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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25789/YMJ.2023.81.03</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-98</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>Оценка уровня витамина Д как фактора контролируемости бронхиальной астмы у детей Приамурья</article-title><trans-title-group xml:lang="en"><trans-title>Assessment of vitamin D level as a factor of bronchial asthma control in children of the Amur region</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Супрун</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Suprun</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Супрун Евгений Николаевич – к.м.н., с.н.с.; доцент Дальневосточного ГМУ</p></bio><bio xml:lang="en"><p>Suprun Evgeniy Nikolaevich – PhD, senior researcher of the Far Eastern SMU</p></bio><email xlink:type="simple">evg-suprun@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Супрун</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Suprun</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Супрун Стефания Викторовна – д.м.н., гл.н.с.</p></bio><bio xml:lang="en"><p>Suprun Stefanya Viktorovna – MD, senior researcher</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудерова</surname><given-names>Н. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuderova</surname><given-names>N. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кудерова Наталья Ивановна – н.с.</p></bio><bio xml:lang="en"><p>Kuderova Natalia Ivanovna – research associate</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Евсеева</surname><given-names>Г. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Evseeva</surname><given-names>G. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Евсеева Галина Петровна – д.м.н., гл.н.с.</p></bio><bio xml:lang="en"><p>Evseeva Galina Petrovna – MD, chief researcher of the Research Institute of Maternity and Childhood Protection</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедько</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedko</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедько Ольга Антоновна – д.м.н., зав. лаб., директор</p></bio><bio xml:lang="en"><p>Lebedko Olga Antonovna – Doctoral Degree in Medicine, Director of the Far Eastern Scientific Center of Physiology And Pathology of Respiration-Research Institute Of Maternal And Child Health</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Хабаровский филиал ДНЦ ФПД – НИИ охраны материнства и детства</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Khabarovsk branch of the Federal State Budgetary Scientific Institution "Far Eastern Scientific Center of Physiology and Pathology of Respiration" – Research Institute of Maternal and Child Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>04</day><month>02</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>14</fpage><lpage>17</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Супрун Е.Н., Супрун С.В., Кудерова Н.И., Евсеева Г.П., Лебедько О.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Супрун Е.Н., Супрун С.В., Кудерова Н.И., Евсеева Г.П., Лебедько О.А.</copyright-holder><copyright-holder xml:lang="en">Suprun E.N., Suprun S.V., Kuderova N.I., Evseeva G.P., Lebedko O.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ymj.elpub.ru/jour/article/view/98">https://ymj.elpub.ru/jour/article/view/98</self-uri><abstract><p>С целью оценить влияние витамина Д на контролируемость течения бронхиальной астмы (БА) у детей Приамурья и его роль в патогенезе атопического воспаления обследованы пациенты, страдающие БА. Определялись уровень витамина Д и интерлейкинов в сыворотке крови, иммунокомпетентных клеток, наличие персистирующей инфекции. Выявлено, что у детей с неконтролируемой БА содержание витамина D в 2,2 раза ниже, чем у пациентов, контролирующих заболевание. Дети с дефицитом витамина D имеют в 2,8 раза выше уровень одного из индукторов атопического воспаления - IL5, требуют более высокой дозы топических глюкокортикостероидов для контроля над заболеванием и в 2,8 раза чаще выделяют вирус герпеса 6-го типа из зева.