Evaluation of nasal mucociliary clearance time in patients with Vitamin-D deficiency

Eur Arch Otorhinolaryngol. 2019 Apr;276(4):1075-1080. doi: 10.1007/s00405-019-05286-y. Epub 2019 Jan 14.

Abstract

Objectives: The main purpose of the current study was to investigate nasal mucociliary clearance time (NMC) in patients with Vitamin-D deficiency.

Methods: A total of 55 patients with Vitamin-D deficiency and 32 controls were evaluated. NMC time was measured with subjective saccharine test and compared between study and control groups. In addition, NMC time was re-evaluated after Vitamin-D replacement protocol in patients with Vitamin-D deficiency.

Results: The mean 25(HO)Vitamin-D levels were 14.32 ± 4.23 ng/mL (7-24.6) and 29.38 ± 7.05 ng/mL (25-53.8) in study and control groups, respectively (p < 0.001). The mean NMC time was 11.15 ± 3.05 (6.3-17.6) and 8.40 ± 2.33 (6-13.2) in study and control groups, respectively (p < 0.001). The mean 25(HO)Vitamin-D level after the replacement protocol was 33.38 ± 10.03 and the mean NMC time was 9.56 ± 2.54 (p < 0.001).

Conclusion: The mean NMC time was significantly increased in patients with Vitamin-D deficiency which can be corrected after Vitamin-D replacement protocols. The prolonged mucociliary clearance might be one of the pathophysiologic pathways at increased upper respiratory tract infections, and sinonasal and ear infections in patients with Vitamin-D deficiency.

Keywords: Ear infection; Nasal mucociliary clearance; Upper respiratory tract infection; Vitamin-D.

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mucociliary Clearance* / drug effects
  • Mucociliary Clearance* / physiology
  • Nasal Mucosa* / drug effects
  • Nasal Mucosa* / metabolism
  • Nasal Mucosa* / physiopathology
  • Nose Diseases* / diagnosis
  • Nose Diseases* / drug therapy
  • Nose Diseases* / etiology
  • Nose Diseases* / physiopathology
  • Respiratory Tract Infections / epidemiology
  • Risk Factors
  • Treatment Outcome
  • Vitamin D / administration & dosage*
  • Vitamin D Deficiency* / diagnosis
  • Vitamin D Deficiency* / drug therapy
  • Vitamin D Deficiency* / physiopathology
  • Vitamins / administration & dosage

Substances

  • Vitamins
  • Vitamin D