4.4 Article

Serum 25 hydroxyvitamin D status in 6-month-old infants in Guangzhou, China: A paired longitudinal follow up study

Journal

MATERNAL AND CHILD NUTRITION
Volume 16, Issue 2, Pages -

Publisher

WILEY
DOI: 10.1111/mcn.12924

Keywords

6-month infant; 25-hydroxyvitamin D; feeding patterns; parental education; season; supplementation

Funding

  1. Guangzhou Women and Children' s Medical Center [50013001045, YIP-2016-002]
  2. Medical Scientific Research Foundation of Guangdong Province, China [A2018239]
  3. General guidance project of Guangzhou Health and Family Planning Commission [20181A011029]

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To assess the vitamin D status in healthy 6-month-old infants, as well as vitamin D supplementation and feeding patterns in Guangzhou, China, serum 25-hydroxyvitamin D (25OHD) concentrations of 202 infants were measured at birth (cord blood) and at 6 months of age in Guangzhou, China. Questionnaires acquiring demographic characteristics, maternal and infantile vitamin D supplementation during pregnancy and first 6 months after birth, and feeding patterns during the first 6 months were completed by participating mothers. Physical examinations and blood sampling were carried out among infants at 6 months of age. The majority of infants (93.6%) were supplemented with vitamin D during the first 6 months of life on a voluntary basis. The M +/- SD of cord serum 25OHD concentration was 46.2 +/- 16.4 nmol/L, whereas the M +/- SD of 25OHD concentration at 6 months was 82.9 +/- 24.9 nmol/L. Serum 25OHD concentrations <30 nmol/L were seen in 34 (16.8%) infants at birth but only one (0.5%) at 6 months. Only 11 (5.4%) infants had concentrations >75 nmol/L at birth, whereas the majority of infants (n = 131, 64.9%) had concentrations >75 nmol/L at 6 months. The main predictors of 25OHD levels at 6 months included season, vitamin D supplementation, parental education level, and feeding patterns. To conclude, serum 25OHD concentrations were low at birth in a southern Chinese population, and infantile supplementation is an effective way to improve 25OHD status. Exclusively breastfed infants might need greater vitamin D supplementation, and individualized vitamin D supplementation plans might be needed.

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