e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

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Vitamin A supplementation in children with respiratory infections

Intervention | Last updated: 17 April 2023


Pneumonia is a severe form of acute lower respiratory tract infection and is the leading cause of death among children under 5 years of age worldwide. Vitamin A deficiency is also a public health problem in many parts of the world, particularly Africa and South-East Asia. Vitamin A deficiency can cause visual impairment in the form of night blindness and may increase the risk of illness and death from childhood infections, including measles and those causing diarrhoea.

Vitamin A is essential to help combat infections in childhood and clinical trials have demonstrated that vitamin A supplementation reduces the severity of respiratory infections and mortality in children with measles. However results from studies in children without measles suggest that vitamin A has little protective effect except in children suffering from acute or chronic malnutrition, where some benefit of vitamin A supplementation has been observed.

WHO Recommendations


Further research is needed before specific recommendations can be made.

Guidelines and guidance documents Learn More Alternate Text


GRC-approved guidelines


Status: Not currently available

Evidence


Related Cochrane reviews


Vitamin A for non-measles pneumonia in children

Wu T, Ni J, Wei J.Cochrane Database of Systematic Reviews 2005, Issue 3. Art. No.: CD003700.

Summary of this review Alternate Text

Vitamin A for preventing acute lower respiratory tract infections in children up to seven years of age

Chen H, Zhuo Q, Yuan W, Wang J, Wu T.Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD006090.

Summary of this review Alternate Text

Other related systematic reviews


Vitamin A for acute respiratory infection in developing countries: a meta-analysis.

Brown N, Roberts C. Acta Paediatrica. 2004; 93(11):1437–1442.


Cost-effectiveness Learn More Alternate Text


Relevant cost-effectiveness analyses have not yet been identified.