Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2015

Open Access 01-12-2015 | Research article

Influence of preeclampsia and gestational obesity in maternal and newborn levels of vitamin D

Authors: Homero Rabelo Pena, Marilia Carvalho de Lima, Katia Galeão Brandt, Margarida Maria Castro de Antunes, Giselia Alves Pontes da Silva

Published in: BMC Pregnancy and Childbirth | Issue 1/2015

Login to get access

Abstract

Background

In recent years, a high prevalence of vitamin D deficiency amongst pregnant women and newborns has been observed throughout several regions of the world, especially in the presence of preeclampsia (PE) or obesity (OB). The aim of this study was to investigate whether nonobese and obese preeclamptic pregnant women and their newborns have low 25(OH)D compared with nonobese and obese nonpreeclamptic pregnant women; and to verify whether the maternal level of this vitamin correlates with the newborns’ level.

Methods

This is a cross-sectional study conducted with 179 pregnant women recruited immediately before delivery, divided into four groups: PE+/OB; PE+/OB+; PE/OB+; and PE/OB, with gestational age ≥ 34 weeks. Maternal peripheral blood and newborns umbilical cord blood were collected and 25(OH)D levels were measured by chemiluminescence (LIAISON®).

Results

Infants born to preeclamptic mothers had a lower median 25(OH)D level than those born to nonpreeclamptic mothers (p < 0.01). Obese pregnant women and their newborns had higher frequencies of 25(OH)D deficiency, but the difference with respect to nonobese pregnant women and their newborns was not significant. The vitamin D status of preeclamptic obese women was not worse than that of their nonobese counterparts. Newborns and maternal 25(OH)D levels were significantly correlated (p = 0.01). Obesity weakened this correlation.

