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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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Table 5.7 – Logistic regressi<strong>on</strong> for enamel hypoplasia* – Serum metabolites <str<strong>on</strong>g>of</str<strong>on</strong>g> alkaline<br />

phosphatase, calcium, phosphorus, and 25(OH)D<br />

Variable Regressi<strong>on</strong> Standard Standard Adjusted ± 95% P value<br />

Coefficient<br />

(b)<br />

Error b Deviati<strong>on</strong><br />

<str<strong>on</strong>g>of</str<strong>on</strong>g><br />

Variable<br />

in<br />

Sample<br />

Odds<br />

Ratio<br />

C<strong>on</strong>fidence<br />

Interval<br />

Alkaline -0.0057 0.0057 51.79 0.74 0.42, 1.33 .32<br />

Phosphatase<br />

Calcium -4.84 2.47 0.10 0.62 0.38, 1.00 .050<br />

Phosphorus -0.14 1.24 0.19 0.97 0.61, 1.54 .91<br />

25(OH)D -0.013 0.0093 24.44 0.72 0.47, 1.14 .16<br />

*Enamel Hypoplasia reference = yes R 2 = 6.0%<br />

The next series <str<strong>on</strong>g>of</str<strong>on</strong>g> models looked at the relati<strong>on</strong>ship between variables collected<br />

during the prenatal phase <str<strong>on</strong>g>of</str<strong>on</strong>g> data collecti<strong>on</strong> as well as those originating from the infant<br />

dental visit phase <str<strong>on</strong>g>of</str<strong>on</strong>g> data collecti<strong>on</strong>. Because <str<strong>on</strong>g>of</str<strong>on</strong>g> the small sample size <str<strong>on</strong>g>of</str<strong>on</strong>g> maternal-infant<br />

pairs, four separate logistic regressi<strong>on</strong> models were initially performed based up<strong>on</strong><br />

themes <str<strong>on</strong>g>of</str<strong>on</strong>g> 1) maternal awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> calcium and vitamin D, 2) prenatal care and diet, 3)<br />

socioec<strong>on</strong>omic status (SES) and ethnicity, and 4) the infant’s birth and health status.<br />

Significant variables from these five regressi<strong>on</strong> models were then entered into a final<br />

model for enamel hypoplasia.<br />

The first model for enamel hypoplasia included variables <str<strong>on</strong>g>of</str<strong>on</strong>g> whether participants<br />

had previously heard <str<strong>on</strong>g>of</str<strong>on</strong>g> vitamin D and whether they knew what calcium was important<br />

for (Table 5.8). These were independent variables uncovered from the bivariate analyses<br />

undertaken in the previous chapter. Results <str<strong>on</strong>g>of</str<strong>on</strong>g> the logistic regressi<strong>on</strong> for enamel<br />

hypoplasia revealed no significant relati<strong>on</strong>ship with maternal awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> calcium or<br />

5-7

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