The association between maternal fat-soluble vitamin concentrations during pregnancy and infant birth weight in China
Fat-soluble vitamins during pregnancy are important for fetal growth and development. The present study aimed at exploring the association between vitamin A, E and D status during pregnancy and birth weight. A total of 19 640 women with singleton deliveries from a retrospective study were included....
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Veröffentlicht in: | British journal of nutrition 2021-05, Vol.125 (9), p.1058-1066 |
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creator | Yang, Wangxing Jiao, Mingyuan Xi, Lei Han, Na Luo, Shusheng Xu, Xiangrong Zhou, Qianling Wang, Haijun |
description | Fat-soluble vitamins during pregnancy are important for fetal growth and development. The present study aimed at exploring the association between vitamin A, E and D status during pregnancy and birth weight. A total of 19 640 women with singleton deliveries from a retrospective study were included. Data were collected by the hospital electronic information system. Maternal serum vitamin A, E and D concentrations were measured during pregnancy. Logistic regression was performed to estimate the association between the vitamin status and low birth weight (LBW) or macrosomia. Women with excessive vitamin E were more likely to have macrosomia (OR 1·30, 95 % CI 1·07, 1·59) compared with adequate concentration. When focusing on Z scores, there was a positive association between vitamin E and macrosomia in the first (OR 1·07, 95 % CI 1·00, 1·14), second (OR 1·27, 95 % CI 1·11, 1·46) and third (OR 1·28, 95 % CI 1·06, 1·54) trimesters; vitamin A was positively associated with LBW in the first (OR 1·14, 95 % CI 1·01, 1·29), second (OR 1·31, 95 % CI 1·05, 1·63) and third (OR 2·00, 95 % CI 1·45, 2·74) trimesters and negatively associated with macrosomia in the second (OR 0·79, 95 % CI 0·70, 0·89) and third (OR 0·77, 95 % CI 0·62, 0·95) trimesters. The study identified that high concentrations of vitamin E are associated with macrosomia. Maintaining a moderate concentration of vitamin A during pregnancy might be beneficial to achieve optimal birth weight. Further studies to explore the mechanism of above associations are warranted. |
doi_str_mv | 10.1017/S0007114520003347 |
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The present study aimed at exploring the association between vitamin A, E and D status during pregnancy and birth weight. A total of 19 640 women with singleton deliveries from a retrospective study were included. Data were collected by the hospital electronic information system. Maternal serum vitamin A, E and D concentrations were measured during pregnancy. Logistic regression was performed to estimate the association between the vitamin status and low birth weight (LBW) or macrosomia. Women with excessive vitamin E were more likely to have macrosomia (OR 1·30, 95 % CI 1·07, 1·59) compared with adequate concentration. When focusing on Z scores, there was a positive association between vitamin E and macrosomia in the first (OR 1·07, 95 % CI 1·00, 1·14), second (OR 1·27, 95 % CI 1·11, 1·46) and third (OR 1·28, 95 % CI 1·06, 1·54) trimesters; vitamin A was positively associated with LBW in the first (OR 1·14, 95 % CI 1·01, 1·29), second (OR 1·31, 95 % CI 1·05, 1·63) and third (OR 2·00, 95 % CI 1·45, 2·74) trimesters and negatively associated with macrosomia in the second (OR 0·79, 95 % CI 0·70, 0·89) and third (OR 0·77, 95 % CI 0·62, 0·95) trimesters. The study identified that high concentrations of vitamin E are associated with macrosomia. Maintaining a moderate concentration of vitamin A during pregnancy might be beneficial to achieve optimal birth weight. Further studies to explore the mechanism of above associations are warranted.