antiseizure medication in patients with epilepsy is one of the significant risk factors associated with abnormal vitamin D status. We aimed to identify risk factors related to hypovitaminosis D in pediatric patients treated with antiseizure medications. Method A cross-...

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Main Authors: Serap Bilge, Sema Nur Taşkın
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s13052-025-01898-9
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author Serap Bilge
Sema Nur Taşkın
author_facet Serap Bilge
Sema Nur Taşkın
author_sort Serap Bilge
collection DOAJ
description Abstract Background The use of antiseizure medication in patients with epilepsy is one of the significant risk factors associated with abnormal vitamin D status. We aimed to identify risk factors related to hypovitaminosis D in pediatric patients treated with antiseizure medications. Method A cross-sectional retrospective cohort study was conducted on 127 pediatric epilepsy patients who received antiseizure drugs from December 2021 to December 2022. Demographic data, seizure types, diet, physical activity, duration, and types of antiseizure medications were analyzed. Results Among the 127 patients in this study, 53% were male, and the mean age was 9,1 ± 4,6 years (range: 2–17). The mean serum 25(OH)D level at baseline in winter/autumn was 24,2 ± 14,2 ng/mL; 47.0% of the patients were 25(OH) D deficient, 23% were 25(OH)D insufficient, and 30% had a vitamin D level within the normal range. The vitamin 25(OH) D level was 27,6 ± 12,2 in the epilepsy group with non-enzyme-induced antiseizure drugs, 21,76 ± 19,7 in the group with enzyme-induced antiseizure drugs, and 13,96 ± 7,9 in the group with combined antiseizure drugs (p < 0.001). Conclusion The number of antiseizure drugs, treatment with enzyme-induced antiseizure drugs, duration of epilepsy, abnormalities in magnetic resonance imaging, and etiology play important roles in determining the vitamin D level.
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spelling doaj-art-3d89c66ef05a41b6b323fec3bf066ed72025-08-20T02:48:16ZengBMCItalian Journal of Pediatrics1824-72882025-02-015111810.1186/s13052-025-01898-9Vitamin D status of pediatric epilepsy patients and evaluation of affecting factorsSerap Bilge0Sema Nur Taşkın1Department of Pediatric Neurology, Ministry of Health, Children Hospital of DiyarbakırDepartment of Pediatric Rheumatology, Ministry of Health, Children Hospital of DiyarbakırAbstract Background The use of antiseizure medication in patients with epilepsy is one of the significant risk factors associated with abnormal vitamin D status. We aimed to identify risk factors related to hypovitaminosis D in pediatric patients treated with antiseizure medications. Method A cross-sectional retrospective cohort study was conducted on 127 pediatric epilepsy patients who received antiseizure drugs from December 2021 to December 2022. Demographic data, seizure types, diet, physical activity, duration, and types of antiseizure medications were analyzed. Results Among the 127 patients in this study, 53% were male, and the mean age was 9,1 ± 4,6 years (range: 2–17). The mean serum 25(OH)D level at baseline in winter/autumn was 24,2 ± 14,2 ng/mL; 47.0% of the patients were 25(OH) D deficient, 23% were 25(OH)D insufficient, and 30% had a vitamin D level within the normal range. The vitamin 25(OH) D level was 27,6 ± 12,2 in the epilepsy group with non-enzyme-induced antiseizure drugs, 21,76 ± 19,7 in the group with enzyme-induced antiseizure drugs, and 13,96 ± 7,9 in the group with combined antiseizure drugs (p < 0.001). Conclusion The number of antiseizure drugs, treatment with enzyme-induced antiseizure drugs, duration of epilepsy, abnormalities in magnetic resonance imaging, and etiology play important roles in determining the vitamin D level.https://doi.org/10.1186/s13052-025-01898-9EpilepsyPediatric patientsVitamin D
spellingShingle Serap Bilge
Sema Nur Taşkın
Vitamin D status of pediatric epilepsy patients and evaluation of affecting factors
Italian Journal of Pediatrics
Epilepsy
Pediatric patients
Vitamin D
title Vitamin D status of pediatric epilepsy patients and evaluation of affecting factors
title_full Vitamin D status of pediatric epilepsy patients and evaluation of affecting factors
title_fullStr Vitamin D status of pediatric epilepsy patients and evaluation of affecting factors
title_full_unstemmed Vitamin D status of pediatric epilepsy patients and evaluation of affecting factors
title_short Vitamin D status of pediatric epilepsy patients and evaluation of affecting factors
title_sort vitamin d status of pediatric epilepsy patients and evaluation of affecting factors
topic Epilepsy
Pediatric patients
Vitamin D
url https://doi.org/10.1186/s13052-025-01898-9
work_keys_str_mv AT serapbilge vitamindstatusofpediatricepilepsypatientsandevaluationofaffectingfactors
AT semanurtaskın vitamindstatusofpediatricepilepsypatientsandevaluationofaffectingfactors