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巴基斯坦母亲及其新生儿中维生素 D 缺乏症的高发率。

High prevalence of vitamin D deficiency in Pakistani mothers and their newborns.

机构信息

Department of Obstetrics and Gynecology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.

出版信息

Int J Gynaecol Obstet. 2011 Mar;112(3):229-33. doi: 10.1016/j.ijgo.2010.09.017. Epub 2011 Jan 17.

Abstract

OBJECTIVE

To determine the prevalence of vitamin D deficiency in Pakistani parturients and their newborns and to assess the correlation between maternal and newborn serum levels of the vitamin D metabolite 25-hydroxy vitamin D3.

METHODS

A prospective study of parturients presenting to the labor suite with a singleton pregnancy. Maternal and cord blood were collected for estimation of serum 25-hydroxy vitamin D3.

RESULTS

In total, 89% of the gravidae were deficient in vitamin D (serum 25-hydroxy vitamin D3 <30 ng/mL). There was a positive correlation between maternal and cord blood 25-hydroxy vitamin D3 levels(r = 0.68; P < 0.001). Inverse correlations were noted between cord blood 25-hydroxy vitamin D3 and a longer duration of gestation (r = -0.33; P = 0.003) and with the newborn's birth weight (r = -0.23; P = 0.048). Maternal 25-hydroxy vitamin D3 levels were inversely correlated with maternal mean arterial pressure (r = 0.029; P < 0.020).

CONCLUSION

There was a high prevalence of vitamin D deficiency in the Pakistani parturients and their newborns. There was a correlation between higher maternal vitamin D levels and lower blood pressure in the mothers.

摘要

目的

确定巴基斯坦产妇及其新生儿维生素 D 缺乏的流行率,并评估母体和新生儿血清中维生素 D 代谢物 25-羟维生素 D3 水平之间的相关性。

方法

对在分娩套房就诊的单胎妊娠产妇进行前瞻性研究。采集母血和脐血,以评估血清 25-羟维生素 D3。

结果

共有 89%的孕妇维生素 D 缺乏(血清 25-羟维生素 D3 <30ng/ml)。母血和脐血 25-羟维生素 D3 水平之间存在正相关(r = 0.68;P <0.001)。脐血 25-羟维生素 D3 与妊娠时间较长(r = -0.33;P = 0.003)和新生儿出生体重(r = -0.23;P = 0.048)呈负相关。母体 25-羟维生素 D3 水平与母体平均动脉压呈负相关(r = 0.029;P <0.020)。

结论

巴基斯坦产妇及其新生儿中维生素 D 缺乏的流行率很高。母体维生素 D 水平较高与母亲血压较低有关。

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