High Pregnancy, Cord Blood, and Infant Vitamin D Concentrations May Predict Slower Infant Growth

Autor: Elisa Holmlund-Suila, Timo Hytinantti, Otto Helve, Helena Hauta-alus, Heli Viljakainen, Sture Andersson, Saara Valkama, Eero Kajantie, Jenni Rosendahl, Outi Mäkitie, Maria Enlund-Cerullo
Přispěvatelé: Children's Hospital, Clinicum, University of Helsinki, HUS Children and Adolescents, Lastentautien yksikkö, Department of Food and Nutrition
Rok vydání: 2018
Předmět:
Male
Endocrinology
Diabetes and Metabolism

Clinical Biochemistry
Biochemistry
Umbilical cord
Child Development
0302 clinical medicine
Endocrinology
Pregnancy
3123 Gynaecology and paediatrics
Medicine
030212 general & internal medicine
Vitamin D
D INTERVENTION
Finland
25-HYDROXYVITAMIN D CONCENTRATION
Outcome measures
ASSOCIATION
Fetal Blood
Prognosis
medicine.anatomical_structure
Cord blood
Female
Adult
D SUPPLEMENTATION
medicine.medical_specialty
Mothers
030209 endocrinology & metabolism
Context (language use)
D DEFICIENCY
03 medical and health sciences
AGE
Internal medicine
Vitamin D and neurology
Humans
HEALTHY
FETAL
Fetus
business.industry
Body Weight
Biochemistry (medical)
Infant
Newborn

Infant
medicine.disease
PREVENTION
Body Height
Infant length
Pregnancy Trimester
First

FOLLOW-UP
business
Zdroj: The Journal of Clinical Endocrinology & Metabolism. 104:397-407
ISSN: 1945-7197
0021-972X
DOI: 10.1210/jc.2018-00602
Popis: Context The relationship of maternal and infant 25-hydroxyvitamin D concentration [25(OH)D] with infant growth is unclear. Objective Our objective was to explore whether 25(OH)D in pregnancy, umbilical cord blood (UCB), or in infancy was associated with infant growth. Design This study involved 798 healthy infants and their mothers in Finland. We assessed 25(OH)D during pregnancy, from UCB at birth, and from the infant at the age of 12 months. Main Outcome Measures Infant length, weight, length-adjusted weight, and head circumference at 6 and 12 months and midupper-arm circumference at 12 months. Results Of the mothers and infants, 96% and 99% were vitamin D sufficient [25(OH)D ≥50 nmol/L], respectively. Mothers with pregnancy 25(OH)D >125 nmol/L had the shortest, lightest (in weight), and thinnest (in length-adjusted weight) infants at 6 months (P for all < 0.05). For each 10 nmol/L higher UCB 25(OH)D, the infants were 0.03 SD score (SDS) shorter at 6 months (95% CI −0.05 to −0.01), adjusted for birth size, infant 25(OH)D, and parental height. Higher UCB 25(OH)D associated with smaller head circumference at 6 and 12 months (P for all 125 nmol/L had the thinnest infants at 12 months (P = 0.021). For each 10 nmol/L higher infant 25(OH)D, the infants were 0.03 SDS lighter (−0.05 to −0.01) and 0.03 SDS thinner (−0.05 to 0.00) at 12 months. Conclusions Our results suggest that high pregnancy, cord blood, and infant vitamin D concentration may have disadvantageous effects on infant growth.
Databáze: OpenAIRE