Conclusions

Preeclamptic women and their newborns presented higher frequencies of 25(OH)D deficiency, but 25(OH)D levels were not significantly influenced by obesity. Obese pregnant women transferred less 25(OH)D to their fetuses.
Literature
1.
go back to reference Dror DK, Allen L. Vitamin D inadequacy in pregnancy: biology, outcomes, and interventions. Nutr Rev. 2010;68:465–77.CrossRefPubMed Dror DK, Allen L. Vitamin D inadequacy in pregnancy: biology, outcomes, and interventions. Nutr Rev. 2010;68:465–77.CrossRefPubMed
2.
go back to reference Bener A, Al-Hamaq AO, Saleh NM. Association between vitamin D insufficiency and adverse pregnancy outcome: global comparisons. Int J Womens Health. 2013;5:523–31.CrossRefPubMedPubMedCentral Bener A, Al-Hamaq AO, Saleh NM. Association between vitamin D insufficiency and adverse pregnancy outcome: global comparisons. Int J Womens Health. 2013;5:523–31.CrossRefPubMedPubMedCentral
3.
go back to reference Kaludjerovic J, Vieth R. Relationship between vitamin D during perinatal development and health. J Midwifery Womens Health. 2010;55:550–60.CrossRefPubMed Kaludjerovic J, Vieth R. Relationship between vitamin D during perinatal development and health. J Midwifery Womens Health. 2010;55:550–60.CrossRefPubMed
4.
go back to reference Principi N, Bianchini S, Baggi E, Esposito S. Implications of maternal vitamin D deficiency for the fetus, the neonate and the young infant. Eur J Nutr. 2013;52:859–67.CrossRefPubMed Principi N, Bianchini S, Baggi E, Esposito S. Implications of maternal vitamin D deficiency for the fetus, the neonate and the young infant. Eur J Nutr. 2013;52:859–67.CrossRefPubMed
6.
go back to reference Norman AW. From vitamin D to hormone D: fundamentals of the vitamin D endocrine system essential for good health. Am J Clin Nutr. 2008;88 Suppl 2:491–9. Norman AW. From vitamin D to hormone D: fundamentals of the vitamin D endocrine system essential for good health. Am J Clin Nutr. 2008;88 Suppl 2:491–9.
7.
go back to reference Jeffery LE, Burke F, Mura M, Zhenget Y, Qureshi OS, Hewison M, et al. 1,25 dihydroxyvitamin D3 and IL-2 combine to inhibit T cell production of inflammatory cytokines and promote development of regulatory T cells expressing CTLA-4 and FOXP3. J Immunol. 2009;183:5458–67.CrossRefPubMedPubMedCentral Jeffery LE, Burke F, Mura M, Zhenget Y, Qureshi OS, Hewison M, et al. 1,25 dihydroxyvitamin D3 and IL-2 combine to inhibit T cell production of inflammatory cytokines and promote development of regulatory T cells expressing CTLA-4 and FOXP3. J Immunol. 2009;183:5458–67.CrossRefPubMedPubMedCentral
9.
go back to reference Bodnar LM, Catov JM, Simhan HN, Holick MF, Powers RW, Roberts JM. Maternal Vitamin D deficiency increases the risk of preeclampsia. J Clin Endocrinol Metab. 2007;92:3517–22.CrossRefPubMedPubMedCentral Bodnar LM, Catov JM, Simhan HN, Holick MF, Powers RW, Roberts JM. Maternal Vitamin D deficiency increases the risk of preeclampsia. J Clin Endocrinol Metab. 2007;92:3517–22.CrossRefPubMedPubMedCentral
10.
go back to reference Baker AM, Haeri S, Camargo Jr CA, Espinola JA, Stuebe AM. A nested case–control study of midgestation vitamin D deficiency and risk of severe preeclampsia. J Clin Endocrinol Metab. 2010;95:5105–9.CrossRefPubMedPubMedCentral Baker AM, Haeri S, Camargo Jr CA, Espinola JA, Stuebe AM. A nested case–control study of midgestation vitamin D deficiency and risk of severe preeclampsia. J Clin Endocrinol Metab. 2010;95:5105–9.CrossRefPubMedPubMedCentral
11.
go back to reference Robinson CJ, Alanis MC, Wagner CL, Hollis BW, Johnson DD. Plasma 25-OH-Vitamin D levels in early onset severe preeclampsia. Am J Obstet Gynecol. 2010;203:366.e1–6.CrossRef Robinson CJ, Alanis MC, Wagner CL, Hollis BW, Johnson DD. Plasma 25-OH-Vitamin D levels in early onset severe preeclampsia. Am J Obstet Gynecol. 2010;203:366.e1–6.CrossRef
13.
go back to reference Wortsman J, Matsuoka LY, Chen TC, Lu Z, Holick MF. Decreased bioavailability of vitamin D in obesity. Am J Clin Nutr. 2000;72:690–3.PubMed Wortsman J, Matsuoka LY, Chen TC, Lu Z, Holick MF. Decreased bioavailability of vitamin D in obesity. Am J Clin Nutr. 2000;72:690–3.PubMed
14.
