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Published on: August 7, 2017
Maternal vitamin D intake during pregnancy and early childhood wheezing
Graham Devereux1, Augusto A Litonjua, Stephen W Turner
1Department of Environmental, University of Aberdeen, Aberdeen, United Kingdom.
Insights
Maternal vitamin D intake during pregnancy is linked to reduced wheezing symptoms in children. Higher intake is associated with a lower risk of persistent wheeze and improved bronchodilator response.
Area of Science:
- Obstetrics and Gynecology
- Pediatric Pulmonology
- Nutritional Science
Background:
- Maternal vitamin D intake during pregnancy is an understudied factor in childhood asthma development.
- Asthma is a significant public health concern in early childhood.
Purpose of the Study:
- To investigate the association between maternal vitamin D intake during pregnancy and the risk of wheezing symptoms in young children.
- To explore the relationship between maternal vitamin D levels and respiratory health outcomes in offspring at age 5.
Main Methods:
- A birth cohort study recruited 2000 pregnant women.
- Maternal vitamin D intake was assessed using food-frequency questionnaires at 32 weeks gestation.
- Wheezing symptoms, spirometry, and other respiratory parameters were measured in children at age 5.
Main Results:
- Maternal vitamin D intake was inversely associated with the risk of ever wheezing, wheezing in the past year, and persistent wheezing in children.
- Higher maternal vitamin D intake correlated with a decreased risk of persistent wheeze (OR: 0.33; 95% CI: 0.11, 0.98).
- Lower maternal vitamin D intake was associated with reduced bronchodilator responsiveness (P = 0.04).
Conclusions:
- Increasing maternal vitamin D intake during pregnancy may be a protective factor against wheezing symptoms in early childhood.
- This finding suggests a potential role for vitamin D supplementation or dietary recommendations in prenatal care to reduce childhood respiratory issues.
Background:
Maternal intake of vitamin D in pregnancy is a potentially modifiable but understudied risk factor for the development of asthma in children.
Objective:
We investigated whether maternal vitamin D intake in pregnancy is associated with decreased risks of wheezing symptoms in young children.
Design:
Subjects were from a birth cohort recruited in utero with the primary objective of identifying associations between maternal diet during pregnancy and asthma and allergies in children. A random sample of 2000 healthy pregnant women was recruited while attending antenatal clinics at the Aberdeen Maternity Hospital, Scotland, at approximately 12 wk gestation. Maternal vitamin D intake was ascertained from a food-frequency questionnaire completed at 32 wk of gestation. The main outcome measures were wheezing symptoms, spirometry, bronchodilator response, atopic sensitization, and exhaled nitric oxide at 5 y.
Results:
Respiratory details through 5 y and maternal food-frequency-questionnaire data were available for 1212 children. In models adjusted for potential confounders, including the children's vitamin D intake, a comparison of the highest and lowest quintiles of maternal total vitamin D intake conferred lower risks for ever wheeze [odds ratio (OR): 0.48; 95% CI: 0.25, 0.91], wheeze in the previous year (OR: 0.35; 95% CI: 0.15, 0.83), and persistent wheeze (OR: 0.33; 95% CI: 0.11, 0.98) in 5-y-old children. In addition, lower maternal total vitamin D intakes in pregnancy were also associated with decreased bronchodilator response (P = 0.04). No associations were observed between maternal vitamin D intakes and spirometry or exhaled nitric oxide concentrations.
Conclusion:
Increasing maternal vitamin D intakes during pregnancy may decrease the risk of wheeze symptoms in early childhood.
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