</p></abstract><trans-abstract xml:lang="en"><p>Nowadays, control of bronchial asthma (BA) can be achieved only in 2/3 of cases, even in a controlled population with direct daily supervision of a doctor ensuring full compliance with standard treatment regimens. In this regard, factors that can affect the course of asthma, but those which are not taken into account in standard treatment regimens, are of particular importance. Interest in vitamin D as a modifier of atopic inflammation in BA is due to its noncalcemic effects realized through the VDR receptors of immune cells. 78 patients suffering from asthma were examined. The diagnosis of the disease and the degree of control over it were established based on the GINA 2020 criteria. The levels of vitamin D and interleukins in the blood serum were determined by ELISA. The level of immunocompetent cells was determined by flow cytometry. The presence of persistent infection was determined by PCR method. It was found that children with uncontrolled AD have more than two times (29.8 vs 64.5 ng/ml) lower level of vitamin D than patients who control the disease. Children with vitamin D deficiency have three times higher levels of one of the inducers of atopic inflammation – IL5 (0.62 vs 0.22 pg/ml) and require a higher dose of topical glucocorticosteroids (TGC) (347.3 vs 285.5 mcg) to control the disease. Thus, vitamin D has a significant impact on the level of asthma control in children, the immune status and the likelihood of persistence of the herpes virus type 6. Determination and correction of vitamin D deficiency should be recommended, since it influences on pathogenetically significant parameters of atopic inflammation in uncontrolled bronchial asthma in children.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>бронхиальная астма</kwd><kwd>дети</kwd><kwd>витамин D</kwd><kwd>вирус герпеса 6-го типа</kwd></kwd-group><kwd-group xml:lang="en"><kwd>bronchial asthma</kwd><kwd>children</kwd><kwd>vitamin D</kwd><kwd>herpes virus type 6</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Аллахвердиева Л.И., Султанова Н.Г., Джафарова А.О. Влияние фармакологической коррекции витамином D на цитокиновый ответ у детей с атопической бронхиальной астмой // Казанский медицинский журнал. 2019. № 100 (1). С. 135–139.</mixed-citation><mixed-citation xml:lang="en">Allahverdieva L.I., Sultanova N.G., Jafarova A.O. Influence of pharmacological correction with vitamin D on the cytokine response in children with atopic bronchial asthma // Kazan honey. magazine 2019. No. 100 (1). P. 135–139.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Антонова А.А., Шевченко О. Л., Литвина И.Ю. Влияние витамина D на течение кариозного процесса у детей в Хабаровском крае // Тихоокеанский медицинский журнал. 2020. №. 2 (80). С.39-41.</mixed-citation><mixed-citation xml:lang="en">Antonova, A.A., Shevchenko O. L., Litvina I. Yu. Influence of vitamin D on the course of the carious process in children in the Khabarovsk Territory // Pacific Medical Journal. 2020. № 2 (80). P.39-41.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Архипов В.В., Григорьева Е.В., Гавришина Е.В. Контроль над бронхиальной астмой в России: результаты многоцентрового наблюдательного исследования НИКА // Пульмонология. 2011. № 6. С. 87-93.</mixed-citation><mixed-citation xml:lang="en">Arkhipov, V.V., Grigorieva E.V. Gavrishina E.V. Control of bronchial asthma in Russia: results of a multicenter observational study NIKA // Pulmonology. 2011. No. 6. Р. 87-93.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Батожаргалова Б.Ц., Мизерницкий Ю.Л., Подольная М.А. Метаанализ распространенности астмоподобных симптомов и бронхиальной астмы в России (по результатам программы ISAAC) // Российский вестник перинатологии и педиатрии. 2016. № 61 (4). С.59-69.