Evidence map›Paper›PMID 34612495›Full record

ArticleThe Journal of nutrition2022

Disparities in Vitamin D Status of Newborn Infants from a Diverse Sociodemographic Population in Montreal, Canada.

Hope A Weiler, Catherine A Vanstone, Maryam Razaghi, Nathalie Gharibeh, Sharina Patel, Shu Q Wei, Dayre McNally

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02563015 (Novel Functional Outcomes of Vitamin D in Infancy; Can Correction of Low Vitamin D Status Program for a Leaner Body Composition Phenotype?), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT02563015 naterminatednot on this map

Novel Functional Outcomes of Vitamin D in Infancy; Can Correction of Low Vitamin D Status Program for a Leaner Body Composition Phenotype?

TypeinterventionalSponsorMcGill UniversityRan2016 to 2020Enrolled139ConditionsHealthy, Vitamin D Deficiency, Gestational DiabetesArmscholecalciferol, Reference 400
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
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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

7 authors.

Hope A WeilerNutrition Research Division, Bureau of Nutritional Sciences, Health Products and Food Branch, Health Canada, Ottawa, Ontario, Canada.
Catherine A VanstoneSchool of Human Nutrition, McGill University, Ste Anne de Bellevue, Québec, Canada.
Maryam RazaghiSchool of Human Nutrition, McGill University, Ste Anne de Bellevue, Québec, Canada.
Nathalie GharibehSchool of Human Nutrition, McGill University, Ste Anne de Bellevue, Québec, Canada.
Sharina PatelSchool of Human Nutrition, McGill University, Ste Anne de Bellevue, Québec, Canada.
Shu Q WeiQuébec National Institute of Public Health, Montréal, Québec, Canada.
Dayre McNallyDivision of Critical Care, Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.

Funding

CIHR MOP-142391
6 · The paper itself

Abstract

backgroundVitamin D status at birth is reliant on maternal-fetal transfer of vitamin D during gestation.

objectivesWe aimed to examine the vitamin D status of newborn infants in a diverse population and to subsequently identify the modifiable correlates of vitamin D status.

methodsIn this cross-sectional study, healthy mother-infant dyads (n = 1035) were recruited within 36 h after term delivery (March 2016-March 2019). Demographic and lifestyle factors were surveyed. Newborn serum 25-hydroxyvitamin D [25(OH)D] was measured (standardized chemiluminescence immunoassay) and categorized as deficient [serum 25(OH)D <30 nmol/L] or adequate (≥40 nmol/L). Serum 25(OH)D was compared among categories of maternal characteristics using ANOVA; each characteristic was tested in a separate model. Subgroups (use of multivitamins preconception and continued in pregnancy compared with during pregnancy only) were matched (n = 352/group) for maternal factors (ancestry, age, income, education, parity, and prepregnancy BMI) using propensity scores; logistic regression models were generated for odds of deficiency or adequacy.

resultsInfants' mean serum 25(OH)D was 45.9 nmol/L (95% CI: 44.7, 47.0 nmol/L) (n = 1035), with 20.8% (95% CI: 18.3%, 23.2%) deficient and 60.7% (95% CI: 55.2%, 66.2%) adequate. Deficiency prevalence ranged from 14.6% of white infants to 41.7% of black infants. Serum 25(OH)D was higher (P < 0.0001) in infants of mothers with higher income, BMI < 25 kg/m2, exercise and sun exposure in pregnancy, and use of multivitamins preconception. In the matched-subgroup analysis, multivitamin supplementation preconception plus during pregnancy relative to only during pregnancy was associated with lower odds for vitamin D deficiency (ORadj: 0.55; 95% CI: 0.36, 0.86) and higher odds for adequate vitamin D status (ORadj: 1.47; 95% CI: 1.04, 2.07).

conclusionsIn this study most newborn infants had adequate vitamin D status, yet one-fifth were vitamin D deficient with disparities between population groups. Guidelines for a healthy pregnancy recommend maternal use of multivitamins preconception and continuing in pregnancy. An emphasis on preconception use may help to achieve adequate neonatal vitamin D status.This trial was registered at clinicaltrials.gov as NCT02563015.

Indexed as

Vitamin DVitamin D DeficiencyCanadaCross-Sectional StudiesFemaleHumansInfantInfant, NewbornPregnancyVitaminsVitamin DVitamins25-hydroxyvitamin Dmaternal multivitamin usenewborn infantpopulation groupsterm pregnancyvitamin D status

Identifiers

PMID34612495
PMCPMC8754562

What OpenQuestion holds

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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.