Nasir Jamal Abdul, Imran Muhammad, Zaidi Syed Arif Ahmed
Department of Statistics, Rahim Yar Khan Campus, The Islamia University of Bahawalpur, Bahawalpur.
Visiting Faculty, Rahim Yar Khan Campus, The Islamia University of Bahawalpur, Bahawalpur.
J Coll Physicians Surg Pak. 2018 Mar;28(3):233-237. doi: 10.29271/jcpsp.2018.03.233.
Vitamin D deficiency is an emerging health concern around the world, highly prevalent in south Asian population, despite abundant sunlight. In Pakistan, all age groups are vulnerable to Vitamin D deficiency including pregnant women. This systematic review aimed to determine the pattern of Vitamin D deficiency among Pakistani pregnant women as well as exploring the causes and possible interventions that have had a substantial effect on improving the vitamin D level. Three databases (PubMed, Pub Get and Google Scholar), for the present review up to 2016, were used for the identification of published peer reviewed original relevant studies regarding Vitamin D deficiency among Pakistani pregnant women with the keywords Vitamin D or 25-hydroxyvitamin D or 25(OH)D in combination with pregnant women. Five studies were included for the final analysis. Vitamin D deficiency was common and highly prevalent among Pakistani pregnant women and their neonates. The main reasons for this were found to be avoiding sun exposure, quality of diet, and lower intake of calcium. Maternal vitamin D supplementation was found to be a key intervention to improve the maternal and neonatal vitamin D status. These review findings can be emerging in ensuring the adequate vitamin D level for Pakistani pregnant women during pregnancy, ultimately to achieve positive maternal and neonate's health outcomes.
维生素D缺乏是一个在全球范围内日益受到关注的健康问题，在南亚人群中极为普遍，尽管该地区阳光充足。在巴基斯坦，包括孕妇在内的所有年龄组都易患维生素D缺乏症。本系统综述旨在确定巴基斯坦孕妇维生素D缺乏的模式，并探究其原因以及对提高维生素D水平有显著效果的可能干预措施。为进行本次综述，截至2016年，使用了三个数据库（PubMed、Pub Get和谷歌学术）来识别已发表的、经同行评审的关于巴基斯坦孕妇维生素D缺乏的原创相关研究，关键词为维生素D或25-羟基维生素D或25(OH)D与孕妇的组合。五项研究被纳入最终分析。维生素D缺乏在巴基斯坦孕妇及其新生儿中很常见且极为普遍。发现其主要原因是避免日晒、饮食质量以及钙摄入量较低。孕妇补充维生素D被发现是改善孕妇和新生儿维生素D状况的关键干预措施。这些综述结果对于确保巴基斯坦孕妇孕期有足够的维生素D水平可能会有所帮助，最终实现母婴健康的积极成果。
