Literature DB >> 23040526

Pregnancy in dark winters: implications for fetal bone growth?

Jennifer M Walsh1, Mark Kilbane, Ciara A McGowan, Malachi J McKenna, Fionnuala M McAuliffe.   

Abstract

OBJECTIVE: To prospectively examine the prevalence of hypovitaminosis D in pregnancy and to correlate maternal and fetal vitamin D to fetal anthropometry.
DESIGN: A prospective cohort study.
SETTING: Tertiary referral maternity hospital. PATIENT(S): Sixty pregnant women. INTERVENTION(S): Serum 25-hydroxyvitamin D (25OHD) was measured in early pregnancy, at 28 weeks, and in cord blood at delivery. MAIN OUTCOME MEASURE(S): The prevalence of hypovitaminosis D and the relationship between fetal growth and serum 25OHD concentrations. RESULT(S): Two subgroups were analyzed to examine results in the context of seasonal variation in 25OHD: a winter and a summer cohort. Fetal anthropometry was assessed at 20 and 34 weeks, and at delivery the neonatal anthropometry was recorded. There was a high prevalence of hypovitaminosis D ranging from 33% to 97%, with a marked seasonal variation. Fetal 25OHD concentrations correlated with all biometry at 20 weeks. In the winter cohort, a correlation was found between early pregnancy 25OHD and femur length at 20 weeks, and between 28-week 25OHD and femur length at 34 weeks. Infant length was shorter in those with early pregnancy 25OHD less than the median (52.1 vs. 53.6 cm). CONCLUSION(S): The high prevalence of maternal hypovitaminosis D during winter months in northern latitudes may have detrimental effects on fetal skeletal growth.
Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

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Year:  2012        PMID: 23040526     DOI: 10.1016/j.fertnstert.2012.09.010

Source DB:  PubMed          Journal:  Fertil Steril        ISSN: 0015-0282            Impact factor:   7.329


  13 in total

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7.  Calcium intake in winter pregnancy attenuates impact of vitamin D inadequacy on urine NTX, a marker of bone resorption.

Authors:  Eileen C O'Brien; Mark T Kilbane; Malachi J McKenna; Ricardo Segurado; Aisling A Geraghty; Fionnuala M McAuliffe
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Review 9.  Gestational Diabetes Mellitus, Fetal Growth and Vitamin D.

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Journal:  Br J Nutr       Date:  2016-06-24       Impact factor: 3.718

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