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Published on: January 29, 2018
Maternal vitamin D status determines bone variables in the newborn
H T Viljakainen1, E Saarnio, T Hytinantti
1Department of Applied Chemistry and Microbiology, Division of Nutrition, P.O. Box 66, University of Helsinki, FI-00014 Helsinki, Finland. heli.viljakainen@helsinki.fi
Maternal vitamin D levels impact newborn bone development. Higher maternal vitamin D was linked to increased newborn bone mineral content and size, suggesting a need for revised pregnancy nutrition guidelines.
Area of Science:
- Reproductive biology
- Pediatric endocrinology
- Nutritional science
Background:
- Vitamin D is crucial for lifelong bone health, regulating a significant portion of the human genome.
- Maternal vitamin D status during pregnancy may influence fetal skeletal development.
- This study investigated the relationship between maternal vitamin D levels and neonatal bone characteristics.
Purpose of the Study:
- To determine the association between maternal vitamin D status and specific bone variables in newborns.
- To explore how intrauterine vitamin D exposure affects neonatal skeletal development.
- To inform potential adjustments in nutritional recommendations for pregnant women.
Main Methods:
- A cross-sectional study with longitudinal pregnancy follow-up of 125 pregnant women.
- Serum 25-hydroxyvitamin D (S-25-OHD) levels measured in mothers (first trimester, postpartum) and umbilical cords.
- Neonatal tibia bone variables (BMD, BMC, CSA) assessed using peripheral quantitative computed tomography (pQCT).
Main Results:
- Maternal vitamin D levels during pregnancy were associated with neonatal bone mineral content (BMC) and cross-sectional area (CSA).
- Newborns of mothers with higher vitamin D levels (above median) showed significantly greater tibia BMC and CSA.
- No significant difference in bone mineral density (BMD) was observed between groups.
Conclusions:
- Maternal vitamin D status significantly influences intrauterine bone accrual and skeletal size in newborns.
- Despite meeting some recommendations, a high percentage of mothers and newborns exhibited vitamin D deficiency.
- Current nutritional guidelines for pregnant women may require revision to optimize long-term child health outcomes.
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