The Relationship between Maternal Vitamin D Deficiency and Low Birth Weight Neonates.

Nasrin Khalessi, Majid Kalani, Mehdi Araghi, Zahra Farahani
Author Information
  1. Nasrin Khalessi: Neonatal division, Ali Asghar Hospital, Iran University of Medical Sciences, Tehran, Iran.
  2. Majid Kalani: Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran.
  3. Mehdi Araghi: Neonatal division, Ali Asghar Hospital, Iran University of Medical Sciences, Tehran, Iran.
  4. Zahra Farahani: Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

OBJECTIVE: Maternal hypovitaminosis D may impair fetal growth and cause adverse pregnancy outcomes including intrauterine growth restriction and neonatal low birth weight. The aim of this study is to evaluate the relationship between maternal vitamin D status and neonate's birth weight.
MATERIALS AND METHODS: A cross-sectional, descriptive analytical study was carried out in the nursery ward of 2 hospitals (Tehran-Iran) during one year (January 2011- January 2012). One hundred and two neonates were categorized into two groups, neonates with birth weight< 2500 gr (n=52) and neonates with birth weight>2500 gr (n = 50). Data regarding medical history, physical examination and anthropometric measurements of neonates were noted in a questionnaire. Birth time blood samples of their mothers were analyzed for serum 25-(OH)-vitamin D by ELISA method. Maternal vitamin D status was compared in two groups.
RESULTS: Mean maternal vitamin D (vit D) level was 31.46 nmol/L. Forty eight percent of mothers had vitamin D deficiency, 27.5% had vit D insufficiency and 24.5% were normal. Mean maternal vitamin D level of LBW neonates was lower than other group; 25.05 vs. 38.13 (p = 0.001). All mothers of neonates with head circumference ≤ 33 cm also had vitamin D deficiency (p = 0.007).
CONCLUSION: Maternal vitamin D deficiency may increase the risk of low birth weight neonate and modifying maternal nutrition behavior and their vit D level could be beneficial on pregnancy outcome.

Keywords

References

  1. J Nutr. 2010 May;140(5):999-1006 [PMID: 20200114]
  2. Early Hum Dev. 2009 Apr;85(4):231-4 [PMID: 19008055]
  3. J Womens Health (Larchmt). 2009 Jun;18(6):835-9 [PMID: 19514825]
  4. Paediatr Perinat Epidemiol. 2012 Jul;26 Suppl 1:75-90 [PMID: 22742603]
  5. BMJ. 2013 Mar 26;346:f1169 [PMID: 23533188]
  6. Clin Pediatr (Phila). 2007 Jan;46(1):42-4 [PMID: 17164508]
  7. J Nutr. 2007 Feb;137(2):447-52 [PMID: 17237325]
  8. Public Health Nutr. 2012 Jun;15(6):1093-9 [PMID: 22152637]
  9. Eur J Obstet Gynecol Reprod Biol. 2014 Jan;172:15-9 [PMID: 24210789]
  10. J Am Diet Assoc. 2011 Jan;111(1):111-6 [PMID: 21185972]
  11. Int J Gynaecol Obstet. 2012 Jan;116(1):6-9 [PMID: 21959069]
  12. Placenta. 2010 Dec;31(12):1027-34 [PMID: 20863562]
  13. Br J Nutr. 2010 Jul;104(1):108-17 [PMID: 20193097]
  14. Early Hum Dev. 2011 Dec;87(12):785-9 [PMID: 21705161]
  15. Int J Gynaecol Obstet. 2011 Mar;112(3):229-33 [PMID: 21247568]
  16. Ann Epidemiol. 2012 Aug;22(8):581-6 [PMID: 22658824]
  17. Int J Gynaecol Obstet. 2011 Jan;112(1):59-62 [PMID: 21056415]

Word Cloud

Created with Highcharts 10.0.0DvitaminbirthneonatesMaternalweightmaternaltwo=mothersvitleveldeficiencymaygrowthpregnancylowstudystatusJanuarygroupsgrBirthMean5%p0VitaminDeficiencyLowOBJECTIVE:hypovitaminosisimpairfetalcauseadverseoutcomesincludingintrauterinerestrictionneonatalaimevaluaterelationshipneonate'sMATERIALSANDMETHODS:cross-sectionaldescriptiveanalyticalcarriednurseryward2hospitalsTehran-Iranoneyear2011-2012Onehundredcategorizedweight<2500n=52weight>2500n50Dataregardingmedicalhistoryphysicalexaminationanthropometricmeasurementsnotedquestionnairetimebloodsamplesanalyzedserum25-OH-vitaminELISAmethodcomparedRESULTS:3146nmol/LFortyeightpercent27insufficiency24normalLBWlowergroup2505vs3813001headcircumference33cmalso007CONCLUSION:increaseriskneonatemodifyingnutritionbehaviorbeneficialoutcomeRelationshipWeightNeonatesInfant

Similar Articles

Cited By (31)