Dietary supplementation usage by pregnant women in Silesia — population based study

Knapik, Anna; Kocot, Krzysztof; Witek, Andrzej; Jankowski, Mateusz; Wróblewska-Czech, Agnieszka; Kowalska, Małgorzata; Zejda, Jan; Brożek, Grzegorz

doi:10.5603/gp.a2018.0086

Cited by 6 publications

(8 citation statements)

References 23 publications

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“…Fe supplementation is recommended in Poland under specific circumstances (as it was described previously) and our data indicate that it is taken by 24% of the pregnant women. These percentages are lower compared to other data from Poland, where 35% women declared Fe supplementation [43]. It is worth mentioning that the slight differences between studies may be partially a result of different gestational ages within study populations.…”

Section: Discussioncontrasting

confidence: 73%

Determinants of the Essential Elements and Vitamins Intake and Status during Pregnancy: A Descriptive Study in Polish Mother and Child Cohort

et al. 2021

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The study objective was to identify determinants of essential elements and vitamins intake, and microelements and vitamins concentration in blood among pregnant women from Poland. Based on the data from food frequency questionnaires and information about supplements taken (n = 1252), daily supply of six elements (calcium, magnesium, iron, zinc, copper, selenium) and nine vitamins (folate, vitamins A, E, C, B1, B2, B3, B6, B12) was calculated. Zinc, copper, selenium (n = 340), vitamin A and E (n = 358) concentration was determined in blood collected during pregnancy. Most of the women did not meet the demand for essential elements and vitamins with a diet. About 94% of the respondents declared supplements use. The women with higher education, indicating leisure-time, physical activity and multiparity had a higher chance of meeting the average demand for the majority of the analyzed nutrients. On the other hand, factors such as BMI < 18.5kg/m2, a higher level of stress, and late first medical-care visit were associated with a lower chance of meeting the recommendations. Higher socio-economic status was a determinant of a higher selenium concentration in plasma (β = 3.1; 95%CI: 0.2–5.9), whereas BMI ≥ 25 kg/m2, and multiparity of a higher copper concentration in plasma (β = 0.2; 95%CI: 0.03-0.4; β = 0.2; 95%CI: 0.1–0.4). Higher plasma concentration of vitamin E was noted among women older than 30 years of age comparing to those who were 30 or younger (β = 1.5; 95%CI: 0.6–2.4). Although more studies are required, especially such based on laboratory measures, our results indicate target groups for dietary interventions during pregnancy for children’s optimal health and development.

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Section: Discussioncontrasting

confidence: 73%

Determinants of the Essential Elements and Vitamins Intake and Status during Pregnancy: A Descriptive Study in Polish Mother and Child Cohort

et al. 2021

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“…We sought to characterize food supplement users and found that primiparous and non-smoking women were more likely to consume food supplements as compared to multiparous and smoking women, with this result being supported by findings from previous studies with both pregnant [ 9 , 34 , 36 , 37 ] and non-pregnant women [ 38 , 39 , 40 ]. Surprisingly, we did not detect an association between supplement use and some factors previously linked with their use during pregnancy such as education, maternal age, or BMI [ 9 , 12 , 13 , 37 , 41 , 42 , 43 , 44 , 45 ]. It could be speculated whether supplement use is linked to a general awareness, irrespective of these factors, of the importance of sufficient nutrient intake during pregnancy for the benefit of the mother and child.…”

Section: Discussioncontrasting

confidence: 94%

“…Previous findings on food supplement use, mostly from cohort studies or clinical trials, indicate that 69–96% of pregnant women use food supplements in Western countries [ 8 , 9 , 10 , 11 , 12 , 13 ]. However, there is little information on the daily intakes of nutrients from food supplements and whether the doses are in line with local recommendations.…”

