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维生素 D 水平与常见妊娠并发症的关联。

The Association of Vitamin D Levels with Common Pregnancy Complications.

机构信息

University Clinic for Gynaecology and Perinatology, Maribor University Medical Centre, Ljubljanska 5, SI-2000 Maribor, Slovenia.

出版信息

Nutrients. 2018 Jul 5;10(7):867. doi: 10.3390/nu10070867.

DOI:10.3390/nu10070867
PMID:29976852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6073751/
Abstract

The association between vitamin D deficiency and various adverse pregnancy outcomes has been extensively investigated in recent years. The pregnant woman is the only source of vitamin D for the foetus. The main sources of vitamin D for pregnant women are sunlight, fortified dairy products, oily fish and dietary supplements. Vitamin D deficiency during pregnancy has been associated with some adverse neonatal outcomes as well as an increased risk of late pregnancy complications. The outcomes of the published studies investigating preeclampsia and gestational diabetes mellitus vary with some large trials suggesting a potential positive effect of vitamin D supplementation during pregnancy on the decreased risk of these complications. Research also suggests a possible connection between lower vitamin D concentrations and increased risk of preterm labour. In our manuscript, we aim to review the existing literature regarding the prevalence of vitamin D deficiency during pregnancy, the factors associated with vitamin D deficiency, and possible pregnancy complications arising from it.

摘要

近年来,维生素 D 缺乏与各种不良妊娠结局之间的关系已得到广泛研究。孕妇是胎儿维生素 D 的唯一来源。孕妇维生素 D 的主要来源是阳光、强化乳制品、油性鱼类和膳食补充剂。妊娠期间维生素 D 缺乏与一些不良新生儿结局以及妊娠晚期并发症风险增加有关。研究子痫前期和妊娠期糖尿病的已发表研究结果各不相同,一些大型试验表明,妊娠期间补充维生素 D 可能降低这些并发症的风险。研究还表明,维生素 D 浓度较低与早产风险增加之间可能存在关联。在我们的论文中,我们旨在回顾关于妊娠期间维生素 D 缺乏的流行率、与维生素 D 缺乏相关的因素以及由此产生的可能的妊娠并发症的现有文献。

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The Association of Vitamin D Levels with Common Pregnancy Complications.维生素 D 水平与常见妊娠并发症的关联。
Nutrients. 2018 Jul 5;10(7):867. doi: 10.3390/nu10070867.
2
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本文引用的文献

1
Vitamin D, Gestational Diabetes, and Measures of Glucose Metabolism in a Population-Based Multiethnic Cohort.维生素 D、妊娠糖尿病与基于人群的多民族队列中葡萄糖代谢指标的关系。
J Diabetes Res. 2018 Apr 19;2018:8939235. doi: 10.1155/2018/8939235. eCollection 2018.
2
Effectiveness of Prenatal Vitamin D Deficiency Screening and Treatment Program: A Stratified Randomized Field Trial.产前维生素 D 缺乏筛查和治疗方案的效果:分层随机现场试验。
J Clin Endocrinol Metab. 2018 Aug 1;103(8):2936-2948. doi: 10.1210/jc.2018-00109.
3
Lower vitamin D levels in Saudi pregnant women are associated with higher risk of developing GDM.沙特孕妇维生素 D 水平较低与 GDM 发病风险增加相关。
BMC Pregnancy Childbirth. 2018 Apr 10;18(1):86. doi: 10.1186/s12884-018-1723-3.
4
Systematic Review of Vitamin D and Hypertensive Disorders of Pregnancy.维生素 D 与妊娠高血压疾病的系统评价
Nutrients. 2018 Mar 1;10(3):294. doi: 10.3390/nu10030294.
5
Effects of Vitamin D Deficiency on Incidence Risk of Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis.维生素D缺乏对妊娠期糖尿病发病风险的影响:一项系统评价和荟萃分析
Front Endocrinol (Lausanne). 2018 Feb 1;9:7. doi: 10.3389/fendo.2018.00007. eCollection 2018.
6
Maternal Vitamin D Status and Risk of Gestational Diabetes: a Meta-Analysis.母体维生素D状态与妊娠期糖尿病风险:一项荟萃分析
Cell Physiol Biochem. 2018;45(1):291-300. doi: 10.1159/000486810. Epub 2018 Jan 19.
7
Vitamin D: Effects on human reproduction, pregnancy, and fetal well-being.维生素 D:对人类生殖、妊娠和胎儿健康的影响。
J Steroid Biochem Mol Biol. 2018 Jun;180:41-50. doi: 10.1016/j.jsbmb.2017.12.011. Epub 2017 Dec 17.
8
Maternal vitamin D status, gestational diabetes and infant birth size.母体维生素 D 状况、妊娠糖尿病与婴儿出生体重。
BMC Pregnancy Childbirth. 2017 Dec 15;17(1):420. doi: 10.1186/s12884-017-1600-5.
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Vitamin D and gestational diabetes mellitus: a systematic review based on data free of Hawthorne effect.维生素 D 与妊娠糖尿病:基于无霍桑效应数据的系统评价。
BJOG. 2018 Jun;125(7):784-793. doi: 10.1111/1471-0528.15060. Epub 2018 Jan 18.
10
Understanding vitamin D metabolism in pregnancy: From physiology to pathophysiology and clinical outcomes.了解妊娠期间维生素 D 代谢:从生理学到病理生理学和临床结局。
Metabolism. 2018 Sep;86:112-123. doi: 10.1016/j.metabol.2017.10.001. Epub 2017 Oct 21.