Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1980 Mar 15;280(6216):751–754. doi: 10.1136/bmj.280.6216.751

Vitamin D supplements in pregnant Asian women: effects on calcium status and fetal growth.

O G Brooke, I R Brown, C D Bone, N D Carter, H J Cleeve, J D Maxwell, V P Robinson, S M Winder
PMCID: PMC1600591  PMID: 6989438

Abstract

In a double-blind trial of vitamin D supplements in pregnant Asian women calciferol (ergocalciferol, 1000 IU/day) was administered to 59 women and placebo to 67 controls during the last trimester. The two groups had similar distributions of maternal age, height, parity, number of vegetarians, countries of origin, and sex and gestation of the infants. At entry to the trial maternal serum 25-hydroxy vitamin D (25-OHD) concentrations were low in both treatment and control groups and significantly lower in vegetarians than non-vegetarians. Mothers in the treatment group gained weight faster in the last trimester than those in the control group, and at term they and their infants all had adequate plasma 25-OHD concentrations, Mothers and infants in the control group, however, had low plasma concentrations of 25-OHD and calcium and raised plasma alkaline phosphatase (bone isoenzyme) activity. Five of these infants developed symptomatic hypocalcaemia. Almost twice as many infants in the control group were small for gestational age (29% v 15%), but there were no significant differences between the two groups of infants in antropometric measurements. Infants in the control group, however, had larger fontanelles, suggesting impaired ossification of the skull. Because of the benefits to mothers and infants in the treatment group and the absence of side effects, vitamin D supplements should be given to all pregnant Asian women in the United Kingdom.

Full text

PDF
751

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alvear J., Brooke O. G. Fetal growth in different racial groups. Arch Dis Child. 1978 Jan;53(1):27–32. doi: 10.1136/adc.53.1.27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Barragry J. M., France M. W., Carter N. D., Auton J. A., Beer M., Boucher B. J., Cohen R. D. Vitamin-D metabolism in nephrotic syndrome. Lancet. 1977 Sep 24;2(8039):629–632. doi: 10.1016/s0140-6736(77)92498-9. [DOI] [PubMed] [Google Scholar]
  3. Cleeve H. J. Origin of an elevated plasma alkaline phosphatase activity in non-jaundiced patients. Ann Clin Biochem. 1978 Mar;15(2):86–90. doi: 10.1177/000456327801500118. [DOI] [PubMed] [Google Scholar]
  4. Davies D. P., Ansari B. M., Cooke T. J. Anterior fontanelle size in the neonate. Arch Dis Child. 1975 Jan;50(1):81–83. doi: 10.1136/adc.50.1.81. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dent C. E., Gupta M. M. Plasma 25-hydroxyvitamin-D-levels during pregnancy in Caucasians and in vegetarian and non-vegetarian Asians. Lancet. 1975 Nov 29;2(7944):1057–1060. doi: 10.1016/s0140-6736(75)90430-4. [DOI] [PubMed] [Google Scholar]
  6. Ford J. A., Davidson D. C., McIntosh W. B., Fyfe W. M., Dunnigan M. G. Neonatal rickets in Asian immigrant population. Br Med J. 1973 Jul 28;3(5873):211–212. doi: 10.1136/bmj.3.5873.211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gairdner D., Pearson J. A growth chart for premature and other infants. Arch Dis Child. 1971 Dec;46(250):783–787. doi: 10.1136/adc.46.250.783. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Grundy M. F., Hood J., Newman G. B. Birth weight standards in a community of mixed racial origin. Br J Obstet Gynaecol. 1978 Jul;85(7):481–486. doi: 10.1111/j.1471-0528.1978.tb15618.x. [DOI] [PubMed] [Google Scholar]
  9. Gupta M. M., Round J. M., Stamp T. C. Spontaneous cure of vitamin-D deficiency in Asians during summer in Britain. Lancet. 1974 Apr 6;1(7858):586–588. doi: 10.1016/s0140-6736(74)92648-8. [DOI] [PubMed] [Google Scholar]
  10. Haddad J. G., Chyu K. J. Competitive protein-binding radioassay for 25-hydroxycholecalciferol. J Clin Endocrinol Metab. 1971 Dec;33(6):992–995. doi: 10.1210/jcem-33-6-992. [DOI] [PubMed] [Google Scholar]
  11. Heckmatt J. Z., Peacock M., Davies A. E., McMurray J., Isherwood D. M. Plasma 25-hydroxyvitamin D in pregnant Asian women and their babies. Lancet. 1979 Sep 15;2(8142):546–548. doi: 10.1016/s0140-6736(79)91612-x. [DOI] [PubMed] [Google Scholar]
  12. Hillman L. S., Haddad J. G. Human perinatal vitamin D metabolism. I. 25-Hydroxyvitamin D in maternal and cord blood. J Pediatr. 1974 May;84(5):742–749. doi: 10.1016/s0022-3476(74)80024-7. [DOI] [PubMed] [Google Scholar]
  13. Payne R. B., Little A. J., Williams R. B., Milner J. R. Interpretation of serum calcium in patients with abnormal serum proteins. Br Med J. 1973 Dec 15;4(5893):643–646. doi: 10.1136/bmj.4.5893.643. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Polanska N., Dale R. A., Wills M. R. Plasma calcium levels in pregnant Asian women. Ann Clin Biochem. 1976 Mar;13(2):339–344. doi: 10.1177/000456327601300114. [DOI] [PubMed] [Google Scholar]
  15. Roberts R. A., Cohen M. D., Forfar J. O. Antenatal factors associated with neonatal hypocalcaemic convulsions. Lancet. 1973 Oct 13;2(7833):809–811. doi: 10.1016/s0140-6736(73)90856-8. [DOI] [PubMed] [Google Scholar]
  16. Stamp T. C., Round J. M. Seasonal changes in human plasma levels of 25-hydroxyvitamin D. Nature. 1974 Feb 22;247(5442):563–565. doi: 10.1038/247563a0. [DOI] [PubMed] [Google Scholar]
  17. Tanner J. M., Whitehouse R. H. Revised standards for triceps and subscapular skinfolds in British children. Arch Dis Child. 1975 Feb;50(2):142–145. doi: 10.1136/adc.50.2.142. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Tanner J. M., Whitehouse R. H., Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. II. Arch Dis Child. 1966 Dec;41(220):613–635. doi: 10.1136/adc.41.220.613. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Turton C. W., Stanley P., Stamp T. C., Maxwell J. D. Altered vitamin-D metabolism in pregnancy. Lancet. 1977 Jan 29;1(8005):222–225. doi: 10.1016/s0140-6736(77)91017-0. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES