A systematic review and meta-analysis of prevalence of vitamin D deficiency among Indonesian pregnant women: a public health emergency

There are few in-depth investigations or meta-analyses determining the prevalence of vitamin D insufficiency in expectant Indonesian mothers. This systematic review and meta-analysis aims to determine this prevalence. We searched information using the following databases: MEDLINE, PubMed, Google Sch...

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Veröffentlicht in:AJOG global reports 2023-05, Vol.3 (2), p.100189-100189, Article 100189
Hauptverfasser: Octavius, Gilbert Sterling, Daleni, Vamela Adman, Angeline, Glenda, Virliani, Cindy
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Daleni, Vamela Adman
Angeline, Glenda
Virliani, Cindy
description There are few in-depth investigations or meta-analyses determining the prevalence of vitamin D insufficiency in expectant Indonesian mothers. This systematic review and meta-analysis aims to determine this prevalence. We searched information using the following databases: MEDLINE, PubMed, Google Scholar, Cochrane Library, ScienceDirect, Neliti, Indonesia Onesearch, Indonesian Scientific Journal Database, bioRxiv, and medRxiv. The inclusion criteria included cross-sectional studies or observational studies published in any language, studying Indonesian pregnant women whose vitamin D levels were measured. Vitamin D deficiency in this review was defined as serum 25-hydroxyvitamin D 
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This systematic review and meta-analysis aims to determine this prevalence. We searched information using the following databases: MEDLINE, PubMed, Google Scholar, Cochrane Library, ScienceDirect, Neliti, Indonesia Onesearch, Indonesian Scientific Journal Database, bioRxiv, and medRxiv. The inclusion criteria included cross-sectional studies or observational studies published in any language, studying Indonesian pregnant women whose vitamin D levels were measured. Vitamin D deficiency in this review was defined as serum 25-hydroxyvitamin D &lt;50 nmol/L, whereas vitamin D insufficiency was defined as serum 25-hydroxyvitamin D between 50 and 75 nmol/L. The analysis was done using Stata software with the Metaprop command. The meta-analysis included 6 studies involving 830 pregnant women aged 27.6–30.6 years. Prevalence of vitamin D deficiency among Indonesian pregnant women was 63% (95% confidence interval, 40–86; I2, 98.9%; P&lt;.0001). The prevalence rates of vitamin D insufficiency and hypovitaminosis D were 25% (95% confidence interval, 16–34; I2, 83.37%; P&lt;.01) and 78% (95% confidence interval, 60–96; I2, 96.81%; P&lt;.01), respectively. The mean serum vitamin D level was 40.59 nmol/L (95% confidence interval, 26.04–55.13; I2, 99.57%; P&lt;.01). Pregnant women in Indonesia are at risk for vitamin D deficiency, which constitutes a public health issue. Possible unwanted consequences, including preeclampsia and small-for-gestational-age newborns, are more likely to occur when vitamin D deficiency in pregnant women is left untreated. 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This systematic review and meta-analysis aims to determine this prevalence. We searched information using the following databases: MEDLINE, PubMed, Google Scholar, Cochrane Library, ScienceDirect, Neliti, Indonesia Onesearch, Indonesian Scientific Journal Database, bioRxiv, and medRxiv. The inclusion criteria included cross-sectional studies or observational studies published in any language, studying Indonesian pregnant women whose vitamin D levels were measured. Vitamin D deficiency in this review was defined as serum 25-hydroxyvitamin D &lt;50 nmol/L, whereas vitamin D insufficiency was defined as serum 25-hydroxyvitamin D between 50 and 75 nmol/L. The analysis was done using Stata software with the Metaprop command. The meta-analysis included 6 studies involving 830 pregnant women aged 27.6–30.6 years. Prevalence of vitamin D deficiency among Indonesian pregnant women was 63% (95% confidence interval, 40–86; I2, 98.9%; P&lt;.0001). The prevalence rates of vitamin D insufficiency and hypovitaminosis D were 25% (95% confidence interval, 16–34; I2, 83.37%; P&lt;.01) and 78% (95% confidence interval, 60–96; I2, 96.81%; P&lt;.01), respectively. The mean serum vitamin D level was 40.59 nmol/L (95% confidence interval, 26.04–55.13; I2, 99.57%; P&lt;.01). Pregnant women in Indonesia are at risk for vitamin D deficiency, which constitutes a public health issue. Possible unwanted consequences, including preeclampsia and small-for-gestational-age newborns, are more likely to occur when vitamin D deficiency in pregnant women is left untreated. 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subjects hypovitaminosis D
Indonesia
prevalence
public health emergency
Systematic Review
vitamin D deficiency
title A systematic review and meta-analysis of prevalence of vitamin D deficiency among Indonesian pregnant women: a public health emergency
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