Section: Introductionmentioning

confidence: 99%

Food Supplement Use Differs from the Recommendations in Pregnant Women: A Multinational Survey

et al. 2022

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The aim was to investigate, among pregnant women, (1) the use of food supplements and (2) the awareness of food supplement recommendations and beliefs about food supplement use in four European countries: Finland, Italy, Poland, and the United Kingdom. The participants (n = 1804) completed an online questionnaire with predefined statements. Daily intakes of vitamins and minerals were calculated using uploaded pictures or weblinks of the supplement packages. Country differences were assessed. Most participants (91%) used at least one food supplement during pregnancy. A prenatal multivitamin was the most commonly used supplement type (84% of the users), and 75% of the participants thought consumption of multivitamin is recommended. Of the participants, 81% knew that folic acid is recommended during pregnancy while 58% knew the recommendation for vitamin D. In 19% of the supplement users, the daily safe upper intake limit of at least one nutrient was exceeded. Nevertheless, most participants agreed that they knew which supplements (91%) and doses of supplements (87%) needed to be used during pregnancy. To conclude, the majority of the participants used food supplements, but lower proportions knew and adhered to the recommended intakes. Between-country differences were observed in the use and knowledge of and beliefs regarding supplements. The results suggest a need for assessment and monitoring of supplement use in antenatal care to ensure appropriate use.

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“…Fat synthesis is hyperactive, while fat decomposition is suppressed, which often gives rise to fetal macrosomia and premature delivery. 13 , 15…”

Section: Discussionmentioning

confidence: 99%

“…Fat synthesis is hyperactive, while fat decomposition is suppressed, which often gives rise to fetal macrosomia and premature delivery. 13,15 Both prenatal subclinical hypothyroidism and vitamin D deficiency are common diseases in the first trimester. They can produce adverse effects in pregnant women and fetuses.…”

Section: Discussionmentioning

confidence: 99%

Study on the changes in TSH, TPO-Ab and other indicators due to Vitamin D deficiency in Pregnant Women with subclinical hypothyroidism in the first trimester

Zhou

Wang

et al. 2020

Pak J Med Sci

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Objective: To investigate the effect of vitamin D deficiency on the levels of thyroid stimulating hormone (TSH), thyroid peroxidase antibody (TPO-Ab), interleukin-1 (IL-1) and high-sensitivity C-reactive protein (hs-CRP) in pregnant women with early pregnancy complicated by subclinical hypothyroidism. Methods: A total of 172 pregnant women with subclinical hypothyroidism in the first trimester diagnosed and treated in a given hospital from August 2014 to May 2018 were selected, and their levels of vitamin D were determined. Depending on the abnormality of their vitamin D levels, the study participants were divided into two groups: the study group (vitamin D≤20 ng/L) and the control group (vitamin D>20 ng/L). The levels of TSH, TPO-Ab, IL-1 and hsCRP in the two groups were measured. Results: The levels of TSH, hsCRP and TPO-Ab in the study group were significantly higher than those in the control group (P < 0.05). The comparison between the two groups in terms of IL-1 showed no statistically significant difference. Conclusion: Vitamin D deficiency in the first trimester is associated with in an increased level of TSH in the first trimester, thereby aggravating subclinical hypothyroidism. The mechanism may be associated with the impact of vitamin D deficiency on hs-CRP and other body inflammation indicators, as well as on thyroid autoantibodies and other immune indicators, but has no effect on IL-1 levels. doi: https://doi.org/10.12669/pjms.36.6.1982 How to cite this:Zhou X, Li B, Wang C, Li Z. Study on the changes in TSH, TPO-Ab and other indicators due to Vitamin D deficiency in Pregnant Women with subclinical hypothyroidism in the first trimester. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.1982 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Dietary supplementation usage by pregnant women in Silesia — population based study

Cited by 6 publications

References 23 publications

Determinants of the Essential Elements and Vitamins Intake and Status during Pregnancy: A Descriptive Study in Polish Mother and Child Cohort

Determinants of the Essential Elements and Vitamins Intake and Status during Pregnancy: A Descriptive Study in Polish Mother and Child Cohort

Food Supplement Use Differs from the Recommendations in Pregnant Women: A Multinational Survey

Study on the changes in TSH, TPO-Ab and other indicators due to Vitamin D deficiency in Pregnant Women with subclinical hypothyroidism in the first trimester

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