1. Vitamin D Deficiency and Maternal Diseases as Risk Factors for the Development of Macrosomia in Newborns
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Nazym Ailbayeva, Aliya Alimbayeva, Oxana Yurkovskaya, Raida Faizova, Sayat Tanatarov, Gulnara Taiorazova, Aizhan Abylgazinova, Andrey Orekhov, Ulzhan Jamedinova, and Lyudmila Pivina
- Subjects
macrosomia ,newborns ,vitamin D ,maternal obesity ,maternal hypothyroidism ,risk factors ,Pediatrics ,RJ1-570 - Abstract
Background: The aim is to assess the association between the level of vitamin D, maternal diseases, and macrosomia in newborns. Methods: This study included 258 full-term newborns (86 newborns with macrosomia; and 172 newborns with normal weight). Enzyme immunoassays for the determination of vitamin D were performed. Results: Newborns with macrosomia were statistically significantly more likely to have severe vitamin D deficiency compared with control (13.5 ± 6.7 ng/mL vs. 21.3 ± 12.1 ng/mL; p < 0.05). In the main group, severe deficiency was found in 40.7% of newborns, in the control group this rate was 5.8% (χ2 = 71,788, df = 3, p < 0.001). Multiple regression analysis shows that statistically significant risk factors for the development of macrosomia were vitamin D deficiency in the cord blood (OR = 2.29), maternal age over 36 years old (OR = 19.54), and hypothyroidism (OR = 9.35). Conclusion: the results of our study demonstrate relationship between macrosomia in newborns and vitamin D deficiency in the cord blood, maternal overweight and obesity, maternal age and thyroid disease.
- Published
- 2024
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