Evidence map›Paper›PMID 29439677›Full record

ArticleBMC pregnancy and childbirth2018

Trajectory of vitamin D status during pregnancy in relation to neonatal birth size and fetal survival: a prospective cohort study.

Linnea Bärebring, Maria Bullarbo, Anna Glantz, Lena Hulthén, Joy Ellis, Åse Jagner, Inez Schoenmakers, Anna Winkvist, Hanna Augustin

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  5. Vitamin D and Intrauterine Growth Restriction (IUGR).International journal of molecular sciences · 2025
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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

9 authors at 4 institutions in 2 countries.

Linnea BärebringThe Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Box 459, 405 30, Gothenburg, Sweden. linnea.barebring@gu.se.ORCID 0000-0002-1612-1697
Maria BullarboSödra Älvsborg Hospital, Borås, Sweden.
Anna GlantzDepartment of Antenatal Care, Närhälsan, Primary Care, Gothenburg, Sweden.
Lena HulthénThe Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Box 459, 405 30, Gothenburg, Sweden.
Joy EllisDepartment of Antenatal Care, Närhälsan, Primary Care, Södra, Bohuslän, Sweden.
Åse JagnerDepartment of Antenatal Care, Närhälsan, Primary Care, Gothenburg, Sweden.
Inez SchoenmakersMRC Human Nutrition Research, Nutrition and Bone Health Group, Cambridge, UK.
Anna WinkvistThe Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Box 459, 405 30, Gothenburg, Sweden.
Hanna AugustinThe Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Box 459, 405 30, Gothenburg, Sweden.
University of Gothenburg · SEHealthcare in Sweden · SESödra Älvsborg Hospital · SEUniversity of East Anglia · GB

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2012-0793Medical Research Council MC_U105960371Medical Research Council U105960371Regional Research and Development Grant VGFOUREG-388201, VGFOUREG-229331
6 · The paper itself

Abstract

backgroundWe investigated the associations between vitamin D status in early and late pregnancy with neonatal small for gestational age (SGA), low birth weight (LBW) and preterm delivery. Furthermore, associations between vitamin D status and pregnancy loss were studied.

methodsSerum 25-hydroxyvitamin D (25OHD) was sampled in gestational week ≤ 16 (trimester 1 (T1), N = 2046) and > 31 (trimester 3 (T3), N = 1816) and analysed using liquid chromatography tandem mass spectrometry. Pregnant women were recruited at antenatal clinics in south-west Sweden at latitude 57-58°N. Gestational and neonatal data were retrieved from medical records. Multiple gestations and terminated pregnancies were excluded from the analyses. SGA was defined as weight and/or length at birth < 2 SD of the population mean and LBW as < 2500 g. Preterm delivery was defined as delivery < 37 + 0 gestational weeks and pregnancy loss as spontaneous abortion or intrauterine fetal death. Associations between neonatal outcomes and 25OHD at T1, T3 and change in 25OHD (T3-T1) were studied using logistic regression.

resultsT1 25OHD was negatively associated with pregnancy loss and 1 nmol/L increase in 25OHD was associated with 1% lower odds of pregnancy loss (OR 0.99, p = 0.046). T3 25OHD ≥ 100 nmol/L (equal to 40 ng/ml) was associated with lower odds of SGA (OR 0.3, p = 0.031) and LBW (OR 0.2, p = 0.046), compared to vitamin D deficiency (25OHD < 30 nmol/L, or 12 ng/ml). Women with a ≥ 30 nmol/L increment in 25OHD from T1 to T3 had the lowest odds of SGA, LBW and preterm delivery.

conclusionsVitamin D deficiency in late pregnancy was associated with higher odds of SGA and LBW. Lower 25OHD in early pregnancy was only associated with pregnancy loss. Vitamin D status trajectory from early to late pregnancy was inversely associated with SGA, LBW and preterm delivery with the lowest odds among women with the highest increment in 25OHD. Thus, both higher vitamin D status in late pregnancy and gestational vitamin D status trajectory can be suspected to play a role in healthy pregnancy.

Indexed as

Infant, Small for Gestational AgePregnancy ComplicationsPrenatal CareVitamin D DeficiencyAdultBirth WeightFemaleGestational AgeHumansInfant, NewbornPregnancyPregnancy TrimestersPremature BirthRisk FactorsStatistics as TopicSweden25-hydroxyvitamin DVitamin D25-hydroxyvitamin DIntrauterine fetal deathLow birth weightMiscarriagePreterm deliverySmall for gestational ageVitamin D

Identifiers

PMID29439677
PMCPMC5812027
OpenAlexW2797369106

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.