Maternal vitamin D status during pregnancy: the Mediterranean reality

Autor: Vikentia Harizopoulou, Panagiotis Anagnostis, Dimitrios G. Goulis, F Papadopoulou, Spyridon N. Karras, Declan P. Naughton, Andrea Petróczi, Basil C. Tarlatzis, Cédric Annweiler, Eleni Bili, A Persinaki
Rok vydání: 2014
Předmět:
Zdroj: European Journal of Clinical Nutrition. 68:864-869
ISSN: 1476-5640
0954-3007
DOI: 10.1038/ejcn.2014.80
Popis: Vitamin D status during pregnancy is linked to bone mineralization of developing fetus, which justifies targeting sufficient levels of vitamin D in pregnant women. Despite high level of sunshine in the Mediterranean regions, maternal hypovitaminosis D remain common in these countries. The aim of this narrative review was to provide potential explanations for this phenomenon in an effort to guide future public health policies and vitamin D intakes during pregnancy. We searched Medline for publications regarding hypovitaminosis D during pregnancy in the Mediterranean region. Available studies confirmed the high prevalence of hypovitaminosis D among pregnant women in the Mediterranean regions (50-65% in most studies), resulting in severe skeletal and nonskeletal health events among the offspring. Reasons for this may rely on maternal darker skin pigmentation, poor dietary vitamin D intake, veiled clothing and reduced sunshine exposure, health policies and increased prevalence of obesity. Public health organizations should be aware of this phenomenon and develop specific policies to prevent hypovitaminosis D and its adverse outcomes in maternal and neonatal health.
Databáze: OpenAIRE