Chi Mei-Zhu, Zhu Lin, Zhang Zeng-Li, Jin Fang-Fang, Shao Hao-Ran, Zheng Jia-Yin, Wu Chao, Hu Guang-Qiong
Department of Pediatrics, The First Affiliated Hospital of Wenzhou Medical College.
Department of Nutrition and Food Hygiene, School of Public Health, Soochow University.
J Nutr Sci Vitaminol (Tokyo). 2018;64(2):161-167. doi: 10.3177/jnsv.64.161.
This study was designed to determine whether there is a relationship between serum vitamin D levels and neurodevelopment and anthropometry in Chinese infants. A prospective cohort study with 160 women who gave birth to 160 healthy full-term infants and who were followed up for 6 mo was done. It included 80 pregnant women with vitamin D deficiency, and the other 80 pregnant women were enrolled matching the age and delivery method with a 25(OH)D level of more than 50 nmol/L. There was a signicant intergroup difference in length, weight or head circumference at birth (p<0.05). Meanwhile, there was a signicant intergroup difference in cognitive development and achievement at 6 mo (p<0.001). In multivariate analyses, maternal 25(OH)D levels less than 50 nmol/L were independently associated with a higher tendency for a low Bayley mental score (MDI) at 6 mo (OR=2.77, 95% CI: 1.44-5.35, p=0.002), as well as Bayley motor score (PDI) (OR=2.08, 95% CI: 1.07-4.04, p=0.032). Thus we observed that maternal vitamin D was associated with infant neurodevelopment and anthropometry.
本研究旨在确定中国婴儿血清维生素D水平与神经发育及人体测量学之间是否存在关联。对160名分娩出160名健康足月儿的女性进行了一项前瞻性队列研究,并对她们进行了6个月的随访。其中包括80名维生素D缺乏的孕妇,另外80名孕妇按年龄和分娩方式匹配入选,其25(OH)D水平超过50 nmol/L。出生时,两组在身长、体重或头围方面存在显著组间差异(p<0.05)。同时,在6个月时,两组在认知发育和成就方面存在显著组间差异(p<0.001)。在多变量分析中,母亲25(OH)D水平低于50 nmol/L与6个月时贝利智力发育指数(MDI)较低的倾向独立相关(OR=2.77,95%CI:1.44-5.35,p=0.002),以及贝利运动发育指数(PDI)(OR=2.08,95%CI:1.07-4.04,p=0.032)。因此,我们观察到母亲维生素D与婴儿神经发育及人体测量学有关。