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Vitamin D and Health

SACN_Vitamin_D_and_Health_report

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Table 32: Intervention studies on effect of vitamin D supplementation during pregnancy on maternal non-skeletal reproductive health outcomes<br />

Study/Country Population/Design of study Design Intervention/Duration<br />

Mean 25(0H)D<br />

maternal baseline<br />

(nmol/L)<br />

Mean 25(OH)D<br />

cord (nmol/L)<br />

Results/Comments<br />

Hollis et al (2011)<br />

S Carolina<br />

US<br />

Pregnant women 12-16 weeks<br />

gestation (n=350)<br />

RCT<br />

1. 10µg/d<br />

2. 50µg/d<br />

3. 100µg/d<br />

From 12-16 wks until delivery<br />

79 (±86)<br />

98 (±34)<br />

111 (±40)<br />

45 (±25)<br />

57 (±25)<br />

66 (±26)<br />

No significant effect of<br />

vitamin D on risk of<br />

instrumental delivery;<br />

however, no control group.<br />

Table 33: Intervention studies on effect of vitamin D supplementation during pregnancy on neonatal hypocalcaemia<br />

Study/Country Population/Design of study Design Intervention/Duration<br />

Mean 25(0H)D<br />

maternal baseline<br />

(nmol/L)<br />

Mean 25(OH)D<br />

cord (nmol/L)<br />

Results/Comments<br />

Cockburn et al<br />

(1980)<br />

Edinburgh<br />

Scotl<strong>and</strong><br />

Pregnant women (n=1139) Non-RCT 1. 10µg/d D2<br />

2. Placebo<br />

From 12 wks of pregnancy to delivery<br />

24 weeks<br />

1. 39<br />

2. 32.5<br />

34 weeks<br />

1. 44.5<br />

2. 38.5<br />

Delivery<br />

1. 42.8<br />

2. 32.5<br />

1. 28<br />

2. 20<br />

Neonatal hypocalcaemia<br />

(defined as plasma<br />

Ca 2+ < 1.85 mmol/L) occurred<br />

in 6% of the intervention<br />

group infants <strong>and</strong> 13% of<br />

controls (p < 0.005).<br />

Brooke et al (1981)<br />

London<br />

UK<br />

South Asian women in their<br />

last trimester (n=126)<br />

RCT<br />

1. 25 µg/day<br />

2. Placebo<br />

Throughout last trimester of<br />

pregnancy<br />

1. 168<br />

2. 16<br />

1. 138<br />

(SE=10.8)<br />

2. 10 (SE=2.0)<br />

5 infants in control gp but 0 n<br />

treatment gp developed<br />

hypocalcaemia (plasma Ca2+<br />

< 1.8 nmol/L). 25(OH)D<br />

concentrations in cord &<br />

maternal plasma greatly<br />

exceed those observed in<br />

other studies.<br />

Delvin et al (1986)<br />

Lyon<br />

France<br />

Pregnant women at the end of<br />

1 st trimester (n=40)<br />

RCT<br />

1. 25 µg/d D3<br />

2. No treatment<br />

Throughout last trimester.<br />

1. 45 (5)<br />

2. 17.5 (2.5)<br />

1. 32.5 (2.5)<br />

2. 12.5 (2.5)<br />

(serum<br />

concentration 4<br />

days after<br />

birth)<br />

Significant difference<br />

(p

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