口服避孕药在哺乳期妇女中增加循环中的25-基维生素D度
Lori L Huff1, Elizabeth V Schulz2, Colby D Richardson3
1Department of Pediatrics, Division of Neonatology, Medical University of South Carolina, Charleston, South Carolina.
American journal of perinatology
|September 19, 2023
概括
口服避孕药 (OCPs) 与哺乳期妇女的母体25-基维生素D[25(OH) D]水平增加有关. 这一发现表明,OCPs可能会在产后哺乳期对维生素D状况产生积极影响.
科学领域:
- 内分泌学 在内分泌学.
- 营养科学 营养科学
- 孕产妇健康 孕产妇健康
背景情况:
- 母亲的维生素D状况对于婴儿的健康至关重要.
- 激素口服避孕药 (OCP) 对母乳养期间维生素D水平的影响尚不清楚.
研究的目的:
- 调查母亲的25-基维生素D [25(OH) D]状态与哺乳期妇女使用OCP之间的关联.
- 为了确定影响产后维生素D度的因素.
主要方法:
- 一个随机对照试验的维生素D补充剂的二次分析,仅限于母乳养的妇女.
- 使用多变量回归模型来评估OCP使用,维生素D摄入量,人口统计数据和产后4个月和7个月的25...OH) D度之间的关系.
主要成果:
- 在分娩后4个月 (p=0.03) OCP使用与较高的血清25(OH) D度显著相关.
- 更高的维生素D补充剂 (6,400 IU/d) 和南度也与增加的25...OH) D水平有关.
- 黑人和西班牙裔种族/种族和BMI>30独立地与较低的25...OH) D水平相关.
结论:
- 在哺乳期,使用OCP与改善母体25~OH) D状态有关.
- 医疗保健提供者可以向哺乳期妇女告知OCP对维生素D水平的潜在积极影响.
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