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Vitamin D Deficiency in Pregnant Women and Newborns

Date: 5/3/2010
Source: Journal of Clinical Endocrinology and Metabolism

Related Monographs: Vitamin D

Vitamin  D is known as the "sunshine" vitamin because it is formed in the body  by the action of the sun's ultraviolet rays on the skin.  The   fat-soluble  vitamin is converted in the kidneys to the hormone    calcitrol, which is  actually the most active form of vitamin D. The    effects of this hormone  are targeted at the intestines and bones.    Decreased vitamin D intake  along with not enough sunlight exposure can  cause a vitamin D  deficiency. Other causes could be inadequate    absorption and impaired  conversion of vitamin D into its active form.   When vitamin D deficiency  occurs, bone mineralization is impaired  which   leads to bone loss.

Vitamin  D is important for the growth and development of bones and    teeth. For  this reason, vitamin D is an important growth nutrient for    infants and  children. Vitamin D is one of the primary regulators of    calcium  absorption, which is also important for proper bone health and     development. Deficiencies are frequently found in individuals with  or   at  risk for osteoporosis. Considering this relationship, vitamin D     insufficiency may have an effect on bone strength.

Maternal  vitamin D levels may be responsible for programming    neonatal skeletal  development. The purpose of a recent study was to    determine the  association of mothers' vitamin D status with bone    variables of their  newborns. The cross-sectional study included 125    pregnant women.  Researchers collected data from each of the    participants, which included  age, body mass index before pregnancy,    pregnancy weight gain and total  vitamin D intake. The researchers also  collected blood samples from the  mothers during the first trimester, two days postpartum and from the  umbilical cords at birth to analyze    serum 25-hydroxyvitamin D. It was  found that although the mean total    intake of vitamin D among the mothers  met current recommendations, 71    percent of women and 15 percent  newborns were deficient during    pregnancy. These results suggest that  efforts should be made to revise    current nutrition recommendations for  pregnant women since this may    have a permanent effect on the well-being  of their children.1

1 Viljakainen  HT, Saarnio E, Hytinanttis T, et al. Maternal vitamin D status  determines bone variables in the    newborn. J Clin Endocrinol Metab.  Apr2010;95(4):1749-57.
 
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