How effective is public health policy in Scotland on vitamin D deficiency during pregnancy
Bibliographic Data
| ID | 15091094 |
|---|---|
| Authors | Ruth Campbell (0000-0001-7324-1313), Ruth E Campbell (NHS Ayrshire and Arran), Christopher Curran (0000-0002-1200-7504, NHS Ayrshire and Arran, corresponding author), Jonathan Hayward (University Hospital Ayr), Jon Godwin (0000-0002-2953-3455, University of Oxford), Susan A Johnston (0000-0003-1606-3412), Susan Johnston (0000-0003-1868-8969, Glasgow Royal Infirmary), Julie Armstrong (0000-0001-7048-9508, Glasgow Caledonian University), Andrew Collier (0000-0001-5220-6244, NHS Ayrshire and Arran) |
| Year | 2023 |
| Volume | 26 |
| Issue | 12 |
| Pages | 3311-3319 |
| Publication date | 2023-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980023002227 |
| PMID | 37881857 |
| OpenAlex | W4387950241 |
| Language | EN |
| References cited | 31 |
Objective: To evaluate the uptake of universal vitamin D supplementation during pregnancy, its effectiveness in preventing vitamin D deficiency and the factors associated with these. Design: The regional public health organisation in Ayrshire, Scotland has a policy of universal provision of vitamin D supplements (10 μg/d) to all pregnant women for the duration of their pregnancy. Pregnant women in this area were recruited at their 12-week antenatal appointment. Blood samples were collected at the 12-week and 34-week appointments. To account for the seasonal variation, women were recruited in two cohorts: summer and winter. Telephone interviews were conducted at 34 weeks to assess the uptake of vitamin D supplements during pregnancy. Other variables were obtained from medical records. Setting: The study was conducted in the NHS Ayrshire and Arran Health Board in Scotland. Participants: 612 pregnant women (aged 15–44 years) living in Ayrshire (latitude 55°), Scotland. Results: Sixty-six percentage took supplementation as recommended. Consumption of supplementation was significantly associated with a higher median serum 25-hydroxyvitamin D concentrations at 34 weeks. Despite this at 34 weeks, 33 % of the summer cohort had insufficient or deficient vitamin D status, while 15 % of the winter cohort had insufficient or deficient status. In multivariable analysis, only adherence and season were independent predictors of vitamin D status. Conclusions: While supplementation improved and maintained vitamin D status during pregnancy, it was not adequate to ensure all those insufficient at 12 weeks achieved sufficient status at the end of pregnancy
Cohort · Cohort study · Obstetrics · Pregnancy · Public health · Vitamin · Vitamin D and neurology · vitamin D deficiency · Healthcare cost, quality, practices · Medicine · Nursing · Vitamin D Research Studies · Internal Medicine · Pediatrics
| Citation velocity | historical |
|---|---|
| Highly cited | No |