Widespread 25-Hydroxyvitamin D Deficiency in Affluent and Nonaffluent Pregnant Indian Women

Objectives. This cross-sectional study primarily aimed to assess vitamin D adequacy in the third trimester of pregnancy using 25-hydroxyvitamin D (25(OH)D) and explore lifestyle characteristics (sun exposure index, diet, and economic indicators) associated with serum 25(OH)D. The secondary aim was t...

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Published in:BioMed research international 2014-01, Vol.2014 (2014), p.1-8
Main Authors: Jani, Rati, Palekar, Suhaila, Munipally, Tanya, Ghugre, Padmini, Udipi, Shobha
Format: Article
Language:English
Subjects:
Adult
Age
Biomedical research
Birth Weight
Calcium - blood
Cross-Sectional Studies
Diabetes
Diagnosis
Economic indicators
Female
Food
Gestational Age
Health aspects
Humans
Indians
Infant
Medical records
Nursing homes
Nutrition research
Older people
Preeclampsia
Pregnancy
Pregnancy Trimester, Third
Pregnant women
Public health administration
Skin
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D deficiency
Vitamin D Deficiency - blood
Vitamin D Deficiency - pathology
Vitamin deficiency
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container_issue 2014
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creator Jani, Rati
Palekar, Suhaila
Munipally, Tanya
Ghugre, Padmini
Udipi, Shobha
description Objectives. This cross-sectional study primarily aimed to assess vitamin D adequacy in the third trimester of pregnancy using 25-hydroxyvitamin D (25(OH)D) and explore lifestyle characteristics (sun exposure index, diet, and economic indicators) associated with serum 25(OH)D. The secondary aim was to examine the relationship of serum 25(OH)D with birth weight and gestational age. Methods. Serum 25(OH)D was measured by chemiluminescent immunoassay in 150 pregnant women from Mumbai. Sun exposure index was computed. Dietary calcium, phytate : calcium ratio, and dietary phosphorus was calculated using the 24-hour diet recall method. Results. All women had 25(OH)D levels < 30.00 ng/ml. Multivariable linear regression showed that nonaffluent women had poorer 25(OH)D status than their affluent counterparts (β=-0.20; P=0.03). Higher sun exposure index was associated with higher 25(OH)D concentrations (β=0.31; P
doi_str_mv 10.1155/2014/892162
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This cross-sectional study primarily aimed to assess vitamin D adequacy in the third trimester of pregnancy using 25-hydroxyvitamin D (25(OH)D) and explore lifestyle characteristics (sun exposure index, diet, and economic indicators) associated with serum 25(OH)D. The secondary aim was to examine the relationship of serum 25(OH)D with birth weight and gestational age. Methods. Serum 25(OH)D was measured by chemiluminescent immunoassay in 150 pregnant women from Mumbai. Sun exposure index was computed. Dietary calcium, phytate : calcium ratio, and dietary phosphorus was calculated using the 24-hour diet recall method. Results. All women had 25(OH)D levels &lt; 30.00 ng/ml. Multivariable linear regression showed that nonaffluent women had poorer 25(OH)D status than their affluent counterparts (β=-0.20; P=0.03). Higher sun exposure index was associated with higher 25(OH)D concentrations (β=0.31; P&lt;0.001), which remained significant after controlling for covariates. At the bivariate level, mothers of infants weighing &lt;2500 g had lower serum 25(OH)D concentrations compared to mothers whose infants weighed ≥2500 g (P=0.02). This association became non-significant after controlling for covariates. Conclusions. Vitamin D deficiency was universally prevalent in the cohort studied. There is a need to develop culturally sensitive strategies for improving the 25(OH)D status.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2014/892162</identifier><identifier>PMID: 25045711</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Puplishing Corporation</publisher><subject>Adult ; Age ; Biomedical research ; Birth Weight ; Calcium - blood ; Cross-Sectional Studies ; Diabetes ; Diagnosis ; Economic indicators ; Female ; Food ; Gestational Age ; Health aspects ; Humans ; Indians ; Infant ; Medical records ; Nursing homes ; Nutrition research ; Older people ; Preeclampsia ; Pregnancy ; Pregnancy Trimester, Third ; Pregnant women ; Public health administration ; Skin ; Vitamin D ; Vitamin D - analogs &amp; derivatives ; Vitamin D - blood ; Vitamin D deficiency ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - pathology ; Vitamin deficiency</subject><ispartof>BioMed research international, 2014-01, Vol.2014 (2014), p.1-8</ispartof><rights>Copyright © 2014 Rati Jani et al.