Efikasi Suplementasi Vitamin D3 Terhadap Keparahan Dermatitis Atopik: Tinjauan Sistematis

Isi Artikel Utama

Angel Benny Wisan
I Gede Peri Arista
Andrew Yoshihiro Wirya
Maria Jessica Rachman

Abstrak

Dermatitis atopik adalah penyakit kulit kronis dengan prevalensi global yang terus meningkat. Vitamin D3 berperan penting dalam modulasi sistem imun dan fungsi barrier kulit sehingga dapat menjadi terapi tambahan untuk menurunkan keparahan gejala dermatitis atopik. Penelitian ini merupakan tinjauan sistematis dengan menggunakan pedoman PRISMA. Artikel yang dianalisa mencakup penelitian observational dan Randomized Controlled Trial (RCT) yang mengevaluasi efek suplementasi vitamin D3 terhadap dermatitis atopik. Pencarian artikel dilakukan pada PubMed, Scopus, dan Google Scholar dengan menggunakan kata kunci "vitamin D3 supplementation" AND "atopic dermatitis". Seleksi artikel melibatkan penilaian relevansi, telaah teks lengkap dan konsensus antar peneliti. Sebanyak 16 artikel dianalisis, terdiri dari 10 studi observasional dan 6 RCT. Studi observasional menunjukkan adanya korelasi negatif antara kadar vitamin D serum dan tingkat keparahan dermatitis atopik. RCT melaporkan bahwa suplementasi vitamin D3 secara signifikan mengurangi gejala dermatitis atopik, memperbaiki fungsi barrier kulit, dan menurunkan inflamasi. Kombinasi vitamin D3 dengan probiotik dan Zinc menunjukkan efektivitas yang lebih baik dalam mencegah dermatitis atopik pada bayi. Vitamin D3 berpotensi menjadi terapi tambahan yang efektif untuk mengurangi keparahan gejala dermatitis atopik, terutama pada anak-anak. Diperlukan penelitian lebih lanjut untuk mengevaluasi efektivitas jangka panjang dan menentukan dosis yang optimal pada berbagai populasi.

Rincian Artikel

Cara Mengutip
Wisan, A. B., Arista, I. G. P., Wirya, A. Y., & Rachman, M. J. (2025). Efikasi Suplementasi Vitamin D3 Terhadap Keparahan Dermatitis Atopik: Tinjauan Sistematis. Prominentia Medical Journal, 6(1), 43–58. https://doi.org/10.37715/pmj.v6i1.5713
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Referensi

Cheng, H.M., Kim, S., Park, G.H., Chang, S.E., Bang, S., Won, C.H., Lee, M.W., Choi, J.H. dan Moon, K.C. (2014) ‘Low vitamin D levels are associated with atopic dermatitis, but not allergic rhinitis, asthma, or IgE sensitization, in the adult Korean population’, Journal of Allergy and Clinical Immunology, 133(4), pp. 1048–1055 [online]. Tersedia pada: https://doi.org/10.1016/j.jaci.2013.10.055.

Çiçek, F. dan Köle, M.T. (2023) ‘Evaluation of the impact of serum vitamin D levels on the scoring atopic dermatitis index in pediatric atopic dermatitis’, Children, 10(9), artikel 1522 [online]. Tersedia pada: https://doi.org/10.3390/children10091522.

Džopalić, T., Božić-Nedeljković, B. dan Jurišić, V. (2021) ‘The role of vitamin A and vitamin D in the modulation of the immune response with focus on innate lymphoid cells’, Central European Journal of Immunology, 46(2), pp. 264–269 [online]. Tersedia pada: https://doi.org/10.5114/ceji.2021.103540.

Earlia, N., Maulida, M., Hidayati, A. dan Pratama, R. (2020) ‘Pengaruh pemberian vitamin D terhadap perbaikan gejala klinis pada penderita dermatitis atopik di Poliklinik Kulit Kelamin RSUD Dr. Zainoel Abidin Banda Aceh tahun 2018: uji klinis ketersamaran ganda’, Journal of Medical Science, 1(1), pp. 33–42 [online]. Tersedia pada: https://doi.org/10.55572/jms.v1i1.7.

Febrianto, B., Mawardi, P. dan Kariosentono, H. (2023) ‘Oral vitamin D supplementation as add-on therapy in adult patients with atopic dermatitis’, Bioscientia Medicina: Journal of Biomedicine and Translational Research, 7(12), pp. 3832–3836 [online]. Tersedia pada: https://doi.org/10.37275/bsm.v7i12.895.

