Prospective cohort study of vitamin D deficiency in pregnancy : Prevalence and limited effectiveness of 1000 IU vitamin D supplementation

BACKGROUND: Vitamin D deficiency is highly prevalent worldwide among pregnant women. Although vitamin D supplementation is effective in improving vitamin D status, the safety and optimal dosing of vitamin D supplementation during pregnancy remain less well understood.

OBJECTIVE: This study aimed to investigate the prevalence of vitamin D deficiency among pregnant women and evaluate the effectiveness of vitamin D supplementation in improving vitamin D status during pregnancy.

DESIGN: This prospective cohort study assessed the impact of a 16-week daily vitamin D supplementation 1000 IU regimen on vitamin D status among pregnant women.

METHODS: A total of 365 pregnant women were recruited, and their baseline total circulating 25-hydroxy vitamin D concentrations were measured. Of these, 249 participants completed the study, which involved oral daily supplementation with 1000 IU of vitamin D and a repeat of total circulating 25-hydroxy vitamin D concentrations after 16 weeks.

RESULTS: The study found that 57.7% of the participants had vitamin D deficiency, consistent with the rates reported in other studies. However, vitamin D supplementation at a dose of 1000 IU had a small effect size and was not clinically significant. However, 67% of participants with vitamin D deficiency remained deficient; among participants initially with vitamin D insufficiency, 30% became deficient. Moreover, 26.5% of individuals with sufficient vitamin D status at 12 weeks showed insufficient levels by 28 weeks.

CONCLUSION: Vitamin D deficiency is widespread among pregnant women, and vitamin D supplementation at a daily dose of 1000 IU may not adequately address this problem. Although the study has limitations, its results align with previous research and may apply to other populations with a high prevalence of vitamin D deficiency during pregnancy. Further research is necessary to determine the most effective approach for addressing prenatal vitamin D deficiency.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Women's health (London, England) - 20(2024) vom: 31. Jan., Seite 17455057231222404

Sprache:

Englisch

Beteiligte Personen:

Abdelmageed, Rasha Mohammed [VerfasserIn]
Hussein, Suha Majeed Mohammed [VerfasserIn]
Anamangadan, Shamil Mohamed [VerfasserIn]
Abdullah, Rola Walid Mahmoud [VerfasserIn]
Rauf, Lubna [VerfasserIn]
AlFehaidi, AlAnoud Saleh [VerfasserIn]
Hamed, Ehab [VerfasserIn]

Links:

Volltext

Themen:

1406-16-2
Journal Article
Pregnant women
Vitamin D
Vitamin D deficiency
Vitamin D status
Vitamin D supplementation
Vitamins

Anmerkungen:

Date Completed 30.01.2024

Date Revised 01.02.2024

published: Print

Citation Status MEDLINE

doi:

10.1177/17455057231222404

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367728605