Evidence map›Paper›PMID 31226954›Full record

ArticleBMC pregnancy and childbirth2019

Optimizing ultraviolet B radiation exposure to prevent vitamin D deficiency among pregnant women in the tropical zone: report from cohort study on vitamin D status and its impact during pregnancy in Indonesia.

Raden Tina Dewi Judistiani, Sefita Aryuti Nirmala, Meilia Rahmawati, Reni Ghrahani, Yessika Adelwin Natalia, Adhi Kristianto Sugianli, Agnes Rengga Indrati, Oki Suwarsa, Budi Setiabudiawan

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Interplay Between Vitamin D Levels and Heavy Metals Exposure in Pregnancy and Childbirth: A Systematic Review.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Definition and Multiple Factors of Recurrent Spontaneous Abortion.Advances in experimental medicine and biology · 2021
    Article
  11. Article
  12. Article
  13. Article
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.

Raden Tina Dewi JudistianiPublic Health Department, Faculty of Medicine Universitas Padjadjaran, Jalan Eijkman 38, Bandung, Jawa Barat, 40161, Indonesia. tina.d.judistiani@unpad.ac.id.ORCID http://orcid.org/0000-0002-3265-0708
Sefita Aryuti NirmalaPublic Health Department, Faculty of Medicine Universitas Padjadjaran, Jalan Eijkman 38, Bandung, Jawa Barat, 40161, Indonesia.
Meilia RahmawatiMaster in Midwifery Program, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia.
Reni GhrahaniCentre of Immunology Studies, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia.
Yessika Adelwin NataliaPublic Health Department, Faculty of Medicine Universitas Padjadjaran, Jalan Eijkman 38, Bandung, Jawa Barat, 40161, Indonesia.
Adhi Kristianto Sugianlidr Hasan Sadikin Hospital, Bandung, Indonesia.
Agnes Rengga IndratiCentre of Immunology Studies, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia.
Oki SuwarsaCentre of Immunology Studies, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia.
Budi SetiabudiawanCentre of Immunology Studies, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia.ORCID http://orcid.org/0000-0002-4842-2451

Funding

Academic Leadership Grant form Universitas Padjadjaran Bandung Indonesia 2476/UN6.C/2018
6 · The paper itself

Abstract

backgroundVitamin D deficiency during pregnancy carries potential threat to fetal well being. Natural conversion of vitamin D in the skin can be facilitated by direct ultra violet B (UVB) radiation, but the effect is reduced by wearing umbrellas, clothes, or sunblock cream. Muslim women wear hijab that allows only face and hands to be seen. With increasing proportion of muslim women wearing hijab and the lack of vitamin D fortification and fish consumption in Indonesia, it poses a problem for vitamin D deficiency among pregnant women. This study aimed at finding the best timing of UVB exposure and the duration of exposure which can be suggested to prevent vitamin D deficiency among pregnant women, for those wearing hijab or not.

methodsThis study recruited 304 pregnant women in the first trimester, 75-76 women from 4 cities of the most populated province, West Java, Indonesia which represented 70-80% percent of pregnancy per year. A 3-day notes on duration, time and type of outdoor activity and the clothing wore by the women were collected. UVB intensity radiation were obtained. Calculation on body surface area exposed to direct UVB radiation and UVB radiation intensity were done. Measurement of vitamin D level in sera were done on the same week.

resultsThe median of maternal sera vitamin D level was 13.6 ng/mL and the mean exposed area was around 0.48 m2 or 18.59% of total body surface area. Radiation intensity reached its peak around 10.00 and 13.00, but the mean duration of exposure to UVB during this window was lower than expected. Significant correlation was found between maternal sera vitamin D level and exposed body surface area (r = 0.36, p < 0.002) or percentage of exposed body surface (r = 0.39, p < 0.001) and radiation intensity (r = 0.15, p = 0.029). Further analysis showed that duration of exposure to UVB should be longer for pregnant women wearing hijab as compared to women without hijab.

conclusionThis study suggested that the best timing to get UVB exposure was between 10.00-13.00, with longer duration for women wearing hijab (64.5 vs 37.5 min) of continuous exposure per day.

Indexed as

ClothingRadiation ExposureUltraviolet RaysAdultBody Surface AreaFemaleHumansIndonesiaPregnancyPregnancy ComplicationsTime FactorsTropical ClimateVitamin DVitamin D DeficiencyYoung Adult25-hydroxyvitamin DVitamin D

Identifiers

PMID31226954
PMCPMC6588851

What OpenQuestion holds

Textmetadata
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.