Petersen Sesilje B, Strøm Marin, Maslova Ekaterina, Granström Charlotta, Vestergaard Peter, Mølgaard Christian, Olsen Sjurdur F
1Department of Epidemiology Research,Centre for Fetal Programming,Statens Serum Institut,DK-2300 Copenhagen S,Denmark.
2Department of Endocrinology,Aalborg University Hospital,DK-9000 Aalborg,Denmark.
Br J Nutr. 2015 Dec 14;114(11):1900-8. doi: 10.1017/S000711451500361X. Epub 2015 Oct 2.
In a prospective cohort study, the association between maternal vitamin D status during pregnancy and offspring forearm fractures during childhood and adolescence was analysed in 30 132 mother and child pairs recruited to the Danish National Birth Cohort between 1996 and 2002. Data on characteristics, dietary factors and lifestyle factors were collected on several occasions during pregnancy. We analysed the association between predicted vitamin D status, based on a subsample with 25-hydroxyvitamin D (25(OH)D) biomarker measurements (n 1497) from gestation week 25, and first-time forearm fractures among offspring between birth and end of follow-up. Diagnoses were extracted from the Danish National Patient Register. Multivariable Cox regression models using age as the underlying time scale indicated no overall association between predicted vitamin D status (based on smoking, season, dietary and supplementary vitamin D intake, tanning bed use and outdoor physical activity) in pregnancy and offspring forearm fractures. Likewise, measured 25(OH)D, tanning bed use and dietary vitamin D intake were not associated with offspring forearm fractures. In mid-pregnancy, 91 % of the women reported intake of vitamin D from dietary supplements. Offspring of women who took >10 µg/d in mid-pregnancy had a significantly increased risk for fractures compared with the reference level of zero intake (hazard ratios (HR) 1·31; 95% CI 1·06, 1·62), but this was solely among girls (HR 1·48; 95% CI 1·10, 2·00). Supplement use in the peri-conceptional period exhibited similar pattern, although not statistically significant. In conclusion, our data indicated no protective effect of maternal vitamin D status with respect to offspring forearm fractures.
在一项前瞻性队列研究中,对1996年至2002年间纳入丹麦国家出生队列的30132对母婴进行分析,以探讨孕期母亲维生素D状况与儿童及青少年期子代前臂骨折之间的关联。在孕期的多个时间点收集了有关特征、饮食因素和生活方式因素的数据。我们基于妊娠第25周时25-羟基维生素D(25(OH)D)生物标志物测量的子样本(n = 1497)分析了预测的维生素D状况与出生至随访结束子代首次前臂骨折之间的关联。诊断信息从丹麦国家患者登记处提取。以年龄为基础时间尺度的多变量Cox回归模型表明,孕期预测的维生素D状况(基于吸烟、季节、饮食及补充维生素D摄入量、使用日光浴床和户外体育活动)与子代前臂骨折之间无总体关联。同样,测量的25(OH)D、使用日光浴床和饮食中维生素D摄入量与子代前臂骨折也无关联。孕中期,91%的女性报告从膳食补充剂中摄入维生素D。与零摄入量的参考水平相比,孕中期摄入>10μg/d的女性所生子女骨折风险显著增加(风险比(HR)1.31;95%置信区间1.06,1.62),但仅在女孩中如此(HR 1.48;95%置信区间1.10,2.00)。围孕期补充剂的使用呈现类似模式,尽管无统计学意义。总之,我们的数据表明母亲维生素D状况对子代前臂骨折无保护作用。