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Neonatal vitamin D status at birth at latitude 32 degrees 72': evidence of deficiency
L A Basile1, S N Taylor, C L Wagner
1Division of Neonatology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA.
Insights
Vitamin D deficiency is prevalent at birth in southeastern US neonates. African-American infants show significantly lower vitamin D levels compared to Caucasian infants, with seasonal variations impacting both groups.
Area of Science:
- Neonatal Health
- Nutritional Science
- Public Health
Background:
- Vitamin D deficiency presents a significant public health challenge.
- Assessing vitamin D status at birth is crucial for neonatal health outcomes.
Purpose of the Study:
- To measure vitamin D status at birth in neonates in the southeastern United States.
- To investigate the relationship between vitamin D status, race, and season of birth.
Main Methods:
- Umbilical cord blood samples were collected from 100 neonates.
- Circulating 25-hydroxyvitamin D levels were measured.
- Data were analyzed in relation to infant race and season of birth.
Main Results:
- The mean 25-hydroxyvitamin D level was 13.5 ng/ml.
- African-American infants had significantly lower vitamin D levels (10.5 ng/ml) than Caucasian infants (19.5 ng/ml).
- Seasonal differences in vitamin D levels were observed, with lower levels during November-March for both racial groups, impacting Caucasians more significantly.
Conclusions:
- High prevalence of vitamin D insufficiency was noted in the studied neonate cohort.
- African-American newborns exhibit markedly lower vitamin D status at birth compared to Caucasian newborns.
- Seasonality significantly influences vitamin D status, with a more pronounced effect on Caucasian infants.
Objective:
With vitamin D deficiency as a serious public health problem, vitamin D status at birth was measured in neonates at latitude 32 degrees 72' (southeastern United States).
Study Design:
In umbilical cord blood, vitamin D status, demonstrated by circulating 25-hydroxyvitamin D, was measured and related to race and season of birth.
Result:
The mean+/-standard deviation of 25-hydroxyvitamin D in 100 cord blood samples was 13.5+/-8.3 ng/ml for the cohort. African-American infants, with a mean+/-standard deviation of 10.5+/-6.0 ng/ml, demonstrated significantly lower vitamin D status than Caucasian infants, with a mean+/-standard deviation of 19.5+/-9.6 ng/ml (P<0.0001). By season, the mean 25-hydroxyvitamin D level at birth in November-March compared to April-October was 11.3 ng/ml lower in Caucasian infants (from 29.0 to 17.7 ng/ml) and 3 ng/ml lower in African-American infants (from 13.1 to 10.1 ng/ml).
Conclusion:
The prevalence of vitamin D insufficiency is high in this cohort. African-American infants demonstrate significantly lower vitamin D status at birth than Caucasian infants. Seasonality, while significant in both groups, had a greater impact on the vitamin D status of Caucasian newborns.
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