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产前维生素D缺乏与母婴健康结局

Prenatal Vitamin D Deficiency and Maternal and Fetal Health Outcomes.

作者信息

Tsenkova-Toncheva Lilia, Hristova-Atanasova Eleonora, Iskrov Georgi, Stefanov Rumen

机构信息

Social Medicine and Public Health, Medical University of Plovdiv, Plovdiv, BGR.

Institute for Rare Diseases, Plovdiv, BGR.

出版信息

Cureus. 2024 Sep 16;16(9):e69508. doi: 10.7759/cureus.69508. eCollection 2024 Sep.

Abstract

Vitamin D deficiency (VDD) is a significant health issue that could have serious implications for the well-being of women and their offspring. Prenatal vitamins are widely used, but deficiency still occurs frequently in the preconception period, during pregnancy, and in breastfed infants. We analyzed the association between prenatal VDD and maternal and fetal health outcomes by reviewing studies conducted in Europe. The literature was searched for articles published in the last 10 years focusing on preeclampsia, gestational diabetes mellitus, preterm birth, low birth weight, asthma, and autism spectrum disorder. We identified a total of 43 review articles, 31 original articles, and two guidelines. During pregnancy, VDD is associated with a higher likelihood of developing gestational diabetes mellitus and preeclampsia. It may also lead to an increase in the risk of preterm birth, low birth weight, as well as asthma, and autism spectrum disorder in the offspring. While the official guidelines for vitamin D dosage differ in various countries, health authorities usually recommend a total daily supplement intake of 400-2,000 IU. In conclusion, this review emphasizes the importance of establishing guidelines for vitamin D supplementation as well as the requirement of official standards for the consumption of vitamin D in the prenatal period. Future research should concentrate on developing more unified approaches to vitamin D assessment and establishing preventative measures that can be incorporated into prenatal care programs.

摘要

维生素D缺乏(VDD)是一个重大的健康问题,可能对女性及其后代的健康产生严重影响。产前维生素被广泛使用,但在孕前、孕期和母乳喂养的婴儿中,维生素D缺乏仍频繁发生。我们通过回顾欧洲开展的研究,分析了产前维生素D缺乏与母婴健康结局之间的关联。检索了过去10年发表的关注子痫前期、妊娠期糖尿病、早产、低出生体重、哮喘和自闭症谱系障碍的文献。我们共确定了43篇综述文章、31篇原创文章和两项指南。在孕期,维生素D缺乏与发生妊娠期糖尿病和子痫前期的可能性较高相关。它还可能导致早产、低出生体重以及后代患哮喘和自闭症谱系障碍的风险增加。虽然各国维生素D剂量的官方指南有所不同,但卫生当局通常建议每日补充总量为400 - 2000国际单位。总之,本综述强调了制定维生素D补充指南的重要性以及孕期维生素D摄入官方标准的必要性。未来的研究应集中于开发更统一的维生素D评估方法,并建立可纳入产前保健计划的预防措施。

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Prenatal Vitamin D Deficiency and Maternal and Fetal Health Outcomes.产前维生素D缺乏与母婴健康结局
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本文引用的文献

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Vitamin D and preeclampsia: A systematic review and meta-analysis.维生素D与子痫前期:一项系统评价与荟萃分析。
SAGE Open Med. 2023 Nov 22;11:20503121231212093. doi: 10.1177/20503121231212093. eCollection 2023.
5
Preconception Vitamin D Level and In Vitro Fertilization: Pregnancy Outcome.孕前维生素D水平与体外受精:妊娠结局
Endocr Pract. 2023 Apr;29(4):235-239. doi: 10.1016/j.eprac.2023.01.005. Epub 2023 Jan 12.
6
Autism Spectrum Disorder: A Review.自闭症谱系障碍:综述
JAMA. 2023 Jan 10;329(2):157-168. doi: 10.1001/jama.2022.23661.
8
Impact of vitamin D on maternal and fetal health: A review.维生素D对母婴健康的影响:综述
Food Sci Nutr. 2022 Jul 7;10(10):3230-3240. doi: 10.1002/fsn3.2948. eCollection 2022 Oct.

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