High Prevalence of Vitamin D Deficiency in Native versus Migrant Mothers and Newborns in the North of Italy: A Call to Act with a Stronger Prevention Program

作者: Francesco Cadario , Silvia Savastio , Corrado Magnani , Tiziana Cena , Veronica Pagliardini

DOI: 10.1371/JOURNAL.PONE.0129586

关键词:

摘要: Background Vitamin D status during pregnancy is related to neonatal vitamin status. Vitamin deficiency has been associated with an increased risk of rickets in children and osteomalacia adults. Aim this study was investigate 25OHD levels maternal serum blood spots native migrant populations living Novara (North Italy, 45°N latitude). Methods Findings We carried out a cross sectional from April 1st 2012 March 30th 2013, tertiary Care Center. Maternal samples after delivery newborns' were analyzed for 533 pairs. country origin, skin phototype, dietary intake supplementation recorded. Multivariate regression analysis, showed link between (R-square:0.664). Severely deficient values (<25 nmol/L) found 38% Italian 76.2% migrant’s newborns (p <0.0001), 18% 48,4% mothers <0.0001) while (≥25 <50 shown 40.1% 21.7% 43.6% 41.3% <0.0001). had higher (34.4±19.2 44.9±21.2nmol/L) than migrants (17.7±13.7 29.7±16.5nmol/L; p<0.0001). A linear decrease increasing pigmentation (phototype I 42.1 ±18.2 vs phototype VI 17.9±10.1 nmol/l; resulted both their (p<0.0001). Conclusions insufficiency frequent especially among migrants. prevention program Piedmont should urgently be considered people identified as being at closely monitored. taken into account when considering preventative health care policy.

参考文章(43)
Amy M. Bohnert, Amanda K. Ward, Kimberly A. Burdette, Rebecca L. Silton, Lara R. Dugas, Active summers matter: evaluation of a community-based summertime program targeting obesogenic behaviors of low-income, ethnic minority girls. New Directions for Youth Development. ,vol. 2014, pp. 133- 150 ,(2014) , 10.1002/YD.20107
Heather B Del Valle, A Catharine Ross, Ann L Yaktine, Christine L Taylor, Dietary Reference Intakes for Calcium and Vitamin D ,(2013)
Darryl W. Eyles, Ruth Morley, Cameron Anderson, Pauline Ko, Thomas Burne, Michael Permezel, Preben B. Mortensen, Bent Nørgaard-Pedersen, David M. Hougaard, John J. McGrath, The utility of neonatal dried blood spots for the assessment of neonatal vitamin D status. Paediatric and Perinatal Epidemiology. ,vol. 24, pp. 303- 308 ,(2010) , 10.1111/J.1365-3016.2010.01105.X
Andrew Thorne-Lyman, Wafaie W. Fawzi, Vitamin D during pregnancy and maternal, neonatal and infant health outcomes: A systematic review and meta-analysis Paediatric and Perinatal Epidemiology. ,vol. 26, pp. 75- 90 ,(2012) , 10.1111/J.1365-3016.2012.01283.X
Luz Maria De-Regil, Cristina Palacios, Lia K Lombardo, Juan Pablo Peña-Rosas, Vitamin D supplementation for women during pregnancy Cochrane Database of Systematic Reviews. ,vol. 7, pp. 008873- 008873 ,(2016) , 10.1002/14651858.CD008873.PUB3
Jeffrey K. C. Lai, Robyn M. Lucas, Mark S. Clements, Simone L. Harrison, Emily Banks, Assessing vitamin D status: pitfalls for the unwary. Molecular Nutrition & Food Research. ,vol. 54, pp. 1062- 1071 ,(2010) , 10.1002/MNFR.200900468
Naser Elkum, Fadi Alkayal, Fiona Noronha, Maisa M. Ali, Motasem Melhem, Monira Al-Arouj, Abdullah Bennakhi, Kazem Behbehani, Osama Alsmadi, Jehad Abubaker, Vitamin D Insufficiency in Arabs and South Asians Positively Associates with Polymorphisms in GC and CYP2R1 Genes PLoS ONE. ,vol. 9, pp. e113102- ,(2014) , 10.1371/JOURNAL.PONE.0113102
Cameron C. Grant, Alistair W. Stewart, Robert Scragg, Tania Milne, Judy Rowden, Alec Ekeroma, Clare Wall, Edwin A. Mitchell, Sue Crengle, Adrian Trenholme, Julian Crane, Carlos A. Camargo, Vitamin D During Pregnancy and Infancy and Infant Serum 25-Hydroxyvitamin D Concentration Pediatrics. ,vol. 133, ,(2014) , 10.1542/PEDS.2013-2602
Matthias Wacker, Michael Holick, Vitamin D &#8212; Effects on Skeletal and Extraskeletal Health and the Need for Supplementation Nutrients. ,vol. 5, pp. 111- 148 ,(2013) , 10.3390/NU5010111
Ching-Lung Cheung, Kam-Shing Lau, Pak-Chung Sham, Kathryn CB Tan, Annie WC Kung, None, Genetic variant in vitamin D binding protein is associated with serum 25-hydroxyvitamin D and vitamin D insufficiency in southern Chinese Journal of Human Genetics. ,vol. 58, pp. 749- 751 ,(2013) , 10.1038/JHG.2013.84