Higher prevalence of vitamin D deficiency in German pregnant women compared to non-pregnant women

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Original languageEnglish
Pages (from-to)43-51
Number of pages9
JournalArchives of Gynecology and Obstetrics
Volume296
Issue number1
Publication statusPublished - 1 Jul 2017

Abstract

Purpose: Adequate vitamin D status is crucial for normal development of the fetus and for maternal health. As data on vitamin D status (25-hydroxyvitamin D, 25(OH)D) in German women of different states of pregnancy were not available, this study compared the vitamin D status of German women in all trimesters of pregnancy with that of non-pregnant women. Methods: The study sample of 858 women (18–45 years) was recruited from April 2013 to March 2015 as a part of the cross-sectional Germany-wide VitaMinFemin study. Serum 25(OH)D levels were determined using chemiluminescence immunoassay. Results: A total of 78.1% of the pregnant women and 53.9% of the non-pregnant women had a vitamin D status <50.0 nmol/L (p < 0.001). In pregnant women, the multivariate binary analysis showed that winter [odds ratio (OR) 13.5], longitude of residence between 6.3°E and 8.9°E (OR 2.0) or 9.0°E and 10.9°E (OR 2.3) and third trimester (OR 2.3) were associated with a higher risk of vitamin D status <25.0 nmol/L, whereas increasing age per one year (OR 0.9) with a lower risk. Compared with non-pregnant women, pregnant women were 3.7 times more likely to have a vitamin D status <25.0 nmol/L. Conclusion: A low vitamin D status is prevalent among German pregnant women and should be improved to supply mother and fetus adequately.

Keywords

    25(OH)D, Germany, Pregnancy, Vitamin D

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

Higher prevalence of vitamin D deficiency in German pregnant women compared to non-pregnant women. / Gellert, Sandra; Ströhle, A.; Bitterlich, Norman et al.
In: Archives of Gynecology and Obstetrics, Vol. 296, No. 1, 01.07.2017, p. 43-51.

Research output: Contribution to journalArticleResearchpeer review

Gellert S, Ströhle A, Bitterlich N, Hahn A. Higher prevalence of vitamin D deficiency in German pregnant women compared to non-pregnant women. Archives of Gynecology and Obstetrics. 2017 Jul 1;296(1):43-51. doi: 10.1007/s00404-017-4398-5
Gellert, Sandra ; Ströhle, A. ; Bitterlich, Norman et al. / Higher prevalence of vitamin D deficiency in German pregnant women compared to non-pregnant women. In: Archives of Gynecology and Obstetrics. 2017 ; Vol. 296, No. 1. pp. 43-51.
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abstract = "Purpose: Adequate vitamin D status is crucial for normal development of the fetus and for maternal health. As data on vitamin D status (25-hydroxyvitamin D, 25(OH)D) in German women of different states of pregnancy were not available, this study compared the vitamin D status of German women in all trimesters of pregnancy with that of non-pregnant women. Methods: The study sample of 858 women (18–45 years) was recruited from April 2013 to March 2015 as a part of the cross-sectional Germany-wide VitaMinFemin study. Serum 25(OH)D levels were determined using chemiluminescence immunoassay. Results: A total of 78.1% of the pregnant women and 53.9% of the non-pregnant women had a vitamin D status <50.0 nmol/L (p < 0.001). In pregnant women, the multivariate binary analysis showed that winter [odds ratio (OR) 13.5], longitude of residence between 6.3°E and 8.9°E (OR 2.0) or 9.0°E and 10.9°E (OR 2.3) and third trimester (OR 2.3) were associated with a higher risk of vitamin D status <25.0 nmol/L, whereas increasing age per one year (OR 0.9) with a lower risk. Compared with non-pregnant women, pregnant women were 3.7 times more likely to have a vitamin D status <25.0 nmol/L. Conclusion: A low vitamin D status is prevalent among German pregnant women and should be improved to supply mother and fetus adequately.",
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AU - Ströhle, A.

AU - Bitterlich, Norman

AU - Hahn, Andreas

N1 - Funding information: The study was supported by Rottapharm Madaus GmbH (Cologne, Germany) – now a part of Meda AB (Bad Homburg, Germany). The authors are solely responsible for the design and conduct of the study, collection, management, analysis, and interpretation of the data, as well as preparation of the manuscript.

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N2 - Purpose: Adequate vitamin D status is crucial for normal development of the fetus and for maternal health. As data on vitamin D status (25-hydroxyvitamin D, 25(OH)D) in German women of different states of pregnancy were not available, this study compared the vitamin D status of German women in all trimesters of pregnancy with that of non-pregnant women. Methods: The study sample of 858 women (18–45 years) was recruited from April 2013 to March 2015 as a part of the cross-sectional Germany-wide VitaMinFemin study. Serum 25(OH)D levels were determined using chemiluminescence immunoassay. Results: A total of 78.1% of the pregnant women and 53.9% of the non-pregnant women had a vitamin D status <50.0 nmol/L (p < 0.001). In pregnant women, the multivariate binary analysis showed that winter [odds ratio (OR) 13.5], longitude of residence between 6.3°E and 8.9°E (OR 2.0) or 9.0°E and 10.9°E (OR 2.3) and third trimester (OR 2.3) were associated with a higher risk of vitamin D status <25.0 nmol/L, whereas increasing age per one year (OR 0.9) with a lower risk. Compared with non-pregnant women, pregnant women were 3.7 times more likely to have a vitamin D status <25.0 nmol/L. Conclusion: A low vitamin D status is prevalent among German pregnant women and should be improved to supply mother and fetus adequately.

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