Maternal Vitamin D Status and Adverse Birth Outcomes in Children from Rural Western Kenya

Maternal plasma 25-hydroxyvitamin D (25(OH)D) status and its association with pregnancy outcomes in malaria holoendemic regions of sub-Saharan Africa is poorly defined. We examined this association and any potential interaction with malaria and helminth infections in an ongoing pregnancy cohort stud...

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Published in:Nutrients 2016-12, Vol.8 (12), p.794
Main Authors: Toko, Eunice N, Sumba, Odada P, Daud, Ibrahim I, Ogolla, Sidney, Majiwa, Maxwel, Krisher, Jesse T, Ouma, Collins, Dent, Arlene E, Rochford, Rosemary, Mehta, Saurabh
Format: Article
Language:English
Subjects:
25-Hydroxyvitamin D
Adolescent
Adult
Africa
Anthropometry
Birth
Body mass
Body mass index
Causation
Childbirth & labor
Children
Clinical trials
Cord blood
Female
Fetal Blood
Gestational age
Growth Disorders
Health risks
Helminthiasis - complications
Helminthiasis - diagnosis
Humans
Infant, Newborn
Infants
Kenya - epidemiology
Longitudinal Studies
Malaria
Malaria - complications
Malaria - diagnosis
malaria and helminth infections
Male
Maternal Nutritional Physiological Phenomena
maternal vitamin D status
Medical research
Multivariate analysis
Neonates
Plasma
Plasmas (physics)
Pregnancy
Pregnancy Complications, Parasitic
Pregnancy Outcome
pregnancy outcomes
stunting
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D Deficiency
Young Adult
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creator Toko, Eunice N
Sumba, Odada P
Daud, Ibrahim I
Ogolla, Sidney
Majiwa, Maxwel
Krisher, Jesse T
Ouma, Collins
Dent, Arlene E
Rochford, Rosemary
Mehta, Saurabh
description Maternal plasma 25-hydroxyvitamin D (25(OH)D) status and its association with pregnancy outcomes in malaria holoendemic regions of sub-Saharan Africa is poorly defined. We examined this association and any potential interaction with malaria and helminth infections in an ongoing pregnancy cohort study in Kenya. The association of maternal plasma 25(OH)D status with pregnancy outcomes and infant anthropometric measurements at birth was determined in a subset of women ( = 63). Binomial and linear regression analyses were used to examine associations between maternal plasma 25(OH)D and adverse pregnancy outcomes. Fifty-one percent of the women had insufficient (
doi_str_mv 10.3390/nu8120794
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We examined this association and any potential interaction with malaria and helminth infections in an ongoing pregnancy cohort study in Kenya. The association of maternal plasma 25(OH)D status with pregnancy outcomes and infant anthropometric measurements at birth was determined in a subset of women ( = 63). Binomial and linear regression analyses were used to examine associations between maternal plasma 25(OH)D and adverse pregnancy outcomes. Fifty-one percent of the women had insufficient (&lt;75 nmol/L) and 21% had deficient (&lt;50 nmol/L) plasma 25(OH)D concentration at enrollment. At birth, 74.4% of the infants had insufficient and 30% had deficient plasma 25(OH)D concentrations, measured in cord blood. Multivariate analysis controlling for maternal age and body mass index (BMI) at enrollment and gestational age at delivery found that deficient plasma 25(OH)D levels were associated with a four-fold higher risk of stunting in neonates ( = 0.04). 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We examined this association and any potential interaction with malaria and helminth infections in an ongoing pregnancy cohort study in Kenya. The association of maternal plasma 25(OH)D status with pregnancy outcomes and infant anthropometric measurements at birth was determined in a subset of women ( = 63). Binomial and linear regression analyses were used to examine associations between maternal plasma 25(OH)D and adverse pregnancy outcomes. Fifty-one percent of the women had insufficient (&lt;75 nmol/L) and 21% had deficient (&lt;50 nmol/L) plasma 25(OH)D concentration at enrollment. At birth, 74.4% of the infants had insufficient and 30% had deficient plasma 25(OH)D concentrations, measured in cord blood. Multivariate analysis controlling for maternal age and body mass index (BMI) at enrollment and gestational age at delivery found that deficient plasma 25(OH)D levels were associated with a four-fold higher risk of stunting in neonates ( = 0.04). These findings add to the existing literature about vitamin D and its association with linear growth in resource-limited settings, though randomized clinical trials are needed to establish causation.