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1,000 IU of Vitamin D while pregnant helped a little bit (4,000 IU helps a lot) – RCT Dec 2016

Determinants of the Maternal 25-Hydroxyvitamin D Response to Vitamin D Supplementation During Pregnancy.

J Clin Endocrinol Metab. 2016 Dec;101(12):5012-5020. Epub 2016 Oct 27.

VitaminDWiki

Healthy pregnancies need lots of vitamin D has the following summary

Problem
ReducesEvidence
0. Chance of not conceiving3.4 times Observe
1. Miscarriage 2.5 times Observe
2. Pre-eclampsia 3.6 timesRCT
3. Gestational Diabetes 3 times RCT
4. Good 2nd trimester sleep quality 3.5 times Observe
5. Premature birth 2 times RCT
6. C-section - unplanned 1.6 timesObserve
     Stillbirth - OMEGA-3 4 timesRCT - Omega-3
7. Depression AFTER pregnancy 1.4 times RCT
8. Small for Gestational Age 1.6 times meta-analysis
9. Infant height, weight, head size
     within normal limits
RCT
10. Childhood Wheezing 1.3 times RCT
11. Additional child is Autistic 4 times Intervention
12.Young adult Multiple Sclerosis 1.9 timesObserve
13. Preeclampsia in young adult 3.5 timesRCT
14. Good motor skills @ age 31.4 times Observe
15. Childhood Mite allergy 5 times RCT
16. Childhood Respiratory Tract visits 2.5 times RCT

RCT = Randomized Controlled Trial

The articles in Pregnancy AND Intervention are here:


 Download the PDF from VitaminDWiki

Moon RJ1, Harvey NC1, Cooper C1, D'Angelo S1, Crozier SR1, Inskip HM1, Schoenmakers I1, Prentice A1, Arden NK1, Bishop NJ1, Carr A1, Dennison EM1, Eastell R1, Fraser R1, Gandhi SV1, Godfrey KM1, Kennedy S1, Mughal MZ1, Papageorghiou AT1, Reid DM1, Robinson SM1, Javaid MK1.

CONTEXT:
Current approaches to antenatal vitamin D supplementation do not account for interindividual differences in 25-hydroxyvitamin D (25(OH)D) response.

OBJECTIVE:
We assessed which maternal and environmental characteristics were associated with 25(OH)D after supplementation with cholecalciferol.

DESIGN:
Within-randomization-group analysis of participants in the Maternal Vitamin D Osteoporosis Study trial of vitamin D supplementation in pregnancy.

SETTING: Hospital antenatal clinics.

PARTICIPANTS:
A total of 829 pregnant women (422 placebo, 407 cholecalciferol). At 14 and 34 weeks of gestation, maternal anthropometry, health, and lifestyle were assessed and 25(OH)D measured. Compliance was determined using pill counts at 19 and 34 weeks.

INTERVENTIONS: 1000 IU/d of cholecalciferol or matched placebo from 14 weeks of gestation until delivery.

MAIN OUTCOME MEASURE: 25(OH)D at 34 weeks, measured in a single batch (Diasorin Liaison).

RESULTS:
25(OH)D at 34 weeks of gestation was higher in the women randomized to vitamin D (mean [SD], 67.7 [21.3] nmol/L) compared with placebo (43.1 [22.5] nmol/L; P < .001). In women randomized to cholecalciferol, higher pregnancy weight gain from 14 to 34 weeks of gestation (kg) (β = -0.81 95% confidence interval -1.39, -0.22), lower compliance with study medication (%) (β = -0.28 [-0.072, -0.48]), lower early pregnancy 25(OH)D (nmol/L) (β = 0.28 [0.16, 0.40]), and delivery in the winter vs the summer (β = -10.5 [-6.4, -14.6]) were independently associated with lower 25(OH)D at 34 weeks of gestation.

CONCLUSIONS:
Women who gained more weight during pregnancy had lower 25(OH)D in early pregnancy and delivered in winter achieved a lower 25(OH)D in late pregnancy when supplemented with 1000 IU/d cholecalciferol. Future studies should aim to determine appropriate doses to enable consistent repletion of 25(OH)D during pregnancy.

PMID: 27788053 PMCID: PMC5155676 DOI: 10.1210/jc.2016-2869

Created by admin. Last Modification: Monday February 25, 2019 15:58:12 GMT-0000 by admin. (Version 3)

Attached files

ID Name Comment Uploaded Size Downloads
8198 1000 IU pregnancy.pdf PDF 2016 admin 20 Jul, 2017 13:00 508.06 Kb 173
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