Maternal Vitamin D Status: Effect on Milk Vitamin D Content and Vitamin D Status of Breastfeeding Infants

Dawodu, Adekunle; Tsang, Reginald C.

doi:10.3945/an.111.000950

Cited by 119 publications

(108 citation statements)

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“…With the reported low content of dietary vitamin D in the traditional Nepalese diet (33), UVB radiation and breast milk are by far the most important sources of vitamin D in young children. Exclusive breast-feeding has been considered inadequate to prevent vitamin D deficiency (13,34), but recent reports show that vitamin D content in human milk is highly dependent on the mother's vitamin D status (35,36). Local sun-exposure habits associated with breast-feeding in Nepal, such as outdoor breast-feeding (12) and the tradition of sunbathing infants younger than 3 months (37), may therefore be plausible explanations for the relatively high plasma 25(OH)D concentration found in this study.…”

Section: Discussionmentioning

confidence: 99%

Vitamin D status is associated with treatment failure and duration of illness in Nepalese children with severe pneumonia

et al. 2017

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BACKGROUND: There is no consensus on optimal Vitamin D status. The objective of this study was to estimate the extent to which vitamin D status predicts illness duration and treatment failure in children with severe pneumonia by using different cutoffs for vitamin D concentration. METHODS:We measured the plasma concentration of 25(OH)D in 568 children hospitalized with World Health Organization-defined severe pneumonia. The associations between vitamin D status, using the most frequently used cutoffs for vitamin D insufficiency (25(OH)Do50 and o75 nmol/l), and risk for treatment failure and time until recovery were analyzed in multiple logistic regression and Cox proportional hazards models, respectively. RESULTS: Of the 568 children, 322 (56.7%) had plasma 25(OH) D levels ≥ 75 nmol/l, 179 (31.5%) had levels of 50-74.9 nmol/l, and 67 (%) had levels o50 nmol/l. Plasma 25(OH)D o50 nmol/l was associated with increased risk for treatment failure and longer time until recovery. CONCLUSION: Our findings indicate that low vitamin D status (25(OH)Do50 nmol/l) is an independent risk factor for treatment failure and delayed recovery from severe lower respiratory infections in children.

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Section: Discussionmentioning

confidence: 99%

Vitamin D status is associated with treatment failure and duration of illness in Nepalese children with severe pneumonia

et al. 2017

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“…300 µg (IoM, 2001;NHMRC, 2006) The mean vitamin D content of breast milk in healthy women has been reported to be in the range 0.25 to 2 µg/L (Dawodu and Tsang, 2012). There is general agreement that human milk does not contain sufficient vitamin D to prevent rickets, even if the mother takes vitamin D supplements (Olafsdottir et al, 2001).…”

Section: To < 36 Monthsmentioning

confidence: 99%

Scientific Opinion on nutrient requirements and dietary intakes of infants and young children in the European Union

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Following a request from the European Commission, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to deliver a Scientific Opinion on the nutrient requirements and dietary intakes of infants and young children in the European Union. This Opinion describes the dietary requirements of infants and young children, compares dietary intakes and requirements in infants and young children in Europe and, based on these findings, concludes on the potential role of young-child formulae in the diets of infants and young children, including whether they have any nutritional benefits when compared with other foods that may be included in the normal diet of infants and young children. The Panel concluded on the levels of nutrient and energy intakes that are considered adequate for the majority of infants and young children, and evaluated the risk of inadequate nutrient intakes in infants and young children in living Europe. Dietary intakes of alpha-linolenic acid (ALA), docosahexaenoic acid (DHA), iron, vitamin D and iodine (in some European countries) are low in infants and young children living in Europe, and particular attention should be paid to ensuring an appropriate supply of ALA, DHA, iron, vitamin D and iodine in infants and young children with inadequate or at risk of inadequate status of these nutrients. No unique role of young-child formulae with respect to the provision of critical nutrients in the diet of infants and young children living in Europe can be identified, so that they cannot be considered as a necessity to satisfy the nutritional requirements of young children when compared with other foods that may be included in the normal diet of young children (such as breast milk, infant formulae, follow-on formulae and cow's milk).

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“…Physiological vulnerability which comes with childbearing is the first reason. Moreover, maternal nutrient needs increase during pregnancy and lactation, and when these needs are not met, women may suffer from malnutrition [1][2][3][4][5]. During lactation, the energy, protein, and other nutrients in breast milk come from a mother's diet or her own body stores.…”

Section: Introductionmentioning

confidence: 99%

“…During lactation, the energy, protein, and other nutrients in breast milk come from a mother's diet or her own body stores. Lactating women who do not get enough energy and nutrients in their diets risk maternal depletion [3][4][5][6]. This exacerbates maternal malnutrition [7,8].…”

Section: Introductionmentioning

confidence: 99%

Dietary diversity and related factors among lactating women visiting public health facilities in Aksum town, Tigray, Northern Ethiopia

et al. 2016

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Background: Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on dietary diversity among lactating mothers. Therefore, this study assessed diet diversity and associated factors among lactating mothers visiting public health facilities in Aksum town, Tigray, Northern Ethiopia. Methods: An institution based cross-sectional study was conducted on 346 randomly selected lactating women visiting public health facilities of Aksum town in June 2015. Dietary diversity was assessed using 24 h dietary recall method. A mean dietary diversity score (DDS) was computed of nine food groups. Food insecurity access was measured using 9 items Household Food Insecurity Access Scale (HFIAS). Data were entered and analyzed using SPSS version 20. Results: More than a quarter (27.2 %) of the lactating mothers was from food insecure households. The mean DDS was 3.4 and a total of 56.4 % lactating mothers had low dietary diversity (less than mean DDS). Average monthly income, home gardening and source of drinking water were associated with low dietary diversity. Lactating mothers who had monthly income of less than 501 ETB [AOR = 2.3, 95 % CI (1.2, 4.6)] and 501 to 1500 ETB [AOR = 3.0, 95 % CI (1.4, 6.3)] were more likely to have low dietary diversity than those who had monthly income above 1500 ETB. And those who did not practice home gardening were more likely to have low dietary diversity than their counterparts [AOR = 2.1, 95 % CI (1.01, 4.2)]. Regarding source of drinking water, mothers who reported protected well as a main source were more likely to have low dietary diversity compared to those who reported tap water as main source [AOR = 4.5, 95 % CI (1.1,18.2)]. Conclusions: Dietary diversity among lactating mothers was low. Factors like monthly income less than 501 ETB and 501 to 1500 ETB, not having home gardening, and source of drinking water from protected well were significantly associated with low dietary diversity. Attention should be paid to dietary diversity of lactating mothers to improve their nutritional status, and that of their children and their family.

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Maternal Vitamin D Status: Effect on Milk Vitamin D Content and Vitamin D Status of Breastfeeding Infants

Cited by 119 publications

References 58 publications

Vitamin D status is associated with treatment failure and duration of illness in Nepalese children with severe pneumonia

Vitamin D status is associated with treatment failure and duration of illness in Nepalese children with severe pneumonia

Scientific Opinion on nutrient requirements and dietary intakes of infants and young children in the European Union

Dietary diversity and related factors among lactating women visiting public health facilities in Aksum town, Tigray, Northern Ethiopia

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