Volume 17, Issue 1 (January 2019 2019)                   IJRM 2019, 17(1): 33-40 | Back to browse issues page


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Shakeri M, Jafarirad S. The relationship between maternal vitamin D status during third trimester of pregnancy and maternal and neonatal outcomes:A longitudinal study. IJRM 2019; 17 (1) :33-40
URL: http://ijrm.ir/article-1-1378-en.html
1- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , Jafarirad-s@ajums.ac.ir
Abstract:   (3452 Views)
Background: Vitamin D deficiency is a common nutritional concern and leads to several problems among some population groups.
Objective: The aim of the current study was to evaluate the relationship between maternal vitamin D status and gestational weight gain, maternal biochemical parameters, mode of delivery, and infants’ growth indices at birth.
Materials and Methods: A longitudinal study between March and June 2017 was carried on 82 mothers in Ahvaz. Blood samples of each mother were obtained at the mean of the third trimester to assay lipid indices (total cholesterol, triglycerides, lowdensity lipoprotein, and high-density lipoprotein cholesterol), fasting blood sugar, and 25-hydroxy vitamin D. Anthropometric assessment of newborns was recorded from neonatal health card at birth.
Results: Mean maternal 25-hydroxy vitamin D level was 22.52 nmol/L; 7.33% of mothers had vitamin D deficiency, 76.6% had vitamin D insufficiency, and 15.9% were normal. The mean neonate birth weight, length, and head circumference of mothers who were  on the third tercile of 25-hydroxy vitamin D serum level was significantly higher than  those in the first tercile (p < 0.001, p = 0.004 and p < 0.001, respectively). Maternal vitamin D serum level had an adverse relationship with fasting blood sugar.
Conclusion: Low levels of serum vitamin D may cause adverse pregnancy outcomes
and delivery of infants with insufficient growth at birth.
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Type of Study: Original Article |