</description><subject>25-Hydroxyvitamin D</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Africa</subject><subject>Anthropometry</subject><subject>Birth</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Causation</subject><subject>Childbirth &amp; labor</subject><subject>Children</subject><subject>Clinical trials</subject><subject>Cord blood</subject><subject>Female</subject><subject>Fetal Blood</subject><subject>Gestational age</subject><subject>Growth Disorders</subject><subject>Health risks</subject><subject>Helminthiasis - complications</subject><subject>Helminthiasis - diagnosis</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Kenya - epidemiology</subject><subject>Longitudinal Studies</subject><subject>Malaria</subject><subject>Malaria - complications</subject><subject>Malaria - diagnosis</subject><subject>malaria and helminth infections</subject><subject>Male</subject><subject>Maternal Nutritional Physiological Phenomena</subject><subject>maternal vitamin D status</subject><subject>Medical research</subject><subject>Multivariate analysis</subject><subject>Neonates</subject><subject>Plasma</subject><subject>Plasmas (physics)</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Parasitic</subject><subject>Pregnancy Outcome</subject><subject>pregnancy outcomes</subject><subject>stunting</subject><subject>Vitamin D</subject><subject>Vitamin D - analogs &amp; 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Sumba, Odada P ; Daud, Ibrahim I ; Ogolla, Sidney ; Majiwa, Maxwel ; Krisher, Jesse T ; Ouma, Collins ; Dent, Arlene E ; Rochford, Rosemary ; Mehta, Saurabh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-d766dd1dc5a5018d3fdad40c07cc0629e5330fb11cbd0d82e87c3d6e35ea0f2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>25-Hydroxyvitamin D</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Africa</topic><topic>Anthropometry</topic><topic>Birth</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Causation</topic><topic>Childbirth &amp; labor</topic><topic>Children</topic><topic>Clinical trials</topic><topic>Cord blood</topic><topic>Female</topic><topic>Fetal Blood</topic><topic>Gestational age</topic><topic>Growth Disorders</topic><topic>Health risks</topic><topic>Helminthiasis - complications</topic><topic>Helminthiasis - diagnosis</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Kenya - epidemiology</topic><topic>Longitudinal Studies</topic><topic>Malaria</topic><topic>Malaria - complications</topic><topic>Malaria - diagnosis</topic><topic>malaria and helminth infections</topic><topic>Male</topic><topic>Maternal Nutritional Physiological Phenomena</topic><topic>maternal vitamin D status</topic><topic>Medical research</topic><topic>Multivariate analysis</topic><topic>Neonates</topic><topic>Plasma</topic><topic>Plasmas (physics)</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Parasitic</topic><topic>Pregnancy Outcome</topic><topic>pregnancy outcomes</topic><topic>stunting</topic><topic>Vitamin D</topic><topic>Vitamin D - analogs &amp; 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subjects 25-Hydroxyvitamin D
Adolescent
Adult
Africa
Anthropometry
Birth
Body mass
Body mass index
Causation
Childbirth & labor
Children
Clinical trials
Cord blood
Female
Fetal Blood
Gestational age
Growth Disorders
Health risks
Helminthiasis - complications
Helminthiasis - diagnosis
Humans
Infant, Newborn
Infants
Kenya - epidemiology
Longitudinal Studies
Malaria
Malaria - complications
Malaria - diagnosis
malaria and helminth infections
Male
Maternal Nutritional Physiological Phenomena
maternal vitamin D status
Medical research
Multivariate analysis
Neonates
Plasma
Plasmas (physics)
Pregnancy
Pregnancy Complications, Parasitic
Pregnancy Outcome
pregnancy outcomes
stunting
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D Deficiency
Young Adult
title Maternal Vitamin D Status and Adverse Birth Outcomes in Children from Rural Western Kenya
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