</description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114520003347</identifier><identifier>PMID: 32883402</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Birth weight ; Chromatography ; Dietary Surveys and Nutritional Epidemiology ; Fetuses ; Gestational age ; Low birth weight ; Maternal & child health ; Population ; Pregnancy ; Premature birth ; Quality control ; Regression analysis ; Retinene ; Stillbirth ; Tocopherol ; Variables ; Vitamin A ; Vitamin D ; Vitamin deficiency ; Vitamin E ; Vitamins ; Weight ; Womens health</subject><ispartof>British journal of nutrition, 2021-05, Vol.125 (9), p.1058-1066</ispartof><rights>The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-edec2d44a2b65ca4656f4f8b138a1531c62ff912f5cddd9251a188554e3954313</citedby><cites>FETCH-LOGICAL-c373t-edec2d44a2b65ca4656f4f8b138a1531c62ff912f5cddd9251a188554e3954313</cites><orcidid>0000-0003-2272-5267</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114520003347/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,777,781,27905,27906,55609</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32883402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Wangxing</creatorcontrib><creatorcontrib>Jiao, Mingyuan</creatorcontrib><creatorcontrib>Xi, Lei</creatorcontrib><creatorcontrib>Han, Na</creatorcontrib><creatorcontrib>Luo, Shusheng</creatorcontrib><creatorcontrib>Xu, Xiangrong</creatorcontrib><creatorcontrib>Zhou, Qianling</creatorcontrib><creatorcontrib>Wang, Haijun</creatorcontrib><title>The association between maternal fat-soluble vitamin concentrations during pregnancy and infant birth weight in China</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description>Fat-soluble vitamins during pregnancy are important for fetal growth and development. The present study aimed at exploring the association between vitamin A, E and D status during pregnancy and birth weight. A total of 19 640 women with singleton deliveries from a retrospective study were included. Data were collected by the hospital electronic information system. Maternal serum vitamin A, E and D concentrations were measured during pregnancy. Logistic regression was performed to estimate the association between the vitamin status and low birth weight (LBW) or macrosomia. Women with excessive vitamin E were more likely to have macrosomia (OR 1·30, 95 % CI 1·07, 1·59) compared with adequate concentration. When focusing on Z scores, there was a positive association between vitamin E and macrosomia in the first (OR 1·07, 95 % CI 1·00, 1·14), second (OR 1·27, 95 % CI 1·11, 1·46) and third (OR 1·28, 95 % CI 1·06, 1·54) trimesters; vitamin A was positively associated with LBW in the first (OR 1·14, 95 % CI 1·01, 1·29), second (OR 1·31, 95 % CI 1·05, 1·63) and third (OR 2·00, 95 % CI 1·45, 2·74) trimesters and negatively associated with macrosomia in the second (OR 0·79, 95 % CI 0·70, 0·89) and third (OR 0·77, 95 % CI 0·62, 0·95) trimesters. The study identified that high concentrations of vitamin E are associated with macrosomia. Maintaining a moderate concentration of vitamin A during pregnancy might be beneficial to achieve optimal birth weight. Further studies to explore the mechanism of above associations are warranted.</description><subject>Birth weight</subject><subject>Chromatography</subject><subject>Dietary Surveys and Nutritional Epidemiology</subject><subject>Fetuses</subject><subject>Gestational age</subject><subject>Low birth weight</subject><subject>Maternal & child health</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Premature birth</subject><subject>Quality control</subject><subject>Regression analysis</subject><subject>Retinene</subject><subject>Stillbirth</subject><subject>Tocopherol</subject><subject>Variables</subject><subject>Vitamin A</subject><subject>Vitamin D</subject><subject>Vitamin deficiency</subject><subject>Vitamin E</subject><subject>Vitamins</subject><subject>Weight</subject><subject>Womens health</subject><issn>0007-1145</issn><issn>1475-2662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU2LFDEQhoMo7rj6A7xIwIuX1lQ-unuOMvgFCx5cz011UpnJ0p0ek7TL_nsz7qigeKpU6nnfgnoZew7iNQjo3nwRQnQA2sj6UEp3D9gGdGca2bbyIducxs1pfsGe5HxT2x7E9jG7ULLvlRZyw9brA3HMebEBS1giH6ncEkU-Y6EUceIeS5OXaR0n4t9DwTlEbpdoKZb0U5K5W1OIe35MtI8Y7R3H6HiIHmPhY0jlwG8p7A-l_vHdIUR8yh55nDI9O9dL9vX9u-vdx-bq84dPu7dXjVWdKg05stJpjXJsjUXdmtZr34-gegSjwLbS-y1Ib6xzbisNIPS9MZrU1mgF6pK9uvc9puXbSrkMc8iWpgkjLWsepNaiuvatrujLv9CbZT0doFIG6nmhU6pScE_ZtOScyA_HFGZMdwOI4ZTJ8E8mVfPi7LyOM7nfil8hVECdTXEeU3B7-rP7_7Y_AF0ulnY</recordid><startdate>20210514</startdate><enddate>20210514</enddate><creator>Yang, Wangxing</creator><creator>Jiao, Mingyuan</creator><creator>Xi, Lei</creator><creator>Han, Na</creator><creator>Luo, Shusheng</creator><creator>Xu, Xiangrong</creator><creator>Zhou, Qianling</creator><creator>Wang, Haijun</creator><general>Cambridge University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2272-5267</orcidid></search><sort><creationdate>20210514</creationdate><title>The