Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant women
Introduction: Vitamin D deficiency is common during pregnancy in Asian countries. However, there is little knowledge about vitamin D status of pregnant mothers and, therefore, supplements are not routinely provided in public clinics and government hospitals in Sri Lanka. Therefore, aim of this study...
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Edizioni FS
2018-03-01
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author | Kaneshapillai Anusha Liyanage Guwani Hettiaratchi Usha Gunasekera Dulanie |
author_facet | Kaneshapillai Anusha Liyanage Guwani Hettiaratchi Usha Gunasekera Dulanie |
author_sort | Kaneshapillai Anusha |
collection | DOAJ |
description | Introduction: Vitamin D deficiency is common during pregnancy in Asian countries. However, there is little knowledge about vitamin D status of pregnant mothers and, therefore, supplements are not routinely provided in public clinics and government hospitals in Sri Lanka. Therefore, aim of this study was to assess vitamin D status and adequacy of vitamin D intake in a sample of pregnant mothers.
Methods: This was a secondary analysis of existing data from a prospective cohort study. A convenience sample of 89 healthy and non-vitamin D supplemented Sri Lanka-based pregnant mothers was recruited during the third trimester of their pregnancy. Dietary vitamin D intake was assessed through a food frequency questionnaire, while serum was analysed for vitamin D, parathyroid hormone (PTH) and other markers of bone biochemistry.
Results: In our sample, average daily dietary intake of vitamin D was 1,289.4 ± 1,225.6 IU/day (range: 56 - 5400 IU). A significant proportion of mothers (45%) consumed < 600 IU of vitamin D per day. More than half of our sample (56.9%) received vitamin D though fortified milk powder and 36% from fish consumption.
Most of mothers (69%) consumed small fish and none of them received vitamin D supplementation. There was a significant positive correlation between dietary vitamin D and serum 25-hydroxyvitamin D (25(OH)D) (r = 0.355, P < 0.01). 12.4%, 50.6% and 37% of the mothers were vitamin D deficient, insufficient and
sufficient, respectively. We showed a significant difference in levels of dietary vitamin D intake between serum 25(OH)D deficient/insufficient (dietary vitamin D: 1,083.6 ± 1,026.4 IU/day) and 25(OH)D sufficient (dietary vitamin D: 1,638.5 ± 1,456.1 IU/day) groups.
Discussion and Conclusion: Dietary intake of vitamin D was inadequate in Sri Lankan non-vitamin D supplemented mothers. Further evaluation of vitamin D status and requirement for supplementation in a nationally representative sample is essential. |
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institution | Kabale University |
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language | English |
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spelling | doaj-art-983bfbdb598f4c3381fa27412a08e6242025-01-18T18:20:31ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862018-03-0131758410.19204/2018/mpct7Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant womenKaneshapillai Anusha0Liyanage Guwani1Hettiaratchi Usha2Gunasekera Dulanie3Department of Biochemistry, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri LankaDepartment of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri LankaDepartment of Biochemistry, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri LankaDepartment of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.Introduction: Vitamin D deficiency is common during pregnancy in Asian countries. However, there is little knowledge about vitamin D status of pregnant mothers and, therefore, supplements are not routinely provided in public clinics and government hospitals in Sri Lanka. Therefore, aim of this study was to assess vitamin D status and adequacy of vitamin D intake in a sample of pregnant mothers. Methods: This was a secondary analysis of existing data from a prospective cohort study. A convenience sample of 89 healthy and non-vitamin D supplemented Sri Lanka-based pregnant mothers was recruited during the third trimester of their pregnancy. Dietary vitamin D intake was assessed through a food frequency questionnaire, while serum was analysed for vitamin D, parathyroid hormone (PTH) and other markers of bone biochemistry. Results: In our sample, average daily dietary intake of vitamin D was 1,289.4 ± 1,225.6 IU/day (range: 56 - 5400 IU). A significant proportion of mothers (45%) consumed < 600 IU of vitamin D per day. More than half of our sample (56.9%) received vitamin D though fortified milk powder and 36% from fish consumption. Most of mothers (69%) consumed small fish and none of them received vitamin D supplementation. There was a significant positive correlation between dietary vitamin D and serum 25-hydroxyvitamin D (25(OH)D) (r = 0.355, P < 0.01). 12.4%, 50.6% and 37% of the mothers were vitamin D deficient, insufficient and sufficient, respectively. We showed a significant difference in levels of dietary vitamin D intake between serum 25(OH)D deficient/insufficient (dietary vitamin D: 1,083.6 ± 1,026.4 IU/day) and 25(OH)D sufficient (dietary vitamin D: 1,638.5 ± 1,456.1 IU/day) groups. Discussion and Conclusion: Dietary intake of vitamin D was inadequate in Sri Lankan non-vitamin D supplemented mothers. Further evaluation of vitamin D status and requirement for supplementation in a nationally representative sample is essential.http://journalhss.com/wp-content/uploads/jhss31_75-84.pdfBone calciumdietparathyroid hormonepregnancyvitamin DSri Lanka |
spellingShingle | Kaneshapillai Anusha Liyanage Guwani Hettiaratchi Usha Gunasekera Dulanie Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant women Journal of Health and Social Sciences Bone calcium diet parathyroid hormone pregnancy vitamin D Sri Lanka |
title | Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant women |
title_full | Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant women |
title_fullStr | Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant women |
title_full_unstemmed | Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant women |
title_short | Impact of diet on vitamin D status in a Sri Lanka-based sample of pregnant women |
title_sort | impact of diet on vitamin d status in a sri lanka based sample of pregnant women |
topic | Bone calcium diet parathyroid hormone pregnancy vitamin D Sri Lanka |
url | http://journalhss.com/wp-content/uploads/jhss31_75-84.pdf |
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