Boyle Veronica T, Thorstensen Eric B, Mourath David, Jones M Beatrix, McCowan Lesley M E, Kenny Louise C, Baker Philip N
1Gravida: National Centre for Growth and Development,The Liggins Institute,The University of Auckland,Auckland 1023,New Zealand.
2Medical Program,Linköping University,Linköping, SE-581 83,Sweden.
Br J Nutr. 2016 Oct;116(8):1409-1415. doi: 10.1017/S0007114516003202. Epub 2016 Oct 18.
Vitamin D insufficiency and deficiency have been associated with an increased risk of adverse pregnancy outcomes. Controversy remains as findings have been inconsistent between disparate populations. The aim of this study was to investigate the relationship between vitamin D status and pregnancy outcomes in a large, prospective pregnancy cohort. 25-Hydroxyvitamin D concentration was analysed in serum samples collected at 15 weeks of gestation from 1710 New Zealand women participating in a large, observational study. Associations between vitamin D status and pre-eclampsia, preterm birth, small for gestational age (SGA) and gestational diabetes were investigated. The mean 25-hydroxyvitamin D concentration was 72·9 nmol/l. In all, 23 % had 25-hydroxyvitamin D concentrations 75 nmol/l (OR 2·3; 95 % CI 1·1, 5·1). However, this effect was not significant when adjustments were made for BMI and ethnicity (OR 1·8; 95 % CI 0·8, 4·2). 25-Hydroxyvitamin D concentration at 15 weeks was not associated with development of pre-eclampsia, spontaneous preterm birth or SGA infants. Pregnancy complications were low in this largely vitamin D-replete population.
维生素D不足和缺乏与不良妊娠结局风险增加有关。由于不同人群的研究结果不一致,争议仍然存在。本研究的目的是在一个大型前瞻性妊娠队列中调查维生素D状态与妊娠结局之间的关系。对参与一项大型观察性研究的1710名新西兰女性在妊娠15周时采集的血清样本中的25-羟基维生素D浓度进行了分析。研究了维生素D状态与子痫前期、早产、小于胎龄儿(SGA)和妊娠期糖尿病之间的关联。25-羟基维生素D的平均浓度为72.9 nmol/L。总体而言,23%的女性25-羟基维生素D浓度低于75 nmol/L(比值比2.3;95%置信区间1.1,5.1)。然而,在对体重指数(BMI)和种族进行调整后,这种影响并不显著(比值比1.8;95%置信区间0.8,4,2)。妊娠15周时的25-羟基维生素D浓度与子痫前期、自发性早产或SGA婴儿的发生无关。在这个维生素D充足的人群中,妊娠并发症发生率较低。