医学
维生素D缺乏
环境卫生
维生素D与神经学
产科
儿科
内分泌学
作者
Marcos Pereira,Gisele Queiroz Carvalho,Ricardo David Couto,Djanilson Barbosa dos Santos,Ana Marlúcia Oliveira
标识
DOI:10.1016/j.clnesp.2017.09.007
摘要
Objective We analyzed the serum vitamin D concentrations and identified the factors associated with vitamin D deficiency in Brazilian pregnant women, in a city with a high solar exposure. Methods Cross-sectional study with a sample of 190 pregnant women in a municipality in the Brazilian state of Bahia. Socio-environmental information, regarding the lifestyle and biological factors of participants, was collected and recorded in a questionnaire, and serum concentrations of 25(OH)D was determined (PR). Results The deficient and insufficient vitamin D concentrations were found in 14.21% and 44.74% of the pregnant women, respectively. Vitamin D deficiency was associated with commuting to work via motor vehicles (PR: 2.79; 95% CI: 1.06–7.31), with winter (prevalence ratio – PR: 1.54; 95% CI: 1.01–2.35), exposure to the sun only on the face and hands (PR: 2.99; 95% CI: 1.35–6.63) and single pregnant women (PR: 2.53; 95% CI: 1.01–6.35). Conclusions We detected a high proportion of pregnant women with vitamin deficient and insufficient vitamin D levels among pregnant women of a sunny city. These data suggest the necessity to monitor serum vitamin D levels during pregnancy and the adequate orientation in prenatal care to adoption healthy lifestyle for the prevention of vitamin D deficiency in this population.
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