The association between serum vitamin C levels and respiratory infections in children and adolescents

ObjectiveRespiratory infections (RIs) are a leading cause of morbidity and mortality, and vitamin C may play a vital role in the risk of RIs. However, high-quality evidence on the association between vitamin C and RIs in the younger population remains limited. This study aimed to investigate the ass...

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Main Authors: Ci Li, Zhiwei Zhu, Shicai Jiang, Xiang Feng, Kaijie Gao, Tiewei Li, Liu Yang, Panpan Fang, Junmei Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1601218/full
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author Ci Li
Zhiwei Zhu
Shicai Jiang
Xiang Feng
Kaijie Gao
Tiewei Li
Liu Yang
Panpan Fang
Junmei Yang
author_facet Ci Li
Zhiwei Zhu
Shicai Jiang
Xiang Feng
Kaijie Gao
Tiewei Li
Liu Yang
Panpan Fang
Junmei Yang
author_sort Ci Li
collection DOAJ
description ObjectiveRespiratory infections (RIs) are a leading cause of morbidity and mortality, and vitamin C may play a vital role in the risk of RIs. However, high-quality evidence on the association between vitamin C and RIs in the younger population remains limited. This study aimed to investigate the association between serum vitamin C and RI risk in a nationally representative sample of children and adolescents.MethodsUtilizing data from the National Health and Nutrition Examination Survey (NHANES) 2017–2018, this study included 1,344 children and adolescents aged between 6 and 19 years old. Serum vitamin C levels were obtained from laboratory tests, and RIs were determined based on a self-reported health questionnaire. The association between vitamin C and RIs was tested using multivariable logistic regression models, interaction tests, and smoothing curve fitting.ResultsA total of 238 participants (17.7%) reported a respiratory infection in the past 30 days. Serum vitamin C was significantly and negatively associated with the risk of RIs in all regression models. After adjusting for all potential confounders, an increase of the vitamin C level by 10 units indicated a decrease of the RI risk by 7% (OR = 0.93, 95% confidence interval [CI]: 0.87, 0.99). Such an association remained consistently significant across subgroups with various demographical and health characteristics.ConclusionOur study shows a negative association between vitamin C and RIs among children and adolescents, highlighting the protective role of vitamin C against RIs. Our findings suggest that vitamin C supplementation may be potentially used for the prevention and treatment of RIs, which needs to be validated in future well-designed studies.
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spelling doaj-art-0aca6fb48c80484e868fc0cc9f8ada792025-08-20T03:24:52ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-06-011210.3389/fnut.2025.16012181601218The association between serum vitamin C levels and respiratory infections in children and adolescentsCi LiZhiwei ZhuShicai JiangXiang FengKaijie GaoTiewei LiLiu YangPanpan FangJunmei YangObjectiveRespiratory infections (RIs) are a leading cause of morbidity and mortality, and vitamin C may play a vital role in the risk of RIs. However, high-quality evidence on the association between vitamin C and RIs in the younger population remains limited. This study aimed to investigate the association between serum vitamin C and RI risk in a nationally representative sample of children and adolescents.MethodsUtilizing data from the National Health and Nutrition Examination Survey (NHANES) 2017–2018, this study included 1,344 children and adolescents aged between 6 and 19 years old. Serum vitamin C levels were obtained from laboratory tests, and RIs were determined based on a self-reported health questionnaire. The association between vitamin C and RIs was tested using multivariable logistic regression models, interaction tests, and smoothing curve fitting.ResultsA total of 238 participants (17.7%) reported a respiratory infection in the past 30 days. Serum vitamin C was significantly and negatively associated with the risk of RIs in all regression models. After adjusting for all potential confounders, an increase of the vitamin C level by 10 units indicated a decrease of the RI risk by 7% (OR = 0.93, 95% confidence interval [CI]: 0.87, 0.99). Such an association remained consistently significant across subgroups with various demographical and health characteristics.ConclusionOur study shows a negative association between vitamin C and RIs among children and adolescents, highlighting the protective role of vitamin C against RIs. Our findings suggest that vitamin C supplementation may be potentially used for the prevention and treatment of RIs, which needs to be validated in future well-designed studies.https://www.frontiersin.org/articles/10.3389/fnut.2025.1601218/fullvitamin Crespiratory infectionchildrenadolescentsNHANES5
spellingShingle Ci Li
Zhiwei Zhu
Shicai Jiang
Xiang Feng
Kaijie Gao
Tiewei Li
Liu Yang
Panpan Fang
Junmei Yang
The association between serum vitamin C levels and respiratory infections in children and adolescents
Frontiers in Nutrition
vitamin C
respiratory infection
children
adolescents
NHANES5
title The association between serum vitamin C levels and respiratory infections in children and adolescents
title_full The association between serum vitamin C levels and respiratory infections in children and adolescents
title_fullStr The association between serum vitamin C levels and respiratory infections in children and adolescents
title_full_unstemmed The association between serum vitamin C levels and respiratory infections in children and adolescents
title_short The association between serum vitamin C levels and respiratory infections in children and adolescents
title_sort association between serum vitamin c levels and respiratory infections in children and adolescents
topic vitamin C
respiratory infection
children
adolescents
NHANES5
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1601218/full
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