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      Vitamin D in Term Newborns: Relation with Maternal Concentrations and Birth Weight

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          Abstract

          Objective: To evaluate vitamin D serum levels of term newborns and relate them to maternal concentrations and birth weight. Methods: Cross-sectional study carried out with 225 mothers and their term newborns. Data collected were maternal health, prenatal care, gestational, and anthropometric data of the newborns. The following laboratory tests were performed: serum levels of 25(OH)D, calcium, phosphorus, magnesium, and alkaline phosphatase. Results: Of the 225 newborns included in the study, 119 (52.9%) were males, the mean birth weight was 3,198 ± 421.4 g, and the gestational age was 39.1 ± 1.1 weeks. Of these, 20 (8.9%) were small and 12 (5.3%) were large for gestational age. A 25(OH)D sufficiency was found in 25.8% of mothers and 92% of newborns. The mean 25(OH)D concentrations of newborns was higher than that of the mothers 48.7 ± 15.2 ng/mL vs. 26.0 ± 6.7 ng/dL ( p < 0.001), correlating inversely with birth weight ( r = –0.249; p < 0.001). Small for gestational age (SGA) newborns had higher concentrations of 25(OH)D compared to adequate and large for age ( p < 0.001). Conclusion: In conclusion, this study showed strong positive correlation between maternal and neonatal 25(OH)D concentrations, with higher values in newborns. The highest 25(OH)D concentrations were found in SGA term infants. We speculated these findings could be influenced by newborn body composition.

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          Author and article information

          Journal
          ANM
          Ann Nutr Metab
          10.1159/issn.0250-6807
          Annals of Nutrition and Metabolism
          S. Karger AG
          0250-6807
          1421-9697
          2019
          September 2019
          07 August 2019
          : 75
          : 1
          : 39-46
          Affiliations
          [_a] aPediatrics Department of Federal University of Cariri, Juazeiro do Norte, Brazil
          [_b] bHigher School of Sciences of the Santa Casa de Misericórdia de Vitória, Vitória, Brazil
          [_c] cFaculty of Juazeiro do Norte, Juazeiro do Norte, Brazil
          [_d] dPediatrics Department of ABC Faculty of Medicine, Santo André, São Paulo, Brazil
          [_e] ePediatrics Department of Federal University of São Paulo, São Paulo, Brazil
          Author notes
          *Fabíola Isabel Suano-Souza, Pediatrics Department of ABC Faculty of Medicine (FMABC) and Federal University of São Paulo (UNIFESP), Avenida Príncipe de Gales 821, Santo André, São Paulo 09060-650 (Brazil), E-Mail fsuano@gmail.com
          Article
          502044 Ann Nutr Metab 2019;75:39–46
          10.1159/000502044
          31390622
          6ba7c764-bcb5-48da-9773-af19d2c7bc17
          © 2019 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          : 16 November 2018
          : 03 July 2019
          Page count
          Figures: 3, Tables: 2, Pages: 8
          Categories
          Clinical Study: Research Article

          Nutrition & Dietetics,Health & Social care,Public health
          Pregnant women,Postpartum period,Newborn,Vitamin D

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