Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal Outcomes

Objective: Vitamin D deficiency is a major health problem in all age groups. In the present study, we aimed to determine the prevalence of vitamin D deficiency in neonates hospitalized in an intensive care unit (NICU) and its association with clinical neonatal outcomes. Materials and methods: A pro...

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Main Authors: Ziba Mosayebi, Setareh Sagheb, Mahsa Mirzendedel, Amir Hossein Movahedian
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2021-06-01
Series:Journal of Family and Reproductive Health
Subjects:
Online Access:https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1600
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author Ziba Mosayebi
Setareh Sagheb
Mahsa Mirzendedel
Amir Hossein Movahedian
author_facet Ziba Mosayebi
Setareh Sagheb
Mahsa Mirzendedel
Amir Hossein Movahedian
author_sort Ziba Mosayebi
collection DOAJ
description Objective: Vitamin D deficiency is a major health problem in all age groups. In the present study, we aimed to determine the prevalence of vitamin D deficiency in neonates hospitalized in an intensive care unit (NICU) and its association with clinical neonatal outcomes. Materials and methods: A prospective cross-sectional study was carried out on all neonates hospitalized in the NICU of Children's Medical Center over a period of one year (January–December 2018). Immediately on admission, a serum sample for vitamin D measurement was obtained with another routine blood sampling. Demographic and clinical data including sex, gestational age, the season of birth, serum levels of vitamin D and calcium, the causes of hospitalization, age at admission and neonatal outcomes including length of hospital stay and mortality during hospitalization were assessed. Results: One hundred neonates entered the study. Vitamin D deficiency and insufficiency were present in 95% of neonates. There was a significant association between vitamin D status and birth during winter (p=0.014); hypocalcemia (p=0.025) and older age at NICU admission (p<0.001). The mean value of vitamin D in term neonates was significantly lower than in preterm neonates (p=0.031). There were no correlations between length of hospital stay and neonatal mortality rate with vitamin D status (p=0.876). Conclusion: Vitamin D deficiency and insufficiency were highly prevalent among NICU patients. Maternal vitamin D supplementation during pregnancy may prevent or reduce the risk of low levels of vitamin D in neonates.
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spelling doaj.art-2b87813e6b4f4e7fb8e2118cab114e872022-12-21T20:04:09ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922021-06-0115210.18502/jfrh.v15i2.6450Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal OutcomesZiba Mosayebi0Setareh Sagheb1Mahsa Mirzendedel2Amir Hossein Movahedian3Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Neonatology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranChildren's Medical Center, Tehran University of Medical Sciences, Tehran, IranBahrami Children's Hospital, Tehran University of Medical Sciences, Tehran, IranObjective: Vitamin D deficiency is a major health problem in all age groups. In the present study, we aimed to determine the prevalence of vitamin D deficiency in neonates hospitalized in an intensive care unit (NICU) and its association with clinical neonatal outcomes. Materials and methods: A prospective cross-sectional study was carried out on all neonates hospitalized in the NICU of Children's Medical Center over a period of one year (January–December 2018). Immediately on admission, a serum sample for vitamin D measurement was obtained with another routine blood sampling. Demographic and clinical data including sex, gestational age, the season of birth, serum levels of vitamin D and calcium, the causes of hospitalization, age at admission and neonatal outcomes including length of hospital stay and mortality during hospitalization were assessed. Results: One hundred neonates entered the study. Vitamin D deficiency and insufficiency were present in 95% of neonates. There was a significant association between vitamin D status and birth during winter (p=0.014); hypocalcemia (p=0.025) and older age at NICU admission (p<0.001). The mean value of vitamin D in term neonates was significantly lower than in preterm neonates (p=0.031). There were no correlations between length of hospital stay and neonatal mortality rate with vitamin D status (p=0.876). Conclusion: Vitamin D deficiency and insufficiency were highly prevalent among NICU patients. Maternal vitamin D supplementation during pregnancy may prevent or reduce the risk of low levels of vitamin D in neonates.https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1600NewbornNeonatal Intensive Care UnitsVitamin D
spellingShingle Ziba Mosayebi
Setareh Sagheb
Mahsa Mirzendedel
Amir Hossein Movahedian
Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal Outcomes
Journal of Family and Reproductive Health
Newborn
Neonatal Intensive Care Units
Vitamin D
title Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal Outcomes
title_full Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal Outcomes
title_fullStr Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal Outcomes
title_full_unstemmed Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal Outcomes
title_short Serum Vitamin D Deficiency in NICU Hospitalized Neonates and Its Association with Neonatal Outcomes
title_sort serum vitamin d deficiency in nicu hospitalized neonates and its association with neonatal outcomes
topic Newborn
Neonatal Intensive Care Units
Vitamin D
url https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1600
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AT mahsamirzendedel serumvitaminddeficiencyinnicuhospitalizedneonatesanditsassociationwithneonataloutcomes
AT amirhosseinmovahedian serumvitaminddeficiencyinnicuhospitalizedneonatesanditsassociationwithneonataloutcomes