“…The studies currently available in the literature are burdened by a lack of reproducibility, methodological imprecision, low population size and the heterogeneity of the population studied and of the results obtained, so it is not possible to recommend the use of trace elements in the prevention of RRIs. In response to the outcome about the possible relationship between reduced serum levels of vitamin D/ vitamin A/ vitamin E and increased risk of RRIs in children, 7 observational studies of very low methodological quality and with very heterogeneous results were included [ 53 – 56 , 58 , 59 , 69 ]. The outcomes are different: 3 studies [ 54 , 56 , 59 ] enrolled subjects with RRIs, 1 study [ 55 ] selected subjects with AOM, 1 study [ 53 ] with recurrent tonsillitis, and, lastly, Shokrollahi’s study assessed subjects with lower respiratory tract infections.…”