association between maternal fat-soluble vitamin concentrations during pregnancy and infant birth weight in China</title><author>Yang, Wangxing ; Jiao, Mingyuan ; Xi, Lei ; Han, Na ; Luo, Shusheng ; Xu, Xiangrong ; Zhou, Qianling ; Wang, Haijun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-edec2d44a2b65ca4656f4f8b138a1531c62ff912f5cddd9251a188554e3954313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Birth weight</topic><topic>Chromatography</topic><topic>Dietary Surveys and Nutritional Epidemiology</topic><topic>Fetuses</topic><topic>Gestational age</topic><topic>Low birth weight</topic><topic>Maternal & child health</topic><topic>Population</topic><topic>Pregnancy</topic><topic>Premature birth</topic><topic>Quality control</topic><topic>Regression analysis</topic><topic>Retinene</topic><topic>Stillbirth</topic><topic>Tocopherol</topic><topic>Variables</topic><topic>Vitamin A</topic><topic>Vitamin D</topic><topic>Vitamin deficiency</topic><topic>Vitamin E</topic><topic>Vitamins</topic><topic>Weight</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Wangxing</creatorcontrib><creatorcontrib>Jiao, Mingyuan</creatorcontrib><creatorcontrib>Xi, Lei</creatorcontrib><creatorcontrib>Han, Na</creatorcontrib><creatorcontrib>Luo, Shusheng</creatorcontrib><creatorcontrib>Xu, Xiangrong</creatorcontrib><creatorcontrib>Zhou, Qianling</creatorcontrib><creatorcontrib>Wang, Haijun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Wangxing</au><au>Jiao, Mingyuan</au><au>Xi, Lei</au><au>Han, Na</au><au>Luo, Shusheng</au><au>Xu, Xiangrong</au><au>Zhou, Qianling</au><au>Wang, Haijun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between maternal fat-soluble vitamin concentrations during pregnancy and infant birth weight in China</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2021-05-14</date><risdate>2021</risdate><volume>125</volume><issue>9</issue><spage>1058</spage><epage>1066</epage><pages>1058-1066</pages><issn>0007-1145</issn><eissn>1475-2662</eissn><abstract>Fat-soluble vitamins during pregnancy are important for fetal growth and development. The present study aimed at exploring the association between vitamin A, E and D status during pregnancy and birth weight. A total of 19 640 women with singleton deliveries from a retrospective study were included. Data were collected by the hospital electronic information system. Maternal serum vitamin A, E and D concentrations were measured during pregnancy. Logistic regression was performed to estimate the association between the vitamin status and low birth weight (LBW) or macrosomia. Women with excessive vitamin E were more likely to have macrosomia (OR 1·30, 95 % CI 1·07, 1·59) compared with adequate concentration. When focusing on Z scores, there was a positive association between vitamin E and macrosomia in the first (OR 1·07, 95 % CI 1·00, 1·14), second (OR 1·27, 95 % CI 1·11, 1·46) and third (OR 1·28, 95 % CI 1·06, 1·54) trimesters; vitamin A was positively associated with LBW in the first (OR 1·14, 95 % CI 1·01, 1·29), second (OR 1·31, 95 % CI 1·05, 1·63) and third (OR 2·00, 95 % CI 1·45, 2·74) trimesters and negatively associated with macrosomia in the second (OR 0·79, 95 % CI 0·70, 0·89) and third (OR 0·77, 95 % CI 0·62, 0·95) trimesters. The study identified that high concentrations of vitamin E are associated with macrosomia. Maintaining a moderate concentration of vitamin A during pregnancy might be beneficial to achieve optimal birth weight. Further studies to explore the mechanism of above associations are warranted.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>32883402</pmid><doi>10.1017/S0007114520003347</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2272-5267</orcidid></addata></record> |
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subjects | Birth weight Chromatography Dietary Surveys and Nutritional Epidemiology Fetuses Gestational age Low birth weight Maternal & child health Population Pregnancy Premature birth Quality control Regression analysis Retinene Stillbirth Tocopherol Variables Vitamin A Vitamin D Vitamin deficiency Vitamin E Vitamins Weight Womens health |
title | The association between maternal fat-soluble vitamin concentrations during pregnancy and infant birth weight in China |
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