Vitamin D status is associated with high BMI, working status and gravidity among pregnant Malaysian women
https://doi.org/10.31246/mjn-2019-0010
- Author:
Lalitha Palaniveloo
1
;
Yong Heng Yaw
2
;
Zalilah Mohd Shariff
2
;
Loh Su Peng
2
;
Jacques Bindels
3
;
Yvonne Yee Siang Tee
4
;
Eline M. van der Beek
5
,
6
Author Information
1. Institute of Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia
2. Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
3. Danone Nutricia Research, Uppsalalaan, CT Utrecht, The Netherlands
4. Danone Dumex (M) Shd Bhd, Nilai, Negeri Sembilan, Malaysia
5. Danone Nutricia Research, Uppsalalaan, CT Utrecht, The Netherlands &
6. Department of Pediatrics, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
- Publication Type:Journal Article
- Keywords:
Vitamin D deficiency (VDD), serum 25(OH)D, BMI, pregnant women, Malaysia
- From:
Malaysian Journal of Nutrition
2020;26(No.1):129-139
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Vitamin D deficiency (VDD) is associated with adverse health outcomes in pregnancy and newborns. This study aims to determine the Vitamin D status among pregnant Malaysian women and its associations with specific maternal & pregnancy characteristics. Methods: This study utilised cross-sectional data from a prospective cohort study of pregnant women in Seremban district in which 259 pregnant women had available vitamin D data. Blood samples were taken <14th week of gestation. Serum 25-hydroxy Vitamin D [25(OH)D] levels were analysed using chemiluminescent microparticle immunoassay (CMIA) technology on the ARCHITECT iSystem and categorised using the Institute of Medicine (IOM) 2011 cutoffs. A set of pre-tested interviewer-administered questionnaire was used to obtain information on socio-demographics, obstetrics, and anthropometry. Results: Mean serum 25(OH)D was 32.83±11.37nmol/L. The prevalence of severe and mild VDD was 23.2% (n=60) and 68.3% (n=177), respectively. About 8.5% (n=22) of pregnant women were vitamin D insufficient and none had sufficient serum 25(OH)D (>75nmol/L). Early pregnancy body mass index (AOR=2.95, 95% CI=1.03-8.47), working status (AOR=3.17, 95% CI=1.06–9.50) and gravidity (AOR=0.68, 95% CI=0.48–0.98) were significantly associated with VDD. Conclusion: The present study showed a high prevalence of VDD among pregnant women in Malaysia, especially among those who were overweight or obese, working in indoor environment and primigravida.
- Full text:4.2020my0489.pdf