go back to reference Young KA, Engelman CD, Langefeld CD, Hairston KG, Haffner SM, Bryer-Ash M, et al. Association of plasma vitamin D levels with adiposity in Hispanic and African Americans. J Clin Endocrinol Metab. 2009;94:3306–13.CrossRefPubMedPubMedCentral Young KA, Engelman CD, Langefeld CD, Hairston KG, Haffner SM, Bryer-Ash M, et al. Association of plasma vitamin D levels with adiposity in Hispanic and African Americans. J Clin Endocrinol Metab. 2009;94:3306–13.CrossRefPubMedPubMedCentral
15.
go back to reference Earthman CP, Beckman LM, Masodkar K, Sibley SD. The link between obesity and low circulating 25-hydroxyvitamin D concentrations: considerations and implications. Int J Obes. 2012;36:387–96.CrossRef Earthman CP, Beckman LM, Masodkar K, Sibley SD. The link between obesity and low circulating 25-hydroxyvitamin D concentrations: considerations and implications. Int J Obes. 2012;36:387–96.CrossRef
16.
go back to reference Bodnar LM, Catov JM, Roberts JM, Simhan HN. Prepregnancy obesity predicts poor vitamin D status in mothers and their neonates. J Nutr. 2007;137:2437–42.PubMedPubMedCentral Bodnar LM, Catov JM, Roberts JM, Simhan HN. Prepregnancy obesity predicts poor vitamin D status in mothers and their neonates. J Nutr. 2007;137:2437–42.PubMedPubMedCentral
17.
go back to reference Pennington KA, Schlitt JM, Jackson DL, Schulz LC, Schust DL. Preeclampsia: multiple approaches for a multifactorial disease. Dis Model Mech. 2012;5:9–18.CrossRefPubMedPubMedCentral Pennington KA, Schlitt JM, Jackson DL, Schulz LC, Schust DL. Preeclampsia: multiple approaches for a multifactorial disease. Dis Model Mech. 2012;5:9–18.CrossRefPubMedPubMedCentral
18.
go back to reference Pearce SH, Cheetham TD. Diagnosis and management of vitamin D deficiency. BMJ. 2010;340:142–7. Pearce SH, Cheetham TD. Diagnosis and management of vitamin D deficiency. BMJ. 2010;340:142–7.
19.
go back to reference Viljakainen HT, Saarnio E, Hytinantti T, Miettinen M, Surcel H, Mäkitie O, et al. Maternal vitamin D status determines bone variables in the newborn. J Clin Endocrinol Metab. 2010;95:1749–57.CrossRefPubMed Viljakainen HT, Saarnio E, Hytinantti T, Miettinen M, Surcel H, Mäkitie O, et al. Maternal vitamin D status determines bone variables in the newborn. J Clin Endocrinol Metab. 2010;95:1749–57.CrossRefPubMed
20.
go back to reference Camargo CA, Ingham T, Wickens K, Thadhani R, Silvers KM, Epton MJ, et al. Cord-blood 25-hydroxyvitamin D levels and risk of respiratory infection, wheezing, and asthma. Pediatrics. 2011;127:e180–7.CrossRefPubMed Camargo CA, Ingham T, Wickens K, Thadhani R, Silvers KM, Epton MJ, et al. Cord-blood 25-hydroxyvitamin D levels and risk of respiratory infection, wheezing, and asthma. Pediatrics. 2011;127:e180–7.CrossRefPubMed
21.
go back to reference American College of Obstetricians and Gynecologists. Practice Bulletin No. 33: Diagnosis and management of preeclampsia and eclampsia. Obstet Gynecol. 2002;99:159–67. American College of Obstetricians and Gynecologists. Practice Bulletin No. 33: Diagnosis and management of preeclampsia and eclampsia. Obstet Gynecol. 2002;99:159–67.
22.
go back to reference Atalah ES, Castillo CL, Castro RS, Aldea AP. Propuesta de un nuevo estándar de evaluación nutricional en embarazadas. Rev Med Chile. 1997;125:1429–36.PubMed Atalah ES, Castillo CL, Castro RS, Aldea AP. Propuesta de un nuevo estándar de evaluación nutricional en embarazadas. Rev Med Chile. 1997;125:1429–36.PubMed
23.
go back to reference Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2011;96:1911–30.CrossRefPubMed Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2011;96:1911–30.CrossRefPubMed
25.
go back to reference Lubchenco LO, Hansman C, Dressler M, Boyd E. Intrauterine growth as estimated from liveborn birth-weight data at 24 to 42 weeks of gestation. Pediatrics. 1963;32:793–800.PubMed Lubchenco LO, Hansman C, Dressler M, Boyd E. Intrauterine growth as estimated from liveborn birth-weight data at 24 to 42 weeks of gestation. Pediatrics. 1963;32:793–800.PubMed
26.
go back to reference Aghajafari F, Nagulesapillai T, Ronksley PE, Tough SC, O'Beirne M, Rabi DM. Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational studies. BMJ. 2013;346:f1169.CrossRefPubMed Aghajafari F, Nagulesapillai T, Ronksley PE, Tough SC, O'Beirne M, Rabi DM. Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational studies. BMJ. 2013;346:f1169.CrossRefPubMed
27.
