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. 2021 Oct 6;152(1):255–268. doi: 10.1093/jn/nxab344

TABLE 3.

Protective factors against infants being born with serum 25(OH)D <30 or <40 nmol/L1

Serum 25(OH)D < 30 nmol/L Serum 25(OH)D ≥ 40 nmol/L
Factor n % P value Unadjusted OR (95% CI) Adjusted OR (95% CI)2 % P value Unadjusted OR (95% CI) Adjusted OR (95% CI)2
Multivitamin use3 0.0244 0.10
 Preconception + pregnancy 352 13.1 0.63 (0.42, 0.94) 0.55 (0.36, 0.86) 68.8 1.30 (0.95, 1.78) 1.47 (1.04, 2.07)
 Pregnancy only 352 19.3 Reference Reference 62.8 Reference Reference
Prepregnancy BMI, kg/m2 0.0152 0.0070
 <25 437 13.5 Reference Reference 69.6 Reference Reference
 ≥25 267 20.6 1.66 (1.11, 2.49) 1.82 (1.18, 2.81) 59.6 0.64 (0.47, 0.89) 0.59 (0.42, 0.83)
Exercise in pregnancy4 0.25 0.0007
 Yes 356 14.6 Reference Reference 71.6 Reference Reference
 No 348 17.8 1.27 (0.85, 1.90) 1.08 (0.69, 1.68) 59.8 0.59 (0.43, 0.81) 0.69 (0.49, 0.97)
Season at birth5 0.0100 0.0002
 Winter 163 22.1 2.80 (1.51, 5.21) 3.58 (1.84, 6.94) 60.7 0.43 (0.27, 0.68) 0.34 (0.21, 0.57)
 Spring 188 18.1 2.18 (1.17, 4.06) 2.61 (1.34, 5.09) 58.0 0.38 (0.24, 0.60) 0.31 (0.19, 0.51)
 Summer 185 9.2 Reference Reference 78.4 Reference Reference
 Fall 168 16.1 1.89 (0.99, 3.61) 2.40 (1.21, 4.79) 65.5 0.52 (0.33, 0.84) 0.39 (0.23, 0.65)
Parity 0.61 0.0468
 Primiparous 326 15.3 Reference Reference 69.6 Reference Reference
 Multiparous 378 16.9 1.13 (0.75, 1.69) 1.27 (0.79, 2.05) 62.4 0.73 (0.53, 0.99) 0.67 (0.46, 0.96)
Maternal population group6 <0.0001 <0.0001
 Black 36 36.1 4.74 (2.26, 9.96) 5.58 (2.50, 12.47) 36.1 0.20 (0.10, 0.40) 0.16 (0.07, 0.34)
 East/Southeast Asian 35 34.3 4.38 (2.05, 9.34) 5.22 (2.25, 12.10) 40.0 0.23 (0.11, 0.47) 0.20 (0.09, 0.42)
 Latino 27 18.5 1.91 (0.69, 5.26) 2.09 (0.72, 6.04) 51.9 0.37 (0.17, 0.81) 0.38 (0.17, 0.87)
 Middle Eastern 67 28.4 3.32 (1.81, 6.10) 3.81 (1.94, 7.46) 46.3 0.30 (0.18, 0.50) 0.25 (0.14, 0.45)
 South Asian 42 19.1 1.97 (0.87, 4.50) 2.64 (1.10, 6.35) 59.5 0.51 (0.27, 0.97) 0.36 (0.18, 0.72)
 Mixed or unknown 37 21.6 2.31 (1.00, 5.34) 2.63 (1.08, 6.38) 64.9 0.64 (0.31, 1.29) 0.50 (0.24, 1.07)
 White 460 10.7 Reference Reference 74.4 Reference Reference
Maternal age, y 0.19 0.3071
 ≤30 168 19.6 1.37 (0.88, 2.15) 1.75 (1.03, 2.97) 26.1 1.21 (0.84, 1.73) 0.60 (0.39, 0.91)
 >30 536 15.1 Reference Reference 33.2 Reference Reference
Maternal education 0.41 0.90
 High school or less 76 19.7 0.76 (0.42, 1.39) 0.84 (0.43, 1.65) 32.9 1.07 (0.65, 1.77) 0.84 (0.47, 1.48)
 Postsecondary 628 15.8 Reference Reference 34.4 Reference Reference
Family income, CAD 0.0056 0.11
 <70,000 134 25.4 2.04 (1.27, 3.27) 1.11 (0.65, 1.91) 41.8 1.53 (1.03, 2.28) 1.17 (0.74, 1.85)
 ≥70,000 448 14.3 Reference Reference 31.9 Reference Reference
 Not reported 122 13.1 0.91 (0.50, 1.63) 0.53 (0.28, 1.02) 34.4 1.12 (0.73, 1.71) 1.53 (0.94, 2.50)
1

Values are n and row percentages or ORs (95% CIs) unless otherwise indicated. CAD, Canadian dollars; 25(OH)D, 25-hydroxyvitamin D.

2

Adjusted for all other independent variables in the table.

3

Surveyed as multivitamin used in the 3 mo before conceiving; and used during pregnancy.

4

Any exercise during pregnancy included any indoor or outdoor activity.

5

Seasons according to equinox and solstice dates.

6

Maternal self-reported population group according to ancestral origin.