Food and Nutrition in China. 2025, 31(12): 54-58.
【Objective】To investigate the relationship between dietary choline intake and pulmonary function
and disease control in children with asthma.【Method】A total of 80 children with bronchial asthma admitted to
the Department of Pediatrics of Tangshan Maternal and Child Health Hospital from August 2024 to April 2025
were selected as the research objects. The daily choline intake was quantified by 24-hour dietary recall method,
and the daily choline intake was continuously monitored for 7 days. The average value was taken and divided into
three groups by fixed threshold method : high intake group (>250 mg/d, n=27 ), medium intake group (150—
250 mg/d, n=26), low intake group (<150 mg, n=27). All children were treated with standardized asthma treat
ment and respiratory rehabilitation training. The forced vital capacity (FVC), one-second rate [forced expiratory
volume in the first second/FVC (FEV1/FVC)] and peak expiratory flow ( PEF ) were measured before and after
treatment. The asthma control test scale ( ACT ) and asthma control questionnaire (ACQ) were used to evaluate
and compare. 【Result】After treatment, the ACT scores of the three groups were higher than those before treat
ment. The ACT score : high-dose group > middle-dose group > low-dose group (P<0.05). The ACQ scores of
the three groups after treatment were lower than those before treatment. ACQ score : high dose group < middle
dose group < low dose group .The FVC, FEV1/FVC and PEF of the three groups were higher than those before
treatment. The comparison between the groups showed that the three indexes were all high-dose group > middle
dose group > low-dose group, and the difference between the two groups was statistically significant (P<0.05).
Pearson correlation analysis showed that dietary choline intake in children with asthma was positively correlated
with ACT scale score and lung function indexes FVC, FEV1/FVC and PEF, and negatively correlated with ACQ
scale score (P<0.05).【Conclusion】Dietary choline intake is associated with pulmonary function and disease
control in children with asthma. Higher dietary choline intake shows potential to improve pulmonary function and
reduce disease severity, and its clinical implementation is recommended.