Oliveri M B, Mautalen C A, Alonso A, Velázquez H, Trouchot H A, Porto R, Martinez L, Barata A D
Sección Osteopatías Médicas, Hospital de Clínicas, Universidad de Buenos Aires, Argentina.
Medicina (B Aires). 1993;53(4):315-20.
Serum levels of calcium, phosphorus, total alkaline phosphatase (AP) and 25 hydroxyvitamin D (250HD) were measured at the end of the winter in Group 1 (Ushuaia, latitude 55 degrees S): 16 women (24-48 hs postpartum serum blood) and 20 neonates (cord blood) and in Group 2 (Buenos Aires, latitude 34 degrees S) 21 women (24-48 hs postpartum serum blood) and their 21 neonates (cord blood). The neonatal serum calcium and phosphorus were higher and the neonatal serum AP and 250HD level were lower than maternal levels in both groups (Table 1 and 2). Serum levels of 250HD were diminished (< 8 ng/ml) in 62% of the mothers and 81% of the neonates of Ushuaia and in 24% of the mothers and 16% of the neonates of Buenos Aires (figure 1). Neonatal serum 250HD levels correlate with maternal serum 250HD levels in the paired group of Buenos Aires (r = 0.65, p < 0.003) (Figure 2). In Ushuaia the serum 250HD levels (X +/- SD) in neonates (3.9 +/- 2.7 ng/ml) and in mothers (6.3 +/- 4.8 ng/ml) were lower than in Buenos Aires (neonates: 11.3 +/- 6.0 ng/ml and mothers: 14.4 +/- 8.4 ng/ml, p < 0.001). Maternal serum calcium levels were lower in Ushuaia (8.7 +/- 0.8 mg/dl) than in Buenos Aires (9.2 +/- 0.4 mg/dl) (p < 0.05). In conclusion, 1) In Ushuaia pregnant women and their neonates had a deficient nutritional state of vitamin D. Preventive administration of vitamin D would probably be beneficial.(ABSTRACT TRUNCATED AT 250 WORDS)
在冬季结束时,对第1组(乌斯怀亚,南纬55度)的16名女性(产后24 - 48小时血清血样)和20名新生儿(脐血)以及第2组(布宜诺斯艾利斯,南纬34度)的21名女性(产后24 - 48小时血清血样)及其21名新生儿(脐血)测量了血清钙、磷、总碱性磷酸酶(AP)和25羟维生素D(250HD)水平。两组中,新生儿血清钙和磷水平较高,而新生儿血清AP和250HD水平低于母亲水平(表1和表2)。乌斯怀亚62%的母亲和81%的新生儿以及布宜诺斯艾利斯24%的母亲和16%的新生儿血清250HD水平降低(< 8 ng/ml)(图1)。在布宜诺斯艾利斯的配对组中,新生儿血清250HD水平与母亲血清250HD水平相关(r = 0.65,p < 0.003)(图2)。在乌斯怀亚,新生儿(3.9 +/- 2.7 ng/ml)和母亲(6.3 +/- 4.8 ng/ml)的血清250HD水平低于布宜诺斯艾利斯(新生儿:11.3 +/- 6.0 ng/ml,母亲:14.4 +/- 8.4 ng/ml,p < 0.001)。乌斯怀亚母亲的血清钙水平(8.7 +/- 0.8 mg/dl)低于布宜诺斯艾利斯(9.2 +/- 0.4 mg/dl)(p < 0.05)。总之,1)在乌斯怀亚孕妇及其新生儿存在维生素D营养缺乏状态。预防性补充维生素D可能有益。(摘要截选至250字)