</rights><rights>COPYRIGHT 2014 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2014 Rati Jani et al. Rati Jani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Rati Jani et al. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-a37448698d818254bb0195771a6966fdfc929ec4572c2a393997199a3a5c98f43</citedby><cites>FETCH-LOGICAL-c527t-a37448698d818254bb0195771a6966fdfc929ec4572c2a393997199a3a5c98f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1552853617/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1552853617?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,25753,27924,27925,37012,37013,44590,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25045711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Straube, Sebastian</contributor><creatorcontrib>Jani, Rati</creatorcontrib><creatorcontrib>Palekar, Suhaila</creatorcontrib><creatorcontrib>Munipally, Tanya</creatorcontrib><creatorcontrib>Ghugre, Padmini</creatorcontrib><creatorcontrib>Udipi, Shobha</creatorcontrib><title>Widespread 25-Hydroxyvitamin D Deficiency in Affluent and Nonaffluent Pregnant Indian Women</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objectives. This cross-sectional study primarily aimed to assess vitamin D adequacy in the third trimester of pregnancy using 25-hydroxyvitamin D (25(OH)D) and explore lifestyle characteristics (sun exposure index, diet, and economic indicators) associated with serum 25(OH)D. The secondary aim was to examine the relationship of serum 25(OH)D with birth weight and gestational age. Methods. Serum 25(OH)D was measured by chemiluminescent immunoassay in 150 pregnant women from Mumbai. Sun exposure index was computed. Dietary calcium, phytate : calcium ratio, and dietary phosphorus was calculated using the 24-hour diet recall method. Results. All women had 25(OH)D levels &lt; 30.00 ng/ml. Multivariable linear regression showed that nonaffluent women had poorer 25(OH)D status than their affluent counterparts (β=-0.20; P=0.03). Higher sun exposure index was associated with higher 25(OH)D concentrations (β=0.31; P&lt;0.001), which remained significant after controlling for covariates. At the bivariate level, mothers of infants weighing &lt;2500 g had lower serum 25(OH)D concentrations compared to mothers whose infants weighed ≥2500 g (P=0.02). This association became non-significant after controlling for covariates. Conclusions. Vitamin D deficiency was universally prevalent in the cohort studied. 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This cross-sectional study primarily aimed to assess vitamin D adequacy in the third trimester of pregnancy using 25-hydroxyvitamin D (25(OH)D) and explore lifestyle characteristics (sun exposure index, diet, and economic indicators) associated with serum 25(OH)D. The secondary aim was to examine the relationship of serum 25(OH)D with birth weight and gestational age. Methods. Serum 25(OH)D was measured by chemiluminescent immunoassay in 150 pregnant women from Mumbai. Sun exposure index was computed. Dietary calcium, phytate : calcium ratio, and dietary phosphorus was calculated using the 24-hour diet recall method. Results. All women had 25(OH)D levels &lt; 30.00 ng/ml. Multivariable linear regression showed that nonaffluent women had poorer 25(OH)D status than their affluent counterparts (β=-0.20; P=0.03). Higher sun exposure index was associated with higher 25(OH)D concentrations (β=0.31; P&lt;0.001), which remained significant after controlling for covariates. 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source Wiley Online Library Open Access; Publicly Available Content Database
subjects Adult
Age
Biomedical research
Birth Weight
Calcium - blood
Cross-Sectional Studies
Diabetes
Diagnosis
Economic indicators
Female
Food
Gestational Age
Health aspects
Humans
Indians
Infant
Medical records
Nursing homes
Nutrition research
Older people
Preeclampsia
Pregnancy
Pregnancy Trimester, Third
Pregnant women
Public health administration
Skin
Vitamin D
Vitamin D - analogs & derivatives
Vitamin D - blood
Vitamin D deficiency
Vitamin D Deficiency - blood
Vitamin D Deficiency - pathology
Vitamin deficiency
title Widespread 25-Hydroxyvitamin D Deficiency in Affluent and Nonaffluent Pregnant Indian Women
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