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Vitamin D levels in an Australian and New Zealand cohort and the association with pregnancy outcome.


ABSTRACT:

Background

Pregnant women are at increased susceptibility to vitamin D deficiency. Hence, there is continuing interest in determining how vitamin D influences pregnancy health. We aimed to compare vitamin D status in two distinct populations of pregnant women in Australia and New Zealand and to investigate the relationship between vitamin D status and pregnancy outcome. This included evaluating possible effect measure modifications according to fetal sex.

Methods

Serum 25-hydroxy vitamin D (25(OH)D) was measured at 15?±?1 weeks' gestation in 2800 women from Adelaide and Auckland who participated in the multi-centre, prospective cohort SCreening fOr Pregnancy Endpoints (SCOPE) study.

Results

Mean serum 25(OH)D in all women was 68.1?±?27.1 nmol/L and 28% (n?=?772) were considered vitamin D deficient (?81 nmol/L) "standardised" vitamin D status when compared to moderate-high (63-81 nmol/L, aRR, 0.47; 95% CI: 0.23, 0.96). Marginal sex-specific differences occurred between vitamin D status and GDM: women carrying a female fetus had a 56% decreased risk for GDM in those with low-moderate levels of standardised vitamin D (44-63 nmol/L) compared to moderate-high levels (aRR: 0.44; 95% CI: 0.20, 0.97), whilst in women carrying a male fetus, a 55% decreased risk of GDM was found with high standardised vitamin D when compared to moderately-high vitamin D, but this was not statistically significant (aRR: 0.45; 95% CI: 0.15, 1.38).

Conclusions

High serum 25(OH)D at 15?±?1 weeks' gestation was shown to be protective against the development of GDM. A possible association between fetal sex, vitamin D status and GDM provides further questions and encourages continual research and discussion into the role of vitamin D in pregnancy, particularly in vitamin D replete populations.

SUBMITTER: Wilson RL 

PROVIDER: S-EPMC6011374 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Vitamin D levels in an Australian and New Zealand cohort and the association with pregnancy outcome.

Wilson Rebecca L RL   Leviton Alison J AJ   Leemaqz Shalem Y SY   Anderson Paul H PH   Grieger Jessica A JA   Grzeskowiak Luke E LE   Verburg Petra E PE   McCowan Lesley L   Dekker Gustaaf A GA   Bianco-Miotto Tina T   Roberts Claire T CT  

BMC pregnancy and childbirth 20180620 1


<h4>Background</h4>Pregnant women are at increased susceptibility to vitamin D deficiency. Hence, there is continuing interest in determining how vitamin D influences pregnancy health. We aimed to compare vitamin D status in two distinct populations of pregnant women in Australia and New Zealand and to investigate the relationship between vitamin D status and pregnancy outcome. This included evaluating possible effect measure modifications according to fetal sex.<h4>Methods</h4>Serum 25-hydroxy  ...[more]

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