Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal Prognosis

Aim: In the present study, the relationship between neonatal morbidity and cord vitamin D levels is investigated. Materials and Methods: Premature infants who were born before 32 weeks of gestation and admitted to our neonatal intensive care unit between January 2014 and January 2015 were included...

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Main Authors: Demet Terek, Gizem Özcan, Fırat Ergin, Özge Altun Köroğlu, Mehmet Yalaz, Mete Akisu, Nilgün Kültürsay
Format: Article
Language:English
Published: Galenos Yayinevi 2018-03-01
Series:Journal of Pediatric Research
Subjects:
Online Access:http://jpedres.org/archives/archive-detail/article-preview/vitamin-d-deficiency-in-premature-nfants-and-ts-ef/16907
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author Demet Terek
Gizem Özcan
Fırat Ergin
Özge Altun Köroğlu
Mehmet Yalaz
Mete Akisu
Nilgün Kültürsay
author_facet Demet Terek
Gizem Özcan
Fırat Ergin
Özge Altun Köroğlu
Mehmet Yalaz
Mete Akisu
Nilgün Kültürsay
author_sort Demet Terek
collection DOAJ
description Aim: In the present study, the relationship between neonatal morbidity and cord vitamin D levels is investigated. Materials and Methods: Premature infants who were born before 32 weeks of gestation and admitted to our neonatal intensive care unit between January 2014 and January 2015 were included in the study. Vitamin D levels in the cord blood of infants were measured. Serum calcium, phosphorus and alkaline phosphatase levels were recorded in the first 24 hours. All neonates were followed up for neonatal morbidities until discharge. Results: The mean gestational age of the study subjects was 29.2±2.6 (23-32). The mean vitamin D level was 27.4±19.3 ng/mL (4-76). Fourteen (46.7%) infants had normal vitamin D levels; 2 infants (6.7%) had vitamin D insufficiency (20-30 ng/mL), 14 infants (46.7%) had vitamin D deficiency (<20 ng/mL), and 7 infants had severe vitamin D deficiency (23.3%). In 60% of infants with intrauterine growth restriction had vitamin D deficiency of p<0.05. Serum phosphorus levels on the first day of life were significantly lower in infants with vitamin D deficiency (p<0.001). Conclusion: In more than half of the study population vitamin D deficiency was determined. Infants with intrauterine growth restriction had vitamin D deficiency in more than half of the cases. Low levels of phosphorus may be a marker of vitamin D deficiency in the first days of life.
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spelling doaj.art-713a12ea1c2e45ef929f98af21ab999a2023-02-15T16:16:23ZengGalenos YayineviJournal of Pediatric Research2147-94452018-03-0151374010.4274/jpr.82788Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal PrognosisDemet Terek0Gizem Özcan1Fırat Ergin2Özge Altun Köroğlu3Mehmet Yalaz4Mete Akisu5Nilgün Kültürsay6Ege University Faculty fo Medicine, Department of Pediatrics, Division of Neonatology, İzmir, TurkeyEge University Faculty fo Medicine, Department of Pediatrics, Division of Neonatology, İzmir, TurkeyEge University Faculty fo Medicine, Department of Pediatrics, Division of Neonatology, İzmir, TurkeyEge University Faculty fo Medicine, Department of Pediatrics, Division of Neonatology, İzmir, TurkeyEge University Faculty fo Medicine, Department of Pediatrics, Division of Neonatology, İzmir, TurkeyEge University Faculty fo Medicine, Department of Pediatrics, Division of Neonatology, İzmir, TurkeyEge University Faculty fo Medicine, Department of Pediatrics, Division of Neonatology, İzmir, TurkeyAim: In the present study, the relationship between neonatal morbidity and cord vitamin D levels is investigated. Materials and Methods: Premature infants who were born before 32 weeks of gestation and admitted to our neonatal intensive care unit between January 2014 and January 2015 were included in the study. Vitamin D levels in the cord blood of infants were measured. Serum calcium, phosphorus and alkaline phosphatase levels were recorded in the first 24 hours. All neonates were followed up for neonatal morbidities until discharge. Results: The mean gestational age of the study subjects was 29.2±2.6 (23-32). The mean vitamin D level was 27.4±19.3 ng/mL (4-76). Fourteen (46.7%) infants had normal vitamin D levels; 2 infants (6.7%) had vitamin D insufficiency (20-30 ng/mL), 14 infants (46.7%) had vitamin D deficiency (<20 ng/mL), and 7 infants had severe vitamin D deficiency (23.3%). In 60% of infants with intrauterine growth restriction had vitamin D deficiency of p<0.05. Serum phosphorus levels on the first day of life were significantly lower in infants with vitamin D deficiency (p<0.001). Conclusion: In more than half of the study population vitamin D deficiency was determined. Infants with intrauterine growth restriction had vitamin D deficiency in more than half of the cases. Low levels of phosphorus may be a marker of vitamin D deficiency in the first days of life.http://jpedres.org/archives/archive-detail/article-preview/vitamin-d-deficiency-in-premature-nfants-and-ts-ef/16907Preterm birthvitamin Dintrauterine growth restriction
spellingShingle Demet Terek
Gizem Özcan
Fırat Ergin
Özge Altun Köroğlu
Mehmet Yalaz
Mete Akisu
Nilgün Kültürsay
Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal Prognosis
Journal of Pediatric Research
Preterm birth
vitamin D
intrauterine growth restriction
title Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal Prognosis
title_full Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal Prognosis
title_fullStr Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal Prognosis
title_full_unstemmed Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal Prognosis
title_short Vitamin D Deficiency in Premature Infants and Its Effects on Neonatal Prognosis
title_sort vitamin d deficiency in premature infants and its effects on neonatal prognosis
topic Preterm birth
vitamin D
intrauterine growth restriction
url http://jpedres.org/archives/archive-detail/article-preview/vitamin-d-deficiency-in-premature-nfants-and-ts-ef/16907
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AT ozgealtunkoroglu vitaminddeficiencyinprematureinfantsanditseffectsonneonatalprognosis
AT mehmetyalaz vitaminddeficiencyinprematureinfantsanditseffectsonneonatalprognosis
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