Filipovic, I., Ostojic, O., Vekovic, V., Lackovic, M. dan Zivkovic, Z. (2020) ‘Combination of Lactobacillus rhamnosus LGG, vitamin D3 and Zn in preventing atopic dermatitis in infancy’, American Journal of Pediatrics, 6(3), pp. 273–277 [online]. Tersedia pada: https://doi.org/10.11648/j.ajp.20200603.26.

Fu, H., Li, Y., Huang, H. dan Wang, D. (2022) ‘Serum vitamin D level and efficacy of vitamin D supplementation in children with atopic dermatitis: a systematic review and meta-analysis’, Computational and Mathematical Methods in Medicine, 2022, artikel 9407888 [online]. Tersedia pada: https://doi.org/10.1155/2022/9407888

Han, T.Y., Kong, T.S., Kim, M.H., Chae, J.D., Lee, J.H.K. dan Son, S.J. (2015) ‘Vitamin D status and its association with the SCORAD score and serum LL-37 level in Korean adults and children with atopic dermatitis’, Annals of Dermatology, 27(1), pp. 10–14 [online]. Tersedia pada: https://doi.org/10.5021/ad.2015.27.1.10.

Hattangdi-Haridas, S.R., Lanham-New, S.A., Wong, W.H.S., Ho, M.H.K. dan Darling, A.L. (2019) ‘Vitamin D deficiency and effects of vitamin D supplementation on disease severity in patients with atopic dermatitis: a systematic review and meta-analysis in adults and children’, Nutrients, 11(8), artikel 1854 [online]. Tersedia pada: https://doi.org/10.3390/nu11081854

Hidayati, A.N., Sawitri, S., Sari, D.W., Prakoeswa, C.R.S., Indramaya, D.M., Damayanti, D., Zulkarnain, I., Citrashanty, I., Widia, Y. dan Anggraeni, S. (2023) ‘Efficacy of vitamin D supplementation on the severity of atopic dermatitis in children: a systematic review and meta-analysis’ [versi 2], F1000Research, 11, artikel 274 [online]. Tersedia pada: https://doi.org/10.12688/f1000research.106957.2.

Kim, G. dan Bae, J.H. (2016) ‘Vitamin D and atopic dermatitis: a systematic review and meta-analysis’, Nutrition, 32(9), pp. 913–920 [online]. Tersedia pada: https://doi.org/10.1016/j.nut.2016.01.023.

McCarthy, R.L., Tawfik, S.S., Theocharopoulos, I., Atkar, R., McDonald, B., Dhoat, S., Hughes, A., Thomas, B.R. dan O’Toole, E.A. (2024) ‘Vitamin D deficiency and atopic dermatitis severity in a Bangladeshi population living in East London: a cross-sectional study’, Skin Health and Disease, 4(3), artikel e358 [online]. Tersedia pada: https://doi.org/10.1002/ski2.358.

Ng, J.C. dan Yew, Y.W. (2022) ‘Effect of vitamin D serum levels and supplementation on atopic dermatitis: a systematic review and meta-analysis’, American Journal of Clinical Dermatology, 23(3), pp. 267–275 [online]. Tersedia pada: https://doi.org/10.1007/s40257-022-00677-0.

Nielsen, A.Y., Høj, S., Thomsen, S.F. dan Meteran, H. (2024) ‘Vitamin D supplementation for treating atopic dermatitis in children and adults: a systematic review and meta-analysis’, Nutrients, 16(23), artikel 4128 [online]. Tersedia pada: https://doi.org/10.3390/nu16234128

Park, J.S., Kim, M., Sol, I.S., Lee, K.S., Park, S., Yang, H.J. dan Lee, E. (2023) ‘Effect of vitamin D on the treatment of atopic dermatitis with consideration of heterogeneities: meta-analysis of randomized controlled trials’, Allergy, Asthma & Immunology Research, 15(2), pp. 262–270 [online]. Tersedia pada: https://doi.org/10.4168/aair.2023.15.2.262.

Raj, K.A.P., Handa, S., Narang, T., Sachdeva, N. dan Mahajan, R. (2022) ‘Correlation of serum vitamin D levels with severity of pediatric atopic dermatitis and the impact of vitamin D supplementation on treatment outcomes’, Journal of Dermatological Treatment, 33(3), pp. 1397–1400 [online]. Tersedia pada: https://doi.org/10.1080/09546634.2020.1818677.