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Updated: Dec 2, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
An observational study on Ca supplementation and dietary intake during pregnancy on low birth weight and small for
Wei Dai1, Xiaohui Deng2, Lanlan Li1
1Department of Pharmacy, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu Province, China.
Insights
Calcium supplementation and adequate dietary calcium intake during pregnancy significantly reduce the risk of low birth weight (LBW) infants, particularly for first-time mothers. These findings highlight the importance of calcium for healthy fetal development.
Area of Science:
- Obstetrics and Gynecology
- Maternal and Child Health
- Nutritional Science
Background:
- Low birth weight (LBW) and small for gestational age (SGA) are critical indicators of infant health.
- Maternal nutrition, particularly calcium (Ca) intake, plays a vital role in fetal growth and development.
- Understanding the impact of Ca supplementation and dietary intake during pregnancy is crucial for improving birth outcomes.
Purpose of the Study:
- To investigate the association between dietary calcium intake and calcium supplementation during pregnancy and the incidence of LBW and SGA infants.
- To evaluate the specific effects of calcium supplementation timing (pre-conception and during pregnancy) on birth outcomes.
- To determine the relationship between varying levels of dietary calcium intake and the risk of LBW and SGA.
Main Methods:
- A prospective birth cohort study was conducted involving 9595 pregnant women in Lanzhou, China (2010-2012).
- Data were collected on maternal demographics, dietary calcium intake, and calcium supplementation use.
- Statistical analyses, including odds ratios (OR) and 95% confidence intervals (CI), were used to assess the associations.
Main Results:
- Calcium supplementation was associated with a reduced risk of LBW infants (OR = 0.77) and LBW infants born to nulliparous women (OR = 0.75).
- Supplementation before conception and during pregnancy showed a stronger association with reduced LBW risk in nulliparous women (OR = 0.44).
- Higher dietary calcium intake during pregnancy was linked to decreased risks of both LBW (ORs ranging from 0.68 to 0.72) and SGA infants (ORs ranging from 0.71 to 0.77).
Conclusions:
- Calcium supplementation during pregnancy is associated with a lower risk of low birth weight infants, especially in nulliparous women.
- Adequate dietary calcium intake during pregnancy also contributes to reducing the risk of LBW and SGA infants.
- These findings underscore the importance of ensuring sufficient calcium levels through diet and supplementation for improved pregnancy outcomes.
Objective:
To evaluate the effects of dietary Ca intake and Ca supplementation during pregnancy on low birth weight (LBW) and small for gestational age (SGA) infants.
Design:
A birth cohort study was conducted in 2010-2012 at the Gansu Provincial Maternity and Child Care Hospital in Lanzhou, China.
Setting:
A birth cohort study.
Participants:
Totally, 9595 pregnant women who came to the hospital for delivery at 20 weeks of gestation or more, and who were 18 years of age or older.
Results:
Compared with non-users, Ca supplement users had a reduced risk of LBW infants (OR = 0·77, 95 % CI: 0·63, 0·95) and a reduced risk of nulliparous women giving birth to LBW infants (OR = 0·75, 95 % CI: 0·58, 0·98) (P < 0·05). More specifically, both the use of Ca supplement before conception and during pregnancy (OR = 0·44, 95 % CI: 0·19, 0·99) and during pregnancy only (OR = 0·80, 95 % CI: 0·65, 0·99) had the main effect of reducing risk of nulliparous women giving birth to LBW infants (P < 0·05). There was no association between Ca supplementation and SGA (OR = 0·87, 95 % CI: 0·75, 1·01) (P > 0·05). However, higher dietary Ca intake during pregnancy decreases the risk of both LBW (quartile 2: OR = 0·72, 95 % CI: 0·55, 0·94; quartile 3: OR = 0·68, 95 % CI: 0·50, 0·62) and SGA infants (quartile 2: OR = 0·77, 95 % CI: 0·63, 0·95; quartile 3: OR = 0·71, 95 % CI: 0·57, 0·88, quartile 4: OR = 0·71, 95 % CI: 0·57, 0·88) (P < 0·05).
Conclusions:
Ca supplementation and adequate dietary intake of Ca during pregnancy are associated with a decreased risk of LBW infants born to nulliparous women.
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