Maternal vitamin D status during pregnancy and child outcomes.

Maternal vitamin D status during pregnancy and child outcomes.
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DOI:
10.1038/sj.ejcn.1602680
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发表时间:
2008-01
影响因子:
4.7
通讯作者:
Cooper, C.
Cooper, C.
中科院分区:
医学3区
文献类型:
--
作者:
Gale, C. R.;Robinson, S. M.;Harvey, N. C.;Javaid, M. K.;Jiang, B.;Martyn, C. N.;Godfrey, K. M.;Cooper, C.

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研究孕妇暴露于高浓度的25(OH)-维生素D是否会对儿童造成任何风险。前瞻性研究。英国南安普顿安妮公主妇产医院。共招募了596名孕妇。466名(78%)儿童在出生时接受检查,440名(74%)在9个月大时接受检查,178名(30%)在9岁时接受检查。母亲(OH)-维生素D浓度在怀孕后期进行了测量。在出生、9个月和9岁时记录儿童的人体测量。在9个月时,评估特应性湿疹。9岁时,儿童进行超声心动图和DXA扫描,测量血压、动脉顺应性和颈动脉内膜中层厚度,并评估智力和心理功能。母亲的25(OH)-维生素D浓度与孩子的体型或孩子的智力,心理健康或心血管系统的测量之间没有关联。母亲在怀孕期间25(OH)-维生素D浓度>75 nmol/l的儿童在9个月时检查时患湿疹的风险增加(OR 3.26,95% CI 1.15-9.29,p=0.025)和9岁时的哮喘(OR 5.40,95% CI,1.09-26.65,p=0.038)与母亲浓度<30 nmol/l的儿童相比。妊娠期暴露于母体25(OH)-维生素D浓度超过75 nmol/l似乎不会影响儿童的智力,心理健康或心血管系统;可能会增加特应性疾病的风险,但这需要在其他研究中证实。
To investigate whether exposure to high maternal concentrations of 25(OH)-vitamin D in pregnancy poses any risk to the child. Prospective study. Princess Anne Maternity Hospital, Southampton, UK. 596 pregnant women were recruited. 466 (78%) children were examined at birth, 440 (74%) at age 9 months and 178 (30%) at age 9 years. Maternal (OH)-vitamin D concentrations were measured in late pregnancy. Anthropometry of the child was recorded at birth, 9 months and 9 years. At 9 months, atopic eczema was assessed. At 9 years, children had an echocardiogram and a DXA scan, blood pressure, arterial compliance and carotid intima-media thickness were measured and intelligence and psychological function assessed. There were no associations between maternal 25(OH)-vitamin D concentrations and the child's body size or measures of the child's intelligence, psychological health or cardiovascular system. Children whose mothers' concentration of 25(OH)-vitamin D in pregnancy was >75 nmol/l had an increased risk of eczema on examination at 9 months (OR 3.26, 95% CI 1.15-9.29, p=0.025) and asthma at age 9 years (OR 5.40, 95% CI, 1.09-26.65, p=0.038) compared to children whose mothers' concentration was <30 nmol/l. Exposure to maternal concentrations of 25(OH)-vitamin D in pregnancy in excess of 75 nmol/l does not appear to influence the child's intelligence, psychological health or cardiovascular system; there could be an increased risk of atopic disorders, but this needs confirmation in other studies.
DOI: 10.1016/s0008-6363(02)00444-3
发表时间: 2002-08-01
影响因子: 10.8
作者:
Norman, P;Moss, I;Powell, J
通讯作者: Powell, J
DOI: 10.1196/annals.1337.013
发表时间: 2004-01-01
期刊: IMMUNOLOGY OF DIABETES III
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作者:
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发表时间: 2006-01-07
期刊: LANCET
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发表时间: 2002-07-01
影响因子: 7.1
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DOI: 10.1136/bmj.280.6216.751
发表时间: 1980-01-01
影响因子: 105.7
作者:
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通讯作者: WINDER, SM