References
1. [1] Novakovic B, Galati JC, Chen A, Morley R, Craig JM, Saffery R. Maternal vitamin D predominates over genetic factors in determining neonatal circulating vitamin D concentrations. Am J Clin Nutr 2012; 96: 188–195. [DOI:10.3945/ajcn.112.035683]
2. [2] Hatfield DP, Sweeney KP, Lau J, Lichtenstein AH. Critical assessment of high-circulation print newspaper coverage of the Institute of Medicine Report Dietary Reference Intakes for Calcium and Vitamin D. Public Health Nutr 2014; 17: 1868–1876. [DOI:10.1017/S1368980013002073]
3. [3] Bodnar LM, Simhan HN, Catov JM, Roberts JM, Platt RW, Diesel JC, et al. Maternal vitamin D status and the risk of mild and severe preeclampsia. Epidemiology 2014; 25: 207–214. [DOI:10.1097/EDE.0000000000000039]
4. [4] Karim SA, Nusrat U, Aziz S. Vitamin D deficiency in pregnant women and their newborns as seen at a tertiarycarecenter in Karachi, Pakistan. Int J Gynaecol Obstet2011; 112: 59–62. [DOI:10.1016/j.ijgo.2010.07.034]
5. [5] Gernand AD, Simhan HN, Klebanoff MA, Bodnar LM. Maternal serum 25-hydroxyvitamin D and measures of newborn and placental weight in a US multicenter cohort study. J Clin Endocrinol Metab 2013; 98: 398–404. [DOI:10.1210/jc.2012-3275]
6. [6] Shin YH, Yu J, Kim KW, Ahn K, Hong SA, Lee E, et al. Association between cord blood 25-hydroxyvitamin D concentrations and respiratory tract infections in the first 6months of age in a Korean population: a birth cohort study(COCOA). Korean J Pediatr 2013; 56: 439–445. [DOI:10.3345/kjp.2013.56.10.439]
7. [7] Pratumvinit B, Wongkrajang P, Wataganara T, Hanyongyuth S, Nimmannit A, Chatsiricharoenkul S, et al. Maternal vitamin D status and its related factors in pregnant women in Bangkok, Thailand. PLOS ONE 2015; 6: 10:e0131126.
8. [8] Bodnar LM, Catov JM, Roberts JM, Simhan HN. Prepregnancy obesity predicts poor vitamin D status in mothers and their neonates. J Nutr 2007; 137: 2437–2442. [DOI:10.1093/jn/137.11.2437]
9. [9] Girard AW, Olude O. Nutrition education and counselling provided during pregnancy: effects on maternal, neonatal and child health outcomes. Paediatr Perinat Epidemiol 2012; 26 Suppl 1: 191–204. [DOI:10.1111/j.1365-3016.2012.01278.x]
10. [10] Khalessi N, Kalani M, Araghi M, Farahani Z. The relationship between maternal vitamin D deficiency and low birth weight neonates. J Family Reprod Health 2015; 9: 113–117.
11. [11] Bodnar LM, Catov JM, Zmuda JM, Cooper ME, Parrott MS, Roberts JM, et al. Maternal serum 25-hydroxyvitamin Dconcentrations are associated with small-for-gestational age births in white women. J Nutr 2010; 140: 999–1006. [DOI:10.3945/jn.109.119636]
12. [12] Bowyer L, Catling-Paull C, Diamond T, Homer C, Davis G, Craig ME. Vitamin D, PTH and calcium levels in pregnant women and their neonates. Clin Endocrinol (Oxf) 2009; 70: 372–377. [DOI:10.1111/j.1365-2265.2008.03316.x]
13. [13] Leffelaar ER, Vrijkotte TG, van Eijsden M. Maternal early pregnancy vitamin D status in relation to fetal and neonatal growth: results of the multi-ethnic Amsterdam born children and their development cohort. Br J Nutr 2010; 104: 108–117. [DOI:10.1017/S000711451000022X]
14. [14] Morley R, Carlin JB, Pasco JA, Wark JD, Ponsonby AL.Maternal 25-hydroxyvitamin D concentration and offspringbirth size: effect modification by infant VDR genotype. Eur J Clin Nutr 2009; 63: 802–804. [DOI:10.1038/ejcn.2008.55]
15. [15] Fernández-Alonso AM, Dionis-Sánchez EC, Chedraui P, González-Salmerón MD, Pérez-López FR, Spanish Vitamin D and Women's Health Research Group. First-trimester maternal serum 25-hydroxyvitamin D3 status and pregnancy outcome. Int J Gynaecol Obstet 2012; 116: 6–9. [DOI:10.1016/j.ijgo.2011.07.029]
16. [16] Shin JS, Choi MY, Longtine MS, Nelson DM. Vitamin D effects on pregnancy and the placenta. Placenta 2010; 31:1027–1034. [DOI:10.1016/j.placenta.2010.08.015]
17. [17] Hashemipour S, Ziaee A, Javadi A, Movahed F, Elmizadeh K, Javadi EH, et al. Effect of treatment of vitamin D deficiency and insufficiency during pregnancy on fetal growth indices and maternal weight gain: a randomized clinical trial. Eur J Obstet Gynecol Reprod Biol 2014; 172: 15. [DOI:10.1016/j.ejogrb.2013.10.010]
18. [18] Clifton-Bligh RJ, McElduff P, McElduff A. Maternal vitamin D deficiency, ethnicity and gestational diabetes. Diabet Med 2008; 25: 678–684. [DOI:10.1111/j.1464-5491.2008.02422.x]
19. [19] Soheilykhah S, Mojibian M, Rashidi M, Rahimi-Saghand S, Jafari F. Maternal vitamin D status in gestational diabetes mellitus. Nutr Clin Pract 2010; 25: 524–527. [DOI:10.1177/0884533610379851]
20. [20] Karhapää P, Pihlajamäki J, Pörsti I, Kastarinen M, Mustonen J, Niemelä O, et al. Diverse associations of 25-hydroxyvitamin D and 1, 25-dihydroxy-vitamin D with dyslipidaemias. J Intern Med 2010; 268: 604–610. [DOI:10.1111/j.1365-2796.2010.02279.x]
21. [21] Al-Ajlan A, Krishnaswamy S, Alokail MS, Aljohani NJ, Al-Serehi A, Sheshah E, et al. Vitamin D deficiency and dyslipidemia in early pregnancy. BMC Pregnancy ChildB2015; 15: 314.
22. [22] Chiu KC, Chu A, Go VL, Saad MF. Hypovitaminosis D is associated with insulin resistance and β cell dysfunction.Am J Clin Nutr 2004; 79: 820–825. [DOI:10.1093/ajcn/79.5.820]
23. [23] Merewood A, Mehta SD, Chen TC, Bauchner H, Holick MF. Association between vitamin D deficiency and primary cesarean section. J Clin Endocrinol Metab 2009; 94: 940–945. [DOI:10.1210/jc.2008-1217]
24. [24] Hollis BW, Johnson D, Hulsey TC, Ebeling M, Wagner CL. Vitamin D supplementation during pregnancy: doubleblind,randomized clinical trial of safety and effectiveness.J Bone Miner Res 2011; 26: 2341–2357. [DOI:10.1002/jbmr.463]
25. [25] Holick MF. Vitamin D: the other steroid hormone for muscle function and strength. Menopause 2009; 16: 1077–1078. [DOI:10.1097/gme.0b013e3181bd9804]

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