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...

Full description

Saved in:
Bibliographic Details
Main Authors: Kaneshapillai Anusha, Liyanage Guwani, Hettiaratchi Usha, Gunasekera Dulanie
Format: Article
Language:English
Published: Edizioni FS 2018-03-01
Series:Journal of Health and Social Sciences
Subjects:
Online Access:http://journalhss.com/wp-content/uploads/jhss31_75-84.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832595556653858816
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.
format Article
id doaj-art-983bfbdb598f4c3381fa27412a08e624
institution Kabale University
issn 2499-2240
2499-5886
language English
publishDate 2018-03-01
publisher Edizioni FS
record_format Article
series Journal of Health and Social Sciences
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
work_keys_str_mv AT kaneshapillaianusha impactofdietonvitamindstatusinasrilankabasedsampleofpregnantwomen
AT liyanageguwani impactofdietonvitamindstatusinasrilankabasedsampleofpregnantwomen
AT hettiaratchiusha impactofdietonvitamindstatusinasrilankabasedsampleofpregnantwomen
AT gunasekeradulanie impactofdietonvitamindstatusinasrilankabasedsampleofpregnantwomen