</mixed-citation><mixed-citation xml:lang="en">Batozhargalova B.Ts., Mizernitsky Yu.L., Podolnaya M.A. Meta-analysis of the prevalence of asthma-like symptoms and bronchial asthma in Russia (according to the results of the ISAAC program) // Russian Bulletin of Perinatology and Pediatrics. 2016. No. 61 (4). P.59-69.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Клинические рекомендации «Бронхиальная астма» Министерство здравоохранения Российской Федерации - URL: http://spulmo.ru/upload/kr_bronhastma_2019.pdf (12.07.2019)</mixed-citation><mixed-citation xml:lang="en">Clinical recommendations “Bronchial asthma”. The Ministry of Health of the Russian Federation - URL: http://spulmo.ru/upload/kr_ bronhastma_2019.pdf (12.07.2019)</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Национальная программа «Бронхиальная астма у детей. Стратегия лечения и профилактика». -5-е изд., перераб. и доп. М.: Оригинал-макет, 2017. 160 с.</mixed-citation><mixed-citation xml:lang="en">National program “Bronchial asthma in children. Treatment strategy and prevention”. - 5th ed., revised. and added. Moscow: Original layout, 2017. 160 p.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Национальная программа «Недостаточность витамина D у детей и подростков Российской Федерации: современные подходы к коррекции» / Союз педиатров России [и др.]. М.: ПедиатрЪ; 2018. 96 с.</mixed-citation><mixed-citation xml:lang="en">National program “Vitamin D deficiency in children and adolescents of the Russian Federation: modern approaches to correction” / Union of Pediatricians of Russia [et al.]. Moscow: Pediatr; 2018. 96 p.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">О состоянии службы охраны здоровья женщин и детей в Хабаровском крае (статистические материалы) 2020. - https://miac. medkhv.ru/federal-reports/ (15.03.20)</mixed-citation><mixed-citation xml:lang="en">On the state of the health service for women and children in the Khabarovsk Territory (statistical materials) 2020. - https://miac.medkhv.ru/ federal-reports/ (15.03.20)</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Потапова Н.Л., Гаймоленко И.Н., Страмбовская Н.Н. Ассоциация полиморфизма гена VDR и вентиляционного баланса при бронхиальной астме // Сибирское медицинское обозрение. 2020. №1. С.20-26.</mixed-citation><mixed-citation xml:lang="en">Potapova N.L., Gaimolenko I.N., Strambovskaya N.N. Association of VDR gene polymorphism and ventilation balance in bronchial asthma // Siberian Medical Review. 2020. No. 1. P.20-26.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Потапова Н.Л., Марковская А.И., Гаймоленко И.Н. Клиническое значение полиморфизма гена рецептора витамина Д при бронхиальной астме у детей // Бюллетень физиологии и патологии дыхания. 2021. Вып.80. С.51–56.</mixed-citation><mixed-citation xml:lang="en">Potapova N.L., Markovskaya A.I., Gaimolenko I.N. Clinical significance of vitamin D receptor gene polymorphism in children with bronchial asthma // Bulletin of physiology and pathology of respiration. 2021. Issue 80. P.51–56.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Advances and recent developments in asthma in 2020 / L. Cevhertas, I. Ogulur, D.J. Maurer [et al.] // Allergy. 2020. № 75. P. 3124– 3146.</mixed-citation><mixed-citation xml:lang="en">Advances and recent developments in asthma in 2020 / L. Cevhertas, I. Ogulur, D.J. Maurer [et al.] // Allergy. 2020. № 75. P. 3124– 3146.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Asociación del déficitgravede vitamina D conlafunción pulmonaryel control del asma / S. Beyhan-Sagmen, O.Baykan, B.Balcan, B.Ceyhan // Arch Bronconeumo l. 2017. № 53. P. 186–191.</mixed-citation><mixed-citation xml:lang="en">Asociación del déficitgravede vitamina D conlafunción pulmonaryel control del asma / S. Beyhan-Sagmen, O.Baykan, B.Balcan, B.Ceyhan // Arch Bronconeumo l. 2017. № 53. P. 186–191.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Epidemiology of comorbidities and their association with asthma control / G. Tomisa, A. Horváth, B. Sánta [et al.] // Allergy Asthma Clin Immunol. 2021. № 17. P. 95.