Table 2.
Comparison of Metabolic Responses to Daily or Single Dose Vitamin D Supplementation Regimens.
Vitamin D 5000 IU Daily Dose (N=20) |
Vitamin D 150,000 IU Single Dose (N=20) |
|||
---|---|---|---|---|
Concentration | Increment | Concentration | Increment | |
Maternal Serum | ||||
Cholecalciferol (ng/mL) | ||||
Day 0 | 2.6 ± 1.4 | 4.7 ±6.0 | ||
Day 1 | 10.6 ± 3.8a | 8.0 ± 3.0a | 160.0 ± 38.8a b | 155.2 ± 37.8a b |
Day 3 | 14.7 ± 3.7a | 12.1 ± 3.0a | 57.9 ± 15.7a b | 53.1 ± 13.5a b |
Day 7 | 17.2 ± 4.6a | 14.5 ± 4.0a | 17.6 ± 7.6a | 12.9 ± 6.1a |
Day 14 | 18.5 ± 6.2a | 16.0 ± 5.8a | 9.5 ± 5.1a b | 4.8 ± 3.7a b |
Day 28 | 18.3 ± 5.2a | 15.7 ± 4.9a | 7.0 ± 6.3a b | 2.1 ± 2.9a b |
25(OH)D (ng/mL) | ||||
Day 0 | 28.8 ± 9.2 | 29.3 ± 7.5 | ||
Day 1 | 30.7 ± 9.7 | 1.9 ± 3.5a | 43.3 ± 9.7a b | 14.0 ± 3.7a b |
Day 3 | 31.8 ± 8.9a | 2.7 ± 3.7a | 50.0 ± 10.2a b | 21.2 ± 4.0a b |
Day 7 | 34.3 ± 8.6a | 5.0 ±3.6a | 47.5 ± 9.6a b | 18.2 ± 4.9a b |
Day 14 | 38.6 ± 10.3a | 9.7 ± 3.4a | 45.3 ± 9.5a | 16.0 ± 4.7a b |
Day 28 | 43.9 ± 11.8a | 15.0 ± 5.7a | 41.2 ± 8.9a | 11.9 ± 4.2a |
1,25(OH)2D (pg/mL) | ||||
Day 0 | 52.0 ± 10.7 | 60.4 ± 24.9 | ||
Day 1 | 58.6 ± 12.0a | 6.2 ± 20.2 | 64.2 ± 17.6 | 6.0 ± 10.2a |
Day 3 | 58.2 ± 12.2 | −0.3 ± 22.3 | 59.6 ± 16.8 | 7.0 ± 14.0 |
Day 7 | 56.8 ± 13.2 | 0.2 ± 0.6 | 61.0 ± 9.0 | 2.2 ± 1.2a b |
Day 14 | 55.0 ± 11.3 | 6.9 ± 21.4 | 67.1 ± 15.2b | 3.9 ± 13.3 |
Day 28 | 57.5 ± 12.6 | 4.0 ± 25.4 | 65.1 ± 16.9 | 7.0 ± 14.5 |
Calcium (mg/dL) | ||||
Day 0 | 9.6 ± 0.3 | 9.6 ± 0.4 | ||
Day 1 | 9.6 ± 0.4 | −0.01 ± 0.38 | 9.7 ± 0.4 | 0.07 ± 0.37 |
Day 3 | 9.6 ± 0.4 | 0.04 ± 0.42 | 9.7 ± 0.5 | 0.08 ± 0.36 |
Day 7 | 9.6 ± 0.5 | 0.04 ± 0.43 | 9.6 ± 0.4 | 0.01 ± 0.33 |
Day 14 | 9.7 ± 0.4 | 0.13 ± 0.34 | 9.8 ± 0.5 | 0.13 ± 0.32 |
Day 28 | 9.7 ± 0.4 | 0.19 ± 0.41 | 9.7 ± 0.4 | 0.14 ± 0.39 |
Phosphorus (mg/dL) | ||||
Day 0 | 4.1 ± 0.6 | 4.2 ± 0.5 | ||
Day 1 | 4.2 ± 0.7 | 0.18 ± 0.48 | 4.4 ± 0.5 | 0.17 ± 0.58 |
Day 3 | 4.5 ± 0.7a | 0.45 ± 0.57a | 4.5 ± 0.5a | 0.27 ± 0.37a |
Day 7 | 4.3 ± 0.6 | 0.22 ± 0.45a | 4.3 ± 0.5 | 0.11 ± 0.47 |
Day 14 | 4.3 ± 0.7 | 0.27 ± 0.51a | 4.3 ± 0.6 | 0.10 ± 0.51 |
Day 28 | 4.3 ± 0.6 | 0.23 ± 0.58 | 4.2 ± 0.4 | 0.0 ± 0.40 |
Maternal breast milk | ||||
Cholecalciferol (ng/mL)c | ||||
Day 0 | <7.0 | <7.0 | ||
Day 1 | <7.0 | 39.7 ± 16.2a b | ||
Day 3 | 8.0 ± 3.7a | 24.6 ± 8.9a b | ||
Day 7 | 7.2 ± 4.8 | 11.2 ± 4.7a | ||
Day 14 | 8.6 ± 5.4a | <7.0 | ||
Day 28 | 7.7 ± 3.7a | <7.0 | ||
Maternal urine calcium/creatinine (mg/g) |
||||
Day 0 | 72.0 ± 52.6 | 74.6 ± 46.6 | ||
Day 1 | 72.5 ± 57.2 | 0.5 ± 47.6 | 98.4 ± 65.0 | 23.8 ± 48.9a |
Day 3 | 77.8 ± 64.0 | 5.8 ± 46.9 | 87.7 ± 77.2 | 13.1 ± 65.0 |
Day 7 | 72.9 ± 62.8 | −0.6 ± 58.9 | 104.9 ± 71.9a | 30.3 ± 55.8a |
Day 14 | 94.2 ± 104.5 | 22.2 ± 74.2 | 100.1 ± 44.2a | 25.5 ± 38.9a |
Day 28 | 106.7 ± 98.4a | 34.7 ± 71.8a | 114.2 ± 70.3a | 39.6 ± 71.5a |
Infant Serum | ||||
25(OH)D (ng/mL) | ||||
Day 0 | 16.9 ± 12.9 | 16.3 ± 12.4 | ||
Day 28 | 39.2 ± 6.3a | 22.2 ± 10.6a | 38.7 ± 11.7a | 22.4 ± 5.6a |
Calcium (mg/dL) | ||||
Day 0 | 11.0 ± 0.3 | 11.0 ± 0.3 | ||
Day 28 | 10.9 ± 0.3 | −0.09 ± 0.39 | 10.9 ± 0.3 | −0.05 ± 0.36 |
Phosphorus (mg/dL) | ||||
Day 0 | 6.1 ± 0.6 | 6.5 ± 0.5 | ||
Day 28 | 6.0 ± 0.5 | −0.08 ± 0.41 | 6.2 ± 0.5 | −0.33 ± 0.54a |
p<.05 for comparison with baseline values
p<.05 for comparison with daily dose group
Mean breast milk cholecalciferol values below the limit of quantitation are designated as <7.0 ng/mL