Evidence map›Paper›PMID 25232839›Full record

Trial reportPloS one2014

Impact of vitamin D supplementation during lactation on vitamin D status and body composition of mother-infant pairs: a MAVID randomized controlled trial.

Justyna Czech-Kowalska, Julita Latka-Grot, Dorota Bulsiewicz, Maciej Jaworski, Pawel Pludowski, Grazyna Wygledowska, Bogdan Chazan, Beata Pawlus, Anna Zochowska, Maria K Borszewska-Kornacka and 3 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01506557 (Effect of Vitamin D Supplementation During Lactation on Vitamin D Status, Bone Mineralisation and Body Composition of Mother and Their Exclusively Breastfed Infants.), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01506557 phase4completednot on this map

Effect of Vitamin D Supplementation During Lactation on Vitamin D Status, Bone Mineralisation and Body Composition of Mother and Their Exclusively Breastfed Infants.

TypeinterventionalSponsorChildren's Memorial Health Institute, PolandRan2011 to 2012Enrolled174ConditionsVitamin D DeficiencyArmscholecalciferol, placebo
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Safety Aspects of a Randomized Clinical Trial of Maternal and Infant Vitamin D Supplementation by Feeding Type Through 7 Months Postpartum.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2020
    Trial
  7. Article
  8. Article
  9. Review
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  11. Review
  12. Review
  13. Article
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  15. Review
  16. Article
  17. Vitamin D and Reproduction: From Gametes to Childhood.Healthcare (Basel, Switzerland) · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Justyna Czech-KowalskaDepartment of Neonatology and Neonatal Intensive Care, The Children's Memorial Health Institute, Warsaw, Poland.
Julita Latka-GrotDepartment of Neonatology and Neonatal Intensive Care, The Children's Memorial Health Institute, Warsaw, Poland.
Dorota BulsiewiczDepartment of Neonatology and Neonatal Intensive Care, The Children's Memorial Health Institute, Warsaw, Poland.
Maciej JaworskiDepartment of Biochemistry, Radioimmunology, and Experimental Medicine, The Children's Memorial Health Institute, Warsaw, Poland.
Pawel PludowskiDepartment of Biochemistry, Radioimmunology, and Experimental Medicine, The Children's Memorial Health Institute, Warsaw, Poland.
Grazyna WygledowskaDepartment of Neonatology, Miedzyleski Specialist Hospital, Warsaw, Poland.
Bogdan ChazanDepartment of Neonatology, Holy Family Hospital, Warsaw, Poland.
Beata PawlusDepartment of Neonatology, Holy Family Hospital, Warsaw, Poland.
Anna ZochowskaDepartment of Neonatology, Public Hospital, Otwock, Poland.
Maria K Borszewska-KornackaDepartment of Neonatology, Warsaw Medical University Hospital, Warsaw, Poland.
Elzbieta KarczmarewiczDepartment of Biochemistry, Radioimmunology, and Experimental Medicine, The Children's Memorial Health Institute, Warsaw, Poland.
Edyta Czekuc-KryskiewiczDepartment of Biochemistry, Radioimmunology, and Experimental Medicine, The Children's Memorial Health Institute, Warsaw, Poland.
Anna DobrzanskaDepartment of Neonatology and Neonatal Intensive Care, The Children's Memorial Health Institute, Warsaw, Poland.
Children's Memorial Health Institute · PLHoly Family Hospital · INMedical University of Warsaw · PLMiędzyleski Szpital Specjalistyczny w Warszawie · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe optimal vitamin D intake for nursing women is controversial. Deterioration, at least in bone mass, is reported during lactation. This study evaluated whether vitamin D supplementation during lactation enhances the maternal and infant's vitamin D status, bone mass and body composition. DESIGN AND

methodsAfter term delivery, 174 healthy mothers were randomized to receive 1200 IU/d (800 IU/d+400 IU/d from multivitamins) or 400 IU/d (placebo+400 IU/d from multivitamins) of cholecalciferol for 6 months while breastfeeding. All infants received 400 IU/d of cholecalciferol. Serum 25-hydroxyvitamin D [25(OH)D], iPTH, calcium, urinary calcium, and densitometry were performed in mother-offspring pairs after delivery, and at 3 and 6 months later.

resultsA total of 137 (79%) (n = 70; 1200 IU/d, n = 67; 400 IU/d) completed the study. 25(OH)D was similar in both groups at baseline (13.7 ng/ml vs. 16.1 ng/ml; P = 0.09) and at 3 months (25.7 ng/ml vs. 24.5 ng/ml; P = 0.09), but appeared higher in the 1200 IU/d group at 6 months of supplementation (25.6 ng/ml vs. 23.1 ng/ml; P = 0.009). The prevalence of 25(OH)D <20 ng/ml was comparable between groups at baseline (71% vs. 64%, P = 0.36) but lower in the 1200 IU/d group after 3 months (9% vs. 25%, P = 0.009) and 6 months (14% vs. 30%, P = 0.03). Maternal and infants' iPTH, calciuria, bone mass and body composition as well as infants' 25(OH)D levels were not significantly different between groups during the study. Significant negative correlations were noted between maternal 25(OH)D and fat mass (R =  -0.49, P = 0.00001), android fat mass (R = -0.53, P = 0.00001), and gynoid fat mass (R = -0.43, P = 0.00001) after 6 months of supplementation.

conclusionsVitamin D supplementation at a dose of 400 IU/d was not sufficient to maintain 25(OH)D >20 ng/ml in nursing women, while 1200 IU/d appeared more effective, but had no effect on breastfed offspring vitamin D status, or changes in the bone mass and the body composition observed in both during breastfeeding.

trial registrationClinicalTrials.gov NCT01506557.

Indexed as

AdultBirth WeightBody CompositionBody Mass IndexBone DensityBreast FeedingCalciumCholecalciferolDietary SupplementsDouble-Blind MethodFemaleHumansInfant, NewbornLactationMaleParathyroid HormoneCalciumCholecalciferolParathyroid HormoneVitamins

Identifiers

PMID25232839
PMCPMC4169453
OpenAlexW2066106904

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.