Table 2.
Univariate and multiple regressions between 25-hydroxyvitamin D (25(OH)D) and gestational diabetes mellitus (GDM)a (odds ratios and 95% confidence intervals). Associations according to vitamin D deficiency at inclusion (25(OH)D < 50 nmol/L) and vitamin D status during pregnancy (consistently sufficient or deficient, increasing or decreasing).
Univariate analysis | Multiple analysis (model 1) | Multiple analysis (model 2) | Multiple analysis (model 3) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n | OR | (95% CI) | p | OR | (95% CI) | p | OR | (95% CI) | p | OR | (95% CI) | p | |
n = 739, R 2 = 0.064 | n = 645, R 2 = 0.113 | n = 645, R 2 = 0.130 | |||||||||||
25(OH)D sufficiency (≥50 nmol/L) at inclusion (15 GW) (ref) | 745 | ||||||||||||
25(OH)D < 50 nmol/L | 1.6 | (1.2, 2.2) | <0.01 | 1.6 | (1.1, 2.2) | <0.01 | 1.4 | (0.95, 2.0) | 0.09 | 1.1 | (0.69, 1.6) | 0.79 | |
n = 730, R 2 = 0.065 | n = 640, R 2 = 0.108 | n = 640, R 2 = 0.127 | |||||||||||
25(OH)D consistently sufficient (ref) | 736 | ||||||||||||
Decreasing | 1.5 | (0.86, 2.7) | 0.15 | 1.4 | (0.77, 2.5) | 0.29 | 1.3 | (0.68, 2.4) | 0.49 | 1.1 | (0.60, 2.1) | 0.69 | |
Increasing | 1.7 | (1.2, 2.6) | <0.01 | 1.8 | (1.2, 2.7) | <0.01 | 1.4 | (0.87, 2.2) | 0.18 | 1.0 | (0.60, 1.7) | 0.97 | |
Consistently deficient | 1.9 | (1.2, 2.9) | <0.01 | 1.7 | (1.0, 2.7) | 0.04 | 1.3 | (0.74, 2.2) | 0.39 | 0.88 | (0.49, 1.6) | 0.68 |
aLogistic regression analysis with GDM as dependent variable. ref: referent value; GW: gestational week; R 2: coefficient of determination. Model 1: adjusted for age, parity, education, and season. Model 2: the same as model 1, with additional adjustment for the sum of skinfolds at visit 1 and change in skinfolds from visit 1 to visit 2. Model 3: the same as model 2, with additional adjustment for ethnicity/geographic origin. Consistently sufficient: 25(OH)D ≥ 37 nmol/L at 15 and 28 GW. Decreasing: 25(OH)D ≥ 37 nmol/L at 15 GW and <37 nmol/L at 28 GW. Increasing: 25(OH)D < 37 nmol/L at 15 GW and ≥37 nmol/L at 28 GW. Consistently deficient: 25(OH)D < 37 nmol/L at 15 and 28 GW.