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母亲硒状况与脐血清维生素 D 水平之间的关联:中国武汉的一项出生队列研究。

Associations between Maternal Selenium Status and Cord Serum Vitamin D Levels: A Birth Cohort Study in Wuhan, China.

机构信息

Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

School of Health and Nursing, Wuchang University of Technology, Wuhan 430000, China.

出版信息

Nutrients. 2022 Apr 20;14(9):1715. doi: 10.3390/nu14091715.

Abstract

Serum selenium (Se) has been reported to be associated with serum 25-hydroxyvitamin D [25(OH)D], but epidemiological findings are limited in pregnant women. We aimed to assess the associations between maternal urinary Se concentrations and cord serum 25(OH)D levels. We measured urinary concentrations of Se in the first, second, and third trimesters and cord serum 25(OH)D of 1695 mother-infant pairs from a prospective cohort study in Wuhan, China. The results showed that each doubling of urinary Se concentrations in the first, second, third trimester, and whole pregnancy (average SG-adjusted concentrations across three trimesters) were associated with 8.76% (95% confidence interval (CI): 4.30%, 13.41%), 15.44% (95% CI: 9.18%, 22.06%), 11.84% (95% CI: 6.09%, 17.89%), and 21.14% (95% CI: 8.69%, 35.02%) increases in 25(OH)D levels. Newborns whose mothers with low (<10 μg/L) or medium (10.92−14.34 μg/L) tertiles of urinary Se concentrations in whole pregnancy were more likely to be vitamin D deficient (<20 ng/mL) compared with those with the highest tertile (>14.34 μg/L). Our study provides evidence that maternal Se levels were positively associated with cord serum vitamin D status.

摘要

血清硒(Se)与血清 25-羟维生素 D [25(OH)D] 有关,但在孕妇中的流行病学研究结果有限。我们旨在评估孕妇尿硒浓度与脐血清 25(OH)D 水平之间的关系。我们在中国武汉的一项前瞻性队列研究中测量了 1695 对母婴对的第一、第二和第三孕期尿硒浓度和脐血清 25(OH)D。结果表明,第一、第二和第三孕期以及整个孕期(平均三孕期调整后的 SG 浓度)尿硒浓度每增加一倍,与 25(OH)D 水平分别增加 8.76%(95%CI:4.30%,13.41%)、15.44%(95%CI:9.18%,22.06%)、11.84%(95%CI:6.09%,17.89%)和 21.14%(95%CI:8.69%,35.02%)。与尿硒浓度最高的 tertile(>14.34 μg/L)相比,整个孕期尿硒浓度处于低水平(<10 μg/L)或中水平(10.92-14.34 μg/L) tertile 的母亲所生的新生儿更有可能维生素 D 缺乏(<20 ng/mL)。我们的研究提供了证据,表明母体硒水平与脐血清维生素 D 状态呈正相关。

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