Maternal Vitamin D3 Status and Association with Low Birth Weight Infant
DOI:
https://doi.org/10.15218/ejnm.2018.13Keywords:
Infant, Low birth weight, vitamin D DeficiencyAbstract
Background and Objective: Maternal vitamin D levels may affect fetal growth and cause adverse pregnancy outcomes including low birth weight in neonatal stage. This study was designed to evaluate and determine if the deficiency of maternal Vitamin D associated and affected the growth development of birth weight of neonates. Methods: This study was carried-out on 200 neonates through a cross-sectional study, that used data from the nursery ward at maternity teaching hospital hospitals in Kurdistan, Iraq during a one year period from March 2016 to March 2017. The neonates were divided into two group two groups, neonates with birth weight< 2500 gr (n=45) and neonates with birth weight>2500 gr (n = 55). We depend on the data classifications on medical history, physical examination using a questionnaire method for neonate classifications. Birth time blood samples of their mothers were analyzed for serum 25-(OH)-vitamin D using enzyme linked immunosorbent assay method. Maternal vitamin D status was compared in the two groups. Results: The mean maternal vitamin D level was 24 nmol/L. for mothers with low birth weight and 22 (48.89 %) for mothers with vitamin D deficiency. Seventeen (37.77 %) and 6 (13.34 %) of the mothers with low birth weight had insufficient vitamin D and 6 (13.34 %) had normal Vitamin D levels. The mothers with normal birth weight had a mean vitamin D level of 38.10 nmol/L and the mothers of low levels reached to 10 nmol/L (18.18 %), those of insufficiency vitamin D was 20 nmol/L (36.36 %) and those of sufficient vitamin D 25 nmol/L (45.46 %). Conclusion: Mothers with low vitamin D levels are more likely to have neonates with low birth weight. Increasing the vitamin D levels through nutrition is important for improving the neonatal body weight.
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[6] 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. British Journal Nutrition. 2010;104:108–17. [7] Dror D, King J, Durand D, Allen L. Association of Modifiable and Nonmodifiable Factors with Vitamin D Status in Pregnant Women and Neonates in Oakland. Journal of the Academy of Nutrition and Dietetics. 2011; (111):111–6. [8] Bodnar LM, Simhan HN, Powers RW, Frank MP, Cooperstein E, Roberts JM. High prevalence of vitamin D insufficiency in black and white pregnant women residing in the northern United States and their neonates. Journal Nutrition. 2007;137(2):447–52. [9] Merewood A, Mehta SD, Chen TC, Bauchner H, Holick MF. Association between vitamin D deficiency and primary cesarean section. Journal of Clinical Endocrinology and Metabolism. 2009; 94(3):940–945. [10] Martin RJ, Fanaroff AA, Walsh MC. (2005): Fanaroff and Martin's Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant. 8th ed. Mosby; 2005. [11] Thorne-Lyman A, Fawzi WW. Vitamin D during pregnancy and maternal, neonatal and infant health outcomes: a systematic review and meta-analysis.
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Paediatric and Perinatal Epidemiology. 2012 Jul;26 Suppl 1:75-90. [12] Arabi A, El Rassi R, El-Hajj Fuleihan G. Hypovitaminosis D in developing countries-prevalence, risk factors and outcomes. Nature Reviews Endocrinology. 2010;6(10):550–561. [13] Barrera D, Avila E, Hernandez G, Halhali A, Biruete B, Larrea F, et al. Estradiol and progesterone synthesis in human placenta is stimulated by calcitriol. Journal of Steroid Biochemistry and Molecular Biology. 2007;103(35):529–532. [14] Hollis BW. Vitamin D requirement during pregnancy and lactation. Journal of Bone and Mineral Research. 2007;22 (Suppl 2):V39–44. [15] Holick MF. Vitamin D deficiency. New England Journal of Medicine.2007; 357:266–281. [16] Patel M, Beg M, Akhtar N, Ahmad J, Farooqui Kh. Serum calcium, vitamin D and parathyroid hormone relationship among diabetic And nondiabetic pregnant women and their neonates. Diabetes & Metabolic Syndrome.Clinical Research & Reviews. 2010;4:204–9. [17] Institute of Medicine. (2011): Dietary reference intakes for calcium and vitamin D. Washington, DC: The National Academies Press. [18] Mahomed K, Gulmezoglu AM. Vitamin D supplementation in pregnancy. Cochrane Database of Systematic Reviews. 2000 ;(2):CD000228. [19] Dawodu A, Wagner CL. Mother-child vitamin D deficiency: an international perspective. Archives of Disease in Childhood. 2007; 92(9):737–740. [20] Aghajafari F, Nagulesapillai T, Ronksley PE, Tough SC, O'Beirne M, Rabi DM. Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes:
systematic review and meta-analysis of observational studies. British Medical Journal. 2013;346:f1169. doi: 10.1136/bmj.f1169. [21] Scholl TO, Chen X. Vitamin D intake during pregnancy: association with maternal characteristics and infant birth weight. Early Human Development. 2009;85(4):231–4.
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Copyright (c) 2018 Raghad Farhad Ahmad, Hanaa Al.Ani (Author)
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