Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control study

Background and aim: Prematurity and related problems, especially respiratory distress, are one of the main challenges for neonatal medicine. The aim of this study was to compare vitamin D levels in preterm infants with, and those without respiratory distress. Methods: This case-control study was...

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Main Authors: Hasan Boskabadi, Gholamali Mamoori, Seyedeh Fatemeh Khatami, Raheleh Faramarzi
Format: Article
Language:English
Published: Electronic Physician 2018-01-01
Series:Electronic Physician
Subjects:
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853995/
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author Hasan Boskabadi
Gholamali Mamoori
Seyedeh Fatemeh Khatami
Raheleh Faramarzi
author_facet Hasan Boskabadi
Gholamali Mamoori
Seyedeh Fatemeh Khatami
Raheleh Faramarzi
author_sort Hasan Boskabadi
collection DOAJ
description Background and aim: Prematurity and related problems, especially respiratory distress, are one of the main challenges for neonatal medicine. The aim of this study was to compare vitamin D levels in preterm infants with, and those without respiratory distress. Methods: This case-control study was conducted in Ghaem and Emam Reza Hospitals in Mashhad (Iran) from 2015 to 2016. In this study, we examined 160 preterm infants weighing less than 2000 grams and born at less than 34 weeks’ gestation. Serum vitamin D levels were measured in preterm infants without- and those with respiratory distress, and their mothers. Neonatal characteristics, including age, sex, birth weight, gestational age, Apgar score and needs for oxygen, resuscitation, ventilation and surfactant were documented. The data were analyzed using SPSS version 16.0. Results: Means serum level of maternal vitamin D in control and case groups were 16.66±14.29 ng/dl and 21.23±15.19 ng/dl, respectively (p=0.029). In addition, mean serum level of neonatal vitamin D in control and case groups were 11.69±8.66 ng/dl 17.9±12.55 ng/dl, respectively (p=0.001). Vitamin D levels in premature neonates without respiratory distress and their mothers were significantly different from other preterm neonates with respiratory distress (p=0.029). There was a direct correlation with neonatal and maternal vitamin D levels (r=0.713, p=0.001). The duration of hospitalization (p=0.001), gestational age (p=0.073), birth weight (p=0.001), one- and (p=0.001) five- minute (p=0.001) Apgar scores and head circumference (p=0.002) had significant relation with vitamin D levels in neonates. Death (12.5%) and pneumothorax (7.5%) were the main complications among cases with respiratory distress. Conclusion: According to the results of present research, neonatal vitamin D levels have a significant association with respiratory distress syndrome and maternal vitamin D levels.
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spelling doaj.art-57eb79af460a413c9a7d2dc0b3e4be162022-12-22T02:40:53ZengElectronic PhysicianElectronic Physician2008-58422008-58422018-01-011016208621410.19082/6208Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control studyHasan BoskabadiGholamali MamooriSeyedeh Fatemeh KhatamiRaheleh FaramarziBackground and aim: Prematurity and related problems, especially respiratory distress, are one of the main challenges for neonatal medicine. The aim of this study was to compare vitamin D levels in preterm infants with, and those without respiratory distress. Methods: This case-control study was conducted in Ghaem and Emam Reza Hospitals in Mashhad (Iran) from 2015 to 2016. In this study, we examined 160 preterm infants weighing less than 2000 grams and born at less than 34 weeks’ gestation. Serum vitamin D levels were measured in preterm infants without- and those with respiratory distress, and their mothers. Neonatal characteristics, including age, sex, birth weight, gestational age, Apgar score and needs for oxygen, resuscitation, ventilation and surfactant were documented. The data were analyzed using SPSS version 16.0. Results: Means serum level of maternal vitamin D in control and case groups were 16.66±14.29 ng/dl and 21.23±15.19 ng/dl, respectively (p=0.029). In addition, mean serum level of neonatal vitamin D in control and case groups were 11.69±8.66 ng/dl 17.9±12.55 ng/dl, respectively (p=0.001). Vitamin D levels in premature neonates without respiratory distress and their mothers were significantly different from other preterm neonates with respiratory distress (p=0.029). There was a direct correlation with neonatal and maternal vitamin D levels (r=0.713, p=0.001). The duration of hospitalization (p=0.001), gestational age (p=0.073), birth weight (p=0.001), one- and (p=0.001) five- minute (p=0.001) Apgar scores and head circumference (p=0.002) had significant relation with vitamin D levels in neonates. Death (12.5%) and pneumothorax (7.5%) were the main complications among cases with respiratory distress. Conclusion: According to the results of present research, neonatal vitamin D levels have a significant association with respiratory distress syndrome and maternal vitamin D levels.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853995/Vitamin DInfantsPrematureRespiratory Distress Syndrome
spellingShingle Hasan Boskabadi
Gholamali Mamoori
Seyedeh Fatemeh Khatami
Raheleh Faramarzi
Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control study
Electronic Physician
Vitamin D
Infants
Premature
Respiratory Distress Syndrome
title Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control study
title_full Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control study
title_fullStr Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control study
title_full_unstemmed Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control study
title_short Serum level of vitamin D in preterm infants and its association with premature-related respiratory complications: a case-control study
title_sort serum level of vitamin d in preterm infants and its association with premature related respiratory complications a case control study
topic Vitamin D
Infants
Premature
Respiratory Distress Syndrome
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853995/
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