Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor 43400, Malaysia.
Faculty of Engineering and Information Sciences, School of Mathematics and Applied Statistics, University of Wollongong, Wollongong, NSW 2522, Australia.
Nutrients. 2020 Aug 12;12(8):2418. doi: 10.3390/nu12082418.
Allergic diseases are the most common chronic illness in childhood. Findings from developed countries have reported associations between Vitamin D levels during pregnancy and offspring allergy risk. This prospective cohort study aimed to determine the associations between maternal Vitamin D levels during late pregnancy and allergic diseases in Malaysian infants during the first year of life. Serum 25(OH)D concentrations of 380 pregnant women in the third trimester were measured using a chemiluminescent immunoassay. Children's allergic outcomes were assessed at 3, 6, and 12 months based on parental reports. Specific IgE antibodies against food and inhalant allergens were measured in infants at 12 months of age. A total of 43.2% pregnant women were Vitamin D deficient (<30 nmol/L) and 56.8% were nondeficient (≥30 nmol/L). A total of 27.6% of the infants had eczema, 6.1% had wheeze, 27.4% had food sensitization, 10.8% had inhalant allergen sensitization, and 3.8% had IgE-mediated food allergy during the first year of life. Compared with the nondeficient group, maternal Vitamin D deficiency in late pregnancy was not associated with any allergic outcomes after adjustment for potential confounding factors. In conclusion, the present study does not support an association between maternal Vitamin D levels in late pregnancy and allergic outcomes during the first year of life.
过敏性疾病是儿童最常见的慢性疾病。来自发达国家的研究结果表明,孕妇在怀孕期间的维生素 D 水平与后代过敏风险之间存在关联。本前瞻性队列研究旨在确定孕妇在妊娠晚期的维生素 D 水平与马来西亚婴儿在生命的第一年患过敏性疾病之间的关系。采用化学发光免疫分析法测定 380 名孕晚期孕妇的血清 25(OH)D 浓度。根据父母报告,在 3、6 和 12 个月时评估儿童的过敏结果。在 12 个月龄时,测量婴儿针对食物和吸入性过敏原的特异性 IgE 抗体。共有 43.2%的孕妇维生素 D 缺乏(<30nmol/L),56.8%的孕妇不缺乏(≥30nmol/L)。共有 27.6%的婴儿在生命的第一年患湿疹,6.1%的婴儿喘息,27.4%的婴儿食物过敏,10.8%的婴儿吸入性过敏原过敏,3.8%的婴儿 IgE 介导的食物过敏。与非缺乏组相比,调整潜在混杂因素后,妊娠晚期母体维生素 D 缺乏与任何过敏结果均无关联。综上所述,本研究不支持妊娠晚期母体维生素 D 水平与生命第一年过敏结局之间存在关联。