Vitamin D Levels in Early and Middle Pregnancy and Preeclampsia, a Systematic Review and Meta-Analysis.

Vitamin D Levels in Early and Middle Pregnancy and Preeclampsia, a Systematic Review and Meta-Analysis.
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DOI:
10.3390/nu14050999
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发表时间:
2022-02-27
期刊:
影响因子:
5.9
通讯作者:
Hunt S
Hunt S
中科院分区:
医学2区
文献类型:
--
作者:
Hu KL;Zhang CX;Chen P;Zhang D;Hunt S

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维生素 D (VitD) 对胎盘形成、免疫系统和血管生成具有有益作用,因此,VitD 状态可能与先兆子痫的风险有关。一项荟萃分析旨在调查妊娠早期和中期的 VitD 状态与先兆子痫风险之间的关联。共有 22 项研究纳入分析,涉及 25,530 名参与者。与 VitD 水平充足的女性相比,VitD 不足或缺乏的女性的先兆子痫发生率更高(OR 1.58,95% CI 1.39–1.79)。与 VitD 水平充足或不足的女性相比,缺乏 VitD 的女性先兆子痫的发生率较高(OR 1.35,95% CI 1.10-1.66)。与 VitD 水平充足的女性相比,VitD 水平不足的女性的先兆子痫发生率更高(OR 1.44,95% CI 1.24–1.66)。与 VitD 水平充足的女性相比,VitD 水平不足的女性的先兆子痫发生率更高(OR 1.50,95% CI 1.05–2.14)。敏感性分析显示,排除任何一项纳入研究后,结果是稳定的。总之,我们的系统评价表明,VitD 不足或缺乏与先兆子痫风险增加有关。
Vitamin D (VitD) shows a beneficial role in placentation, the immune system, and angiogenesis, and thus, VitD status may link to the risk of preeclampsia. A meta-analysis was conducted to investigate the association between VitD status in early and middle pregnancy and the risk of preeclampsia. A total of 22 studies with 25,530 participants were included for analysis. Women with VitD insufficiency or deficiency had a higher preeclampsia rate compared to women with replete VitD levels (OR 1.58, 95% CI 1.39–1.79). Women with VitD deficiency had a higher preeclampsia rate compared to women with replete or insufficient VitD levels (OR 1.35, 95% CI 1.10–1.66). Women with insufficient VitD levels had a higher preeclampsia rate compared to women with replete VitD levels (OR 1.44, 95% CI 1.24–1.66). Women with deficient VitD levels had a higher preeclampsia rate compared to women with replete VitD levels (OR 1.50, 95% CI 1.05–2.14). Sensitivity analysis showed the results were stable after excluding any one of the included studies. In conclusion, our systematic review suggested that VitD insufficiency or deficiency was associated with an increased risk of preeclampsia.
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