TABLE 3.
Effect of vitamin D supplementationa on changes in maternal blood pressure in intervals across pregnancy, n = 1257
| SBP Δ per week (mmHg)b | DBP Δ per week (mmHg)b | |||||
| Gestational age | β | 95% CI | P valuec | β | 95% CI | P valuec |
| 24–30 weeks | ||||||
| Placebo | ref | ref | ||||
| 4200 IU/week | −0.042 | (−0.382 to 0.299) | 0.810 | −0.038 | (−0.311 to 0.235) | 0.785 |
| 16 800 IU/week | 0.018 | (−0.327 to 0.362) | 0.920 | 0.034 | (−0.242 to 0.310) | 0.811 |
| 28 000 IU/week | 0.130 | (−0.166 to 0.426) | 0.389 | 0.103 | (−0.134 to 0.341) | 0.393 |
| 30–36 weeks | ||||||
| Placebo | ref | ref | ||||
| 4200 IU/week | 0.209 | (−0.116 to 0.533) | 0.207 | 0.108 | (−0.152 to 0.369) | 0.416 |
| 16800 IU/week | −0.009 | (−0.336 to 0.317) | 0.956 | 0.040 | (−0.222 to 0.302) | 0.763 |
| 28 000 IU/week | 0.176 | (−0.107 to 0.459) | 0.223 | 0.186 | (−0.041 to 0.413) | 0.108 |
| >36 weeks | ||||||
| Placebo | ref | ref | ||||
| 4200 IU/week | 0.098 | (−0.573 to 0.769) | 0.775 | −0.038 | (−0.576 to 0.500) | 0.890 |
| 16 800 IU/week | −0.042 | (−0.744 to 0.659) | 0.906 | 0.122 | (−0.441 to 0.684) | 0.672 |
| 28 000 IU/week | −0.326 | (−0.926 to 0.274) | 0.287 | −0.073 | (−0.554 to 0.409) | 0.767 |
CI, confidence interval; IU, international unit.
Vitamin D doses were administered weekly within a randomized controlled trial.
Mixed-effects models with linear spline knots at 30 and 36 weeks gestation were used to estimate effect of vitamin D on changes in SBP or DBP. Models included spline terms for gestational age; treatment groups and interactions terms between treatment group and gestational age spline terms. Models were fit to test the effect of each vitamin D treatment group on SBP or DBP with reference to placebo. Models were adjusted for baseline SBP or DBP and gestational age at enrollment. Estimates for vitamin D groups are the coefficients for the interaction terms between treatment group and gestational age spline terms, which represent the mean change in SBP or DBP between vitamin D groups compared with placebo at specified timepoints. Interclass correlation coefficient: SBP, 0.399; DBP, 0.413.
P value is for the interaction term between treatment group and gestational age spline terms.