go back to reference Díaz L, Noyola-Martínez N, Barrera D, Hernández G, Avila E, Halhali A, et al. Calcitriol inhibits TNF-α-induced inflammatory cytokines in human trophoblasts. J Reprod Immunol. 2009;81:17–24.CrossRefPubMed Díaz L, Noyola-Martínez N, Barrera D, Hernández G, Avila E, Halhali A, et al. Calcitriol inhibits TNF-α-induced inflammatory cytokines in human trophoblasts. J Reprod Immunol. 2009;81:17–24.CrossRefPubMed
28.
go back to reference Borzychowski AM, Sargent IL, Redman CWG. Inflammation and pre-eclampsia. Semin Fetal Neonatal Med. 2006;11:309–16.CrossRefPubMed Borzychowski AM, Sargent IL, Redman CWG. Inflammation and pre-eclampsia. Semin Fetal Neonatal Med. 2006;11:309–16.CrossRefPubMed
29.
30.
go back to reference Halicioglu O, Aksitc S, Kocc F, Akmana SA, Albudaka E, Yapraka I, et al. Vitamin D deficiency in pregnant women and their neonates in spring time in western Turkey. Paediatr Perinat Epidemiol. 2011;26:53–60.CrossRefPubMed Halicioglu O, Aksitc S, Kocc F, Akmana SA, Albudaka E, Yapraka I, et al. Vitamin D deficiency in pregnant women and their neonates in spring time in western Turkey. Paediatr Perinat Epidemiol. 2011;26:53–60.CrossRefPubMed
31.
go back to reference Molla AM, Badawi MA, Hammoud MS, Shukkur M, Thalib L, Eliwa MS. Vitamin D status of mothers and their neonates in Kuwait. Pediatr Int. 2005;47:649–52.CrossRefPubMed Molla AM, Badawi MA, Hammoud MS, Shukkur M, Thalib L, Eliwa MS. Vitamin D status of mothers and their neonates in Kuwait. Pediatr Int. 2005;47:649–52.CrossRefPubMed
32.
go back to reference Josefson JL, Feinglass J, Rademaker AW, Metzger BE, Zeiss DM, Price HE, et al. Maternal Obesity and Vitamin D Sufficiency Are Associated with Cord Blood Vitamin D Insufficiency. J Clin Endocrinol Metab. 2013;98:114–9.CrossRefPubMed Josefson JL, Feinglass J, Rademaker AW, Metzger BE, Zeiss DM, Price HE, et al. Maternal Obesity and Vitamin D Sufficiency Are Associated with Cord Blood Vitamin D Insufficiency. J Clin Endocrinol Metab. 2013;98:114–9.CrossRefPubMed
33.
go back to reference Gertner JM, Glassman MS, Coustan DR, Goodman DBP. Fetomaternal vitamin D relationships at term. J Pediatr. 1980;97:637–40.CrossRefPubMed Gertner JM, Glassman MS, Coustan DR, Goodman DBP. Fetomaternal vitamin D relationships at term. J Pediatr. 1980;97:637–40.CrossRefPubMed
34.
go back to reference Salle BL, Delvin EE, Lapillonne A, Bishop NJ, Glorieux FH. Perinatal metabolism of vitamin D. Am J Clin Nutr. 2000;71(Suppl):1317–24. Salle BL, Delvin EE, Lapillonne A, Bishop NJ, Glorieux FH. Perinatal metabolism of vitamin D. Am J Clin Nutr. 2000;71(Suppl):1317–24.
35.
go back to reference Prentice A, Goldberg GR, Schoenmakers I. Vitamin D across the lifecycle: physiology and biomarkers. Am J Clin Nutr. 2008;88 Suppl 5:500–6. Prentice A, Goldberg GR, Schoenmakers I. Vitamin D across the lifecycle: physiology and biomarkers. Am J Clin Nutr. 2008;88 Suppl 5:500–6.
36.
go back to reference Karlsson T, Osmancevic A, Jansson N, Hulthén L, Holmäng A, Larsson I. Increased vitamin D-binding protein and decreased free 25(OH)D in obese women of reproductive age. Eur J Nutr. 2014;53:259–67.CrossRefPubMed Karlsson T, Osmancevic A, Jansson N, Hulthén L, Holmäng A, Larsson I. Increased vitamin D-binding protein and decreased free 25(OH)D in obese women of reproductive age. Eur J Nutr. 2014;53:259–67.CrossRefPubMed
37.
go back to reference Roberts KA, Riley SC, Reynolds RM, Barr S, Evans M, Statham A, et al. Placental structure and inflammation in pregnancies associated with obesity. Placenta. 2011;32:247–54.CrossRefPubMed Roberts KA, Riley SC, Reynolds RM, Barr S, Evans M, Statham A, et al. Placental structure and inflammation in pregnancies associated with obesity. Placenta. 2011;32:247–54.CrossRefPubMed
38.
go back to reference Tsiaras WG, Weinstock MA. Factors influencing vitamin D status. Acta Derm Venereol. 2011;91:115–24.CrossRefPubMed Tsiaras WG, Weinstock MA. Factors influencing vitamin D status. Acta Derm Venereol. 2011;91:115–24.CrossRefPubMed
Metadata
Title
Influence of preeclampsia and gestational obesity in maternal and newborn levels of vitamin D
Authors
Homero Rabelo Pena
Marilia Carvalho de Lima
Katia Galeão Brandt
Margarida Maria Castro de Antunes
Giselia Alves Pontes da Silva
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2015
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-015-0547-7

Other articles of this Issue 1/2015

BMC Pregnancy and Childbirth 1/2015 Go to the issue