Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore.
Obstetrics and Gynaecology Academic Clinical Programme (OBGYN ACP), SingHealth Services, Singapore, Singapore.
PLoS One. 2024 Apr 11;19(4):e0300063. doi: 10.1371/journal.pone.0300063. eCollection 2024.
Vitamin D plays an essential role in bone and mineral metabolism. There is increased interest in understanding prevalence of Vitamin D deficiency in pregnancy as many studies report association of low vitamin D levels with obstetric complications and neonatal sequelae. There is a paucity of studies in Singapore evaluating levels of vitamin D levels during the first trimester of pregnancies. We aim to study the prevalence of vitamin D insufficiency in this population. Our study assessed vitamin D levels in these women. Vitamin D (Plasma 25(OH)D concentration) levels in multiracial women during the first trimester were collected via venepuncture at their booking antenatal visit. They were stratified into sufficient ≥30ng/ml, insufficient ≥20ng/ml and <30ng/ml, moderately deficient ≥10ng/ml and <20ng/ml and severely deficient <10ng/ml. 93 women were included in this study. Only 2.2% of our study population had sufficient vitamin D levels. In women who had insufficient levels, the heavier the weight, the more likely to be vitamin D deficient. Interestingly, we also note that the older the patient, the less likely they are to be deficient. In women with periconceptual multivitamin supplementation, the average vitamin D level for those with supplementation was 2.10ng/ml higher than those without. Majority of patients were recruited from a single study member's patient pool who were mostly Chinese. Prevalence of Vitamin D deficiency in general obstetric patients with higher BMI and darker skinned patients may be even lower in Singapore. The high prevalence of Vitamin D insufficiency in our patients prove that it is a prominent problem in our population. We aim to implement screening of vitamin D levels as part of antenatal investigations in the first trimester and recommend supplementation as required. We also hope to evaluate the association of low vitamin D levels with obstetric or neonatal complications further understanding its implications.
维生素 D 在骨骼和矿物质代谢中起着至关重要的作用。越来越多的人关注了解妊娠期间维生素 D 缺乏症的患病率,因为许多研究报告指出,维生素 D 水平低与产科并发症和新生儿后遗症有关。新加坡缺乏评估妊娠早期维生素 D 水平的研究。我们旨在研究该人群中维生素 D 不足的患病率。我们的研究评估了这些女性的维生素 D 水平。通过在预约产前检查时静脉穿刺采集多民族女性在妊娠早期的维生素 D(血浆 25(OH)D 浓度)水平。她们按足够(≥30ng/ml)、不足(≥20ng/ml 且<30ng/ml)、中度缺乏(≥10ng/ml 且<20ng/ml)和严重缺乏(<10ng/ml)进行分层。本研究纳入了 93 名女性。只有 2.2%的研究人群有足够的维生素 D 水平。在维生素 D 水平不足的女性中,体重越重,维生素 D 缺乏的可能性越大。有趣的是,我们还注意到,年龄越大,维生素 D 缺乏的可能性越小。在有围孕期多种维生素补充的女性中,有补充的女性的平均维生素 D 水平比没有补充的女性高 2.10ng/ml。大多数患者是从一名研究成员的患者群体中招募的,他们大多是中国人。在 BMI 较高和皮肤较黑的普通产科患者中,维生素 D 缺乏症的患病率可能更低。我们患者中维生素 D 不足的高患病率证明这是我们人群中的一个突出问题。我们的目标是在妊娠早期将维生素 D 水平筛查纳入产前检查,并根据需要建议补充。我们还希望进一步评估低维生素 D 水平与产科或新生儿并发症的关系,以进一步了解其影响。