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Influence of Maternal Prenatal Vitamin D Status on Infant Oral Health

Influence of Maternal Prenatal Vitamin D Status on Infant Oral Health

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elati<strong>on</strong>ship between the two. Poiss<strong>on</strong> regressi<strong>on</strong> was used to assess the relati<strong>on</strong>ship<br />

between infant caries rates (dt score) and maternal 25(OH)D levels.<br />

Multiple regressi<strong>on</strong> was used to identify those variables that were significantly<br />

associated with 25(OH)D levels and logistic regressi<strong>on</strong> analysis was performed to<br />

identify those variables str<strong>on</strong>gly associated with the presence <str<strong>on</strong>g>of</str<strong>on</strong>g> enamel hypoplasia and<br />

ECC. Additi<strong>on</strong>ally, Poiss<strong>on</strong> regressi<strong>on</strong> was also used to identify variables associated with<br />

the untreated dental caries rate (dt).<br />

Since the number <str<strong>on</strong>g>of</str<strong>on</strong>g> maternal-infant dyads taking part in this prospective cohort<br />

was small numerous logistic and multiple regressi<strong>on</strong> analyses were undertaken to prevent<br />

over-fitting <str<strong>on</strong>g>of</str<strong>on</strong>g> the models and avoid potential false associati<strong>on</strong>s. These small models for<br />

25(OH)D were based up<strong>on</strong> themes <str<strong>on</strong>g>of</str<strong>on</strong>g> serum metabolites, prenatal health and health care,<br />

SES, and factors that affect endogenous and exogenous vitamin D attainment.<br />

Meanwhile, small regressi<strong>on</strong> models for enamel hypoplasia focused <strong>on</strong> serum<br />

metabolites, maternal awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> calcium and vitamin D, prenatal care and diet, SES<br />

and ethnicity, and infant birth characteristics and health. Lastly, models for ECC were<br />

based up<strong>on</strong> themes <str<strong>on</strong>g>of</str<strong>on</strong>g> serum metabolites, factors influencing vitamin D status, infant<br />

feeding practices, SES, and dental status and dental behaviours.<br />

For c<strong>on</strong>tinuous variables in the regressi<strong>on</strong> models, odds ratios and c<strong>on</strong>fidence<br />

intervals were calculated to reflect a change in <strong>on</strong>e standard deviati<strong>on</strong> unit <str<strong>on</strong>g>of</str<strong>on</strong>g> the variable.<br />

For instance, odds ratios for 25(OH)D and calcium reflected a <strong>on</strong>e unit standard deviati<strong>on</strong><br />

change in their measure, nmol/L.<br />

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