</mixed-citation><mixed-citation xml:lang="en">Epidemiology of comorbidities and their association with asthma control / G. Tomisa, A. Horváth, B. Sánta [et al.] // Allergy Asthma Clin Immunol. 2021. № 17. P. 95.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Global initiative for Asthma. Global strategy for Asthma Management and Prevention 2020. - URL: https://ginasthma.org/wp-content/uploads/2020/04/GINA-2020-full-report_-final-_wms.pdf. (05.04.2020)</mixed-citation><mixed-citation xml:lang="en">Global initiative for Asthma. Global strategy for Asthma Management and Prevention 2020. - URL: https://ginasthma.org/wp-content/uploads/2020/04/GINA-2020-full-report_-final-_wms.pdf. (05.04.2020)</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Hall S.C., Agrawal D.K. Vitamin D and Bronchial Asthma: An Overview of Data From the Past 5 Years // Clin Ther. – 2017. - № 39 (5). - P. 917-929. DOI:10.1016/j.clinthera.2017.04.002</mixed-citation><mixed-citation xml:lang="en">Hall S.C., Agrawal D.K. Vitamin D and Bronchial Asthma: An Overview of Data From the Past 5 Years // Clin Ther. – 2017. - № 39 (5). - P. 917-929. DOI:10.1016/j.clinthera.2017.04.002</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Kuti B.P., Omole K.O., Kuti D.K. Factors associated with childhood asthma control in a resource-poor center // J Family Med Prim Care. 2017. № 6 (2). P. 222-230. DOI:10.4103/jfmpc.jfmpc_271_16</mixed-citation><mixed-citation xml:lang="en">Kuti B.P., Omole K.O., Kuti D.K. Factors associated with childhood asthma control in a resource-poor center // J Family Med Prim Care. 2017. № 6 (2). P. 222-230. DOI:10.4103/jfmpc.jfmpc_271_16</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Meta-analysis of vitamin D and lung function in patients with asthma / J. Liu, Y.Q. Dong, J. Yin, [et al.] // Respir Res. 2019. № 20. P. 161.</mixed-citation><mixed-citation xml:lang="en">Meta-analysis of vitamin D and lung function in patients with asthma / J. Liu, Y.Q. Dong, J. Yin, [et al.] // Respir Res. 2019. № 20. P. 161.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">NHWS-National Health and Wellness Survey. URL: https://www.kantarhealth.com/docs/datasheets/kh-national-health-and-wellness-survey.pdf. (15.04.2019)</mixed-citation><mixed-citation xml:lang="en">NHWS-National Health and Wellness Survey. URL: https://www.kantarhealth.com/docs/datasheets/kh-national-health-and-wellness-survey.pdf. (15.04.2019)</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Role of Vitamin D in Bronchial Asthma in Eastern India: A Case Control Study / Manjit Kumar Dhrubprasad, Rakhi Sanyal, Sagnik Dutta Sarma [et al.] // J Res Med Dent Sci. – 2020. - № 8 (7). – P. 318-321.</mixed-citation><mixed-citation xml:lang="en">Role of Vitamin D in Bronchial Asthma in Eastern India: A Case Control Study / Manjit Kumar Dhrubprasad, Rakhi Sanyal, Sagnik Dutta Sarma [et al.] // J Res Med Dent Sci. – 2020. - № 8 (7). – P. 318-321.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Serum Vitamin D Levels and Vitamin D Supplement in Adult Patients with Asthma Exacerbation. / T. Boonpiyathad, T. Chantveerawong, P. Pradubpongsa, A. Sangasapaviliya // Journal of Allergy. – 2016. - Vol.2016 – a4070635</mixed-citation><mixed-citation xml:lang="en">Serum Vitamin D Levels and Vitamin D Supplement in Adult Patients with Asthma Exacerbation. / T. Boonpiyathad, T. Chantveerawong, P. Pradubpongsa, A. Sangasapaviliya // Journal of Allergy. – 2016. - Vol.2016 – a4070635</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Sharif A., Haddad Н. Kashani, Sharif M.R. Association of 25-hydroxy vitamin D with asthma and its severity in children: a case–control study // Clin Mol Allergy. – 2020. - № 18. – P. 7.</mixed-citation><mixed-citation xml:lang="en">Sharif A., Haddad Н. Kashani, Sharif M.R. Association of 25-hydroxy vitamin D with asthma and its severity in children: a case–control study // Clin Mol Allergy. – 2020. - № 18. – P. 7.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
