Wiener klinische Wochenschrift

, Volume 125, Issue 11–12, pp 309–315 | Cite as

Nutritional supplements and plasma antioxidants in childhood asthma

  • Elisabeth FabianEmail author
  • Peter Pölöskey
  • Lajos Kósa
  • Ibrahim Elmadfa
  • Lajos Attila Réthy
original article



This study investigated the relationship of plasma antioxidants to airway inflammation and systemic oxidative stress in children suffering from atopic asthma with consideration of the intake of nutritional supplements.

Subjects and research methods

A total of 35 asthmatic children (AG) and 21 healthy controls (CG) participated in this study. Plasma levels of vitamins A and E, β-carotene, coenzyme Q10 and malondialdehyde (MDA) were analyzed with high-performance liquid chromatography (HPLC); the total antioxidant capacity (TAC) was measured photometrically, and selenium was determined by atomic absorption spectroscopy (AAS). The volume of fractionated exhaled nitric oxide (FeNO) was measured with the NIOX nitric oxide monitoring system.


The plasma antioxidants vitamins A and E, selenium, and coenzyme Q10 but not β-carotene were significantly (p < 0.05) lower in asthmatics than in controls. Further, asthmatic children had significantly reduced plasma concentrations of TAC (p < 0.01), significantly enhanced levels of MDA (p < 0.001), and exhaled a significantly (p < 0.001) higher mean volume of FeNO than healthy children. Regular intake of supplements had a significant positive influence on plasma vitamin E (p < 0.01), selenium (p < 0.01), TAC (p < 0.05), MDA (p < 0.01), and FeNO (p < 0.01) in asthmatics but not in controls. Additionally, significant negative associations of vitamin E and MDA (AG: p < 0.01; CG: p < 0.05), and vitamin E and FeNO (AG: p < 0.05; CG: p > 0.05) were identified.


These results indicate that nutritional supplements beneficially modulate plasma antioxidants and thus might have a positive influence on systemic redox balance and subsequently, pulmonary inflammation in asthmatic children.


Asthma Oxidative stress Antioxidants Lung inflammation Supplements 

Stellenwert von Supplementen und Plasmaantioxidantien bei kindlichem Asthma


Conflict of interest

The authors declare that there is no conflict of interest.


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Copyright information

© Springer-Verlag Wien 2013

Authors and Affiliations

  • Elisabeth Fabian
    • 1
    • 2
    Email author
  • Peter Pölöskey
    • 3
  • Lajos Kósa
    • 3
  • Ibrahim Elmadfa
    • 2
  • Lajos Attila Réthy
    • 3
    • 4
  1. 1.Division of Gastroenterology and Hepatology, Department of Internal MedicineMedical University of GrazGrazAustria
  2. 2.Department of Nutritional SciencesUniversity of ViennaViennaAustria
  3. 3.Svábhegy National Institute for PediatricsBudapestHungary
  4. 4.National Institute for Child HealthBudapestHungary

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