Vitamin D supplementation during pregnancy: Effect on neonatal calcium homeostasis

We assessed whether modification of vitamin D nutritional status during the last trimester of pregnancy affects maternal and neonatal calcium homeostasis. At the end of the first trimester, 40 pregnant women were randomly assigned to either of two groups, and blood taken to assess the basal values o...

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Veröffentlicht in:The Journal of pediatrics 1986-08, Vol.109 (2), p.328-334
Hauptverfasser: Delvin, E.E., Salle, B.L., Glorieux, F.H., Adeleine, P., David, L.S.
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container_end_page 334
container_issue 2
container_start_page 328
container_title The Journal of pediatrics
container_volume 109
creator Delvin, E.E.
Salle, B.L.
Glorieux, F.H.
Adeleine, P.
David, L.S.
description We assessed whether modification of vitamin D nutritional status during the last trimester of pregnancy affects maternal and neonatal calcium homeostasis. At the end of the first trimester, 40 pregnant women were randomly assigned to either of two groups, and blood taken to assess the basal values of Ca, Pi, Mg, iPTH, 25-OHD, and 1,25(OH) 2D. From the sixth month on, group 1 (+D) received 1000 IU vitamin D 3 daily; group 2 (−D) served as control. At the time of delivery, maternal serum 25-OHD was higher in the +D group (P
doi_str_mv 10.1016/S0022-3476(86)80396-1
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At the end of the first trimester, 40 pregnant women were randomly assigned to either of two groups, and blood taken to assess the basal values of Ca, Pi, Mg, iPTH, 25-OHD, and 1,25(OH) 2D. From the sixth month on, group 1 (+D) received 1000 IU vitamin D 3 daily; group 2 (−D) served as control. At the time of delivery, maternal serum 25-OHD was higher in the +D group (P<0.0005). Ca, Pi, iPTH, and 1,25(OH) 2D were not affected. At term, venous cord 25-OHD levels were also higher in the +D group (P<0.0005), and 1,25(OH) 2D levels slightly lower (P<0.05), but neither Ca, Pi, nor iPTH differed between the two groups. Serum Ca T dropped significantly (P<0.002) at 4 days of age in the infants from both groups, although to a lesser extent in these from the +D group (P<0.05). Circulating iPTH increased in both groups. Serum 25-OHD remained low in the −D group, and dropped slightly in the +D group; 1,25(OH) 2D remained stable during the first 4 days of life in the −D group, and increased in the +D group (P<0.001). Our data demonstrate the importance of providing adequate maternal vitamin D stores to ensure better perinatal handling of calcium. This is of particular importance for populations at risk for hypovitaminosis D.]]></description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(86)80396-1</identifier><identifier>PMID: 3488384</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>25-Hydroxyvitamin D 2 ; ASREGIME ALIMENTAIRE ; Biological and medical sciences ; CALCIO ; CALCIUM ; Calcium - blood ; Ergocalciferols - analogs &amp; derivatives ; Ergocalciferols - blood ; Female ; Fetal Blood - analysis ; Genital system. 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At the end of the first trimester, 40 pregnant women were randomly assigned to either of two groups, and blood taken to assess the basal values of Ca, Pi, Mg, iPTH, 25-OHD, and 1,25(OH) 2D. From the sixth month on, group 1 (+D) received 1000 IU vitamin D 3 daily; group 2 (−D) served as control. At the time of delivery, maternal serum 25-OHD was higher in the +D group (P<0.0005). Ca, Pi, iPTH, and 1,25(OH) 2D were not affected. At term, venous cord 25-OHD levels were also higher in the +D group (P<0.0005), and 1,25(OH) 2D levels slightly lower (P<0.05), but neither Ca, Pi, nor iPTH differed between the two groups. Serum Ca T dropped significantly (P<0.002) at 4 days of age in the infants from both groups, although to a lesser extent in these from the +D group (P<0.05). Circulating iPTH increased in both groups. Serum 25-OHD remained low in the −D group, and dropped slightly in the +D group; 1,25(OH) 2D remained stable during the first 4 days of life in the −D group, and increased in the +D group (P<0.001). Our data demonstrate the importance of providing adequate maternal vitamin D stores to ensure better perinatal handling of calcium. This is of particular importance for populations at risk for hypovitaminosis D.]]></description><subject>25-Hydroxyvitamin D 2</subject><subject>ASREGIME ALIMENTAIRE</subject><subject>Biological and medical sciences</subject><subject>CALCIO</subject><subject>CALCIUM</subject><subject>Calcium - blood</subject><subject>Ergocalciferols - analogs &amp; derivatives</subject><subject>Ergocalciferols - blood</subject><subject>Female</subject><subject>Fetal Blood - analysis</subject><subject>Genital system. Reproduction</subject><subject>GESTACION</subject><subject>GESTATION</subject><subject>Homeostasis</subject><subject>Humans</subject><subject>INFA</subject><subject>Infant, Newborn</subject><subject>Magnesium - blood</subject><subject>Medical sciences</subject><subject>NOUVEA</subject><subject>Parathyroid Hormone - blood</subject><subject>Pharmacology. Drug treatments</subject><subject>Phosphates - blood</subject><subject>Pregnancy</subject><subject>r)DIETA</subject><subject>Random Allocation</subject><subject>Vitamin D - therapeutic use</subject><subject>VITAMINA D</subject><subject>VITAMINE D</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF2L1DAUhoMo6zj6D1zohch6UT1p0pPEG5F1_YAFwXW9DWmajJE27Sbtwv57M84wt0LgXLzPeXN4CDmn8JYCxXc3AE1TMy7wQuIbCUxhTR-RDQUlapSMPSabE_KUPMv5DwAoDnBGzhiXkkm-IT9-hcWMIVafqrzO8-BGFxezhClW_ZpC3FVzcrtoon14X1157-xSlSy6KZrFDJU1gw3rWP2eRjflxeSQn5Mn3gzZvTjOLbn9fPXz8mt9_f3Lt8uP17XlTC01Zx1ShVgqBQI2FKznvQIvABGlbDxVLdoWhEBhKOsa60TLAT0VTddZtiWvD71zmu5Wlxc9hmzdMJhy3Zq1QIUN56yA7QG0aco5Oa_nFEaTHjQFvXep_7nUe1Falrd3qWnZOz9-sHaj609bR3klf3XMTS4efCqWQj5hEiQVoAr28oB5M2mzSwW5vZGipS2DUrQlHw6xK67ug0s62-CidX1Ixbbup_CfO_8CgNiYTg</recordid><startdate>19860801</startdate><enddate>19860801</enddate><creator>Delvin, E.E.</creator><creator>Salle, B.L.</creator><creator>Glorieux, F.H.</creator><creator>Adeleine, P.</creator><creator>David, L.S.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19860801</creationdate><title>Vitamin D supplementation during pregnancy: Effect on neonatal calcium homeostasis</title><author>Delvin, E.E. ; Salle, B.L. ; Glorieux, F.H. ; Adeleine, P. ; David, L.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-43b61966fec7606210cf4d90f70666882f1956c507767a13b2ce75406f172bbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>25-Hydroxyvitamin D 2</topic><topic>ASREGIME ALIMENTAIRE</topic><topic>Biological and medical sciences</topic><topic>CALCIO</topic><topic>CALCIUM</topic><topic>Calcium - blood</topic><topic>Ergocalciferols - analogs &amp; derivatives</topic><topic>Ergocalciferols - blood</topic><topic>Female</topic><topic>Fetal Blood - analysis</topic><topic>Genital system. Reproduction</topic><topic>GESTACION</topic><topic>GESTATION</topic><topic>Homeostasis</topic><topic>Humans</topic><topic>INFA</topic><topic>Infant, Newborn</topic><topic>Magnesium - blood</topic><topic>Medical sciences</topic><topic>NOUVEA</topic><topic>Parathyroid Hormone - blood</topic><topic>Pharmacology. Drug treatments</topic><topic>Phosphates - blood</topic><topic>Pregnancy</topic><topic>r)DIETA</topic><topic>Random Allocation</topic><topic>Vitamin D - therapeutic use</topic><topic>VITAMINA D</topic><topic>VITAMINE D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delvin, E.E.</creatorcontrib><creatorcontrib>Salle, B.L.</creatorcontrib><creatorcontrib>Glorieux, F.H.</creatorcontrib><creatorcontrib>Adeleine, P.</creatorcontrib><creatorcontrib>David, L.S.</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delvin, E.E.</au><au>Salle, B.L.</au><au>Glorieux, F.H.</au><au>Adeleine, P.</au><au>David, L.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vitamin D supplementation during pregnancy: Effect on neonatal calcium homeostasis</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1986-08-01</date><risdate>1986</risdate><volume>109</volume><issue>2</issue><spage>328</spage><epage>334</epage><pages>328-334</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract><![CDATA[We assessed whether modification of vitamin D nutritional status during the last trimester of pregnancy affects maternal and neonatal calcium homeostasis. At the end of the first trimester, 40 pregnant women were randomly assigned to either of two groups, and blood taken to assess the basal values of Ca, Pi, Mg, iPTH, 25-OHD, and 1,25(OH) 2D. From the sixth month on, group 1 (+D) received 1000 IU vitamin D 3 daily; group 2 (−D) served as control. At the time of delivery, maternal serum 25-OHD was higher in the +D group (P<0.0005). Ca, Pi, iPTH, and 1,25(OH) 2D were not affected. At term, venous cord 25-OHD levels were also higher in the +D group (P<0.0005), and 1,25(OH) 2D levels slightly lower (P<0.05), but neither Ca, Pi, nor iPTH differed between the two groups. Serum Ca T dropped significantly (P<0.002) at 4 days of age in the infants from both groups, although to a lesser extent in these from the +D group (P<0.05). Circulating iPTH increased in both groups. Serum 25-OHD remained low in the −D group, and dropped slightly in the +D group; 1,25(OH) 2D remained stable during the first 4 days of life in the −D group, and increased in the +D group (P<0.001). Our data demonstrate the importance of providing adequate maternal vitamin D stores to ensure better perinatal handling of calcium. This is of particular importance for populations at risk for hypovitaminosis D.]]></abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>3488384</pmid><doi>10.1016/S0022-3476(86)80396-1</doi><tpages>7</tpages></addata></record>
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subjects 25-Hydroxyvitamin D 2
ASREGIME ALIMENTAIRE
Biological and medical sciences
CALCIO
CALCIUM
Calcium - blood
Ergocalciferols - analogs & derivatives
Ergocalciferols - blood
Female
Fetal Blood - analysis
Genital system. Reproduction
GESTACION
GESTATION
Homeostasis
Humans
INFA
Infant, Newborn
Magnesium - blood
Medical sciences
NOUVEA
Parathyroid Hormone - blood
Pharmacology. Drug treatments
Phosphates - blood
Pregnancy
r)DIETA
Random Allocation
Vitamin D - therapeutic use
VITAMINA D
VITAMINE D
title Vitamin D supplementation during pregnancy: Effect on neonatal calcium homeostasis
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