Table 17. The effect of vitamin D supplementation in gestation on offspring anthropometry and body composition – intervention studies.
| First Author, year |
Risk of bias |
Setting | Randomisation and study Details, Age at which children were assessed and technique used | Offspring outcome assessed (units) | Adjustments/ confounders accounted for | Number of weeks gestation when 25(OH)D was measured | Mean (SE) maternal 25(OH)D concentration (nmol/l) | Mean (SD)/ Mean (SE)* offspring outcome (units) in un-supplemented group | Mean (SD)/ Mean (SE)* offspring outcome(units) in supplemented group | Conclusion | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brooke 1980 4 | −2 (high) | London, UK, n=126, all Asian women | Double-blinded Randomised to either placebo (n=67) or 1000 IU/day of vitamin D2 in last trimester (n=59) Offspring assessed within 48 hours of birth. Method of measurement not given | Triceps skinfold (mm) Forearm length (cm) Fontanelle area (cm2) | Nil, but groups of similar age, height, parity, offspring sex, length of gestation | 28−32 weeks and at birth | At allocation 25(OH)D =20.1 (1.9)* At term, Controls 25(OH)D=16.2 (2.7)* At term, supplemented group 25(OH)D=168.0 (12.5)* | Triceps skinfold (cm) | 3.6 (0.1)* | Triceps skinfold (cm) | 3.8 (0.1)* | Significantly greater fontanelle area in the supplemented group (p<0.05). No significant difference in forearm length or triceps skinfold thickness |
| Forearm length (cm) | 8.1 (0.1)* | Forearm length (cm) | 8.1 (0.1)* | |||||||||
| Fontanelle area | 6.1 (0.7)* | Fontanelle area | 4.1 (0.4)* | |||||||||
| Marya, 1988 6 | −2 (high) | Rohtak, India N=200 women | Randomised to either no supplement (n=100) or oral 600,000 IU vitamin D3; 2 doses in 7th and 8th months gestation (n=100) Offspring measured within the first 24 hours of birth using calipers and measuring tape | Mid-arm circumference (cm) Triceps skinfold thickness (mm) Infrascascapular skinfold thickness (mm) | Nil, but groups had similar maternal age, maternal height, maternal height, parity, haemoglobin, calcium intake and vitamin D intake | Not measured | Not measured directly, but mean daily vitamin D intake given as follows: Un-supplemented = 35.71 (6.17) IU/day Supplemented group = 35.01 (7.13) IU/day | Mid-arm circum (cm) | 9.44 (0.85) | Mid-arm circum (cm) | 9.82 (0.72) | Significantly higher mid-arm circumference, triceps skinfold and infrascapular skinfold in the supplemented group (all p<0.01) |
| Triceps skinfold (mm) | 7.30 (0.83) | Triceps skinfold (mm) | 7.72 (0.67) | |||||||||
| Infrascap skinfold (mm) | 7.49 (0.89) | Infrascap skinfold (mm) | 7.82 (0.67) | |||||||||