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母体、脐带血及婴儿血清中25-羟维生素D和钙水平与母体维生素D摄入量的关系

25-hydroxyvitamin D and calcium levels in maternal, cord and infant serum in relation to maternal vitamin D intake.

作者信息

Paunier L, Lacourt G, Pilloud P, Schlaeppi P, Sizonenko P C

出版信息

Helv Paediatr Acta. 1978 Jun;33(2):95-103.

PMID:659262
Abstract

The plasma levels of 25-hydroxyvitamin D (25-OHD), total calcium, phosphorus and proteins were measured in 40 healthy mothers and their infants at the time of delivery during the months of December and January. Calcium, phosphorus and proteins were again measured in the plasma of the infants on the fourth day of life. Vitamin D intake of the mothers during their last 3 months of pregnancy were estimated by interviews. The mean (+/-SE) plasma levels of 25-OHD was 9.0 +/- 0.9 ng/ml in the mothers and 5.05 +/- 0.4 ng/ml in cords. There was a significant correlation between mother and cord plasma levels (r = 0.75, p less than or equal to 0.001). The concentration gradient of 25-OHD plasma levels between mother and cord is higher at high 25-OHD maternal concentrations. This suggests that the placenta plays a regulating role in the 25-OHD transfer between mother and foetus. The 4-day-old infants from mothers having a suboptimal vitamin D intake (less than 150 IU/day) have a lower mean serum plasma level than infants born from mothers with a vitamin D intake of more than 500 IU/day.

摘要

在12月和1月分娩时,对40名健康母亲及其婴儿的血浆25-羟维生素D(25-OHD)、总钙、磷和蛋白质水平进行了测量。在婴儿出生后第四天再次测量其血浆中的钙、磷和蛋白质。通过访谈估计母亲在怀孕最后3个月的维生素D摄入量。母亲血浆25-OHD的平均(±标准误)水平为9.0±0.9 ng/ml,脐带血中为5.05±0.4 ng/ml。母亲和脐带血血浆水平之间存在显著相关性(r = 0.75,p≤0.001)。在母亲血浆25-OHD浓度较高时,母亲和脐带血之间25-OHD血浆水平的浓度梯度更高。这表明胎盘在母亲和胎儿之间的25-OHD转运中起调节作用。维生素D摄入量不理想(低于150 IU/天)的母亲所生的4日龄婴儿,其平均血清血浆水平低于维生素D摄入量超过500 IU/天的母亲所生的婴儿。

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