How effective is public health policy in Scotland on vitamin D deficiency during pregnancy?
Abstract Objective: To evaluate the uptake of universal vitamin D supplementation during pregnancy, its effectiveness in preventing vitamin D deficiency and the factors associated with these. Design: The regional public health organisation in Ayrshire, Scotland has a policy of universal provisio...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-12-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980023002227/type/journal_article |
| _version_ | 1827578975002558464 |
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| author | Ruth Campbell Christopher Curran Jonathan Hayward Jon Godwin Susan Johnston Julie Armstrong Andrew Collier |
| author_facet | Ruth Campbell Christopher Curran Jonathan Hayward Jon Godwin Susan Johnston Julie Armstrong Andrew Collier |
| author_sort | Ruth Campbell |
| collection | DOAJ |
| description |
Abstract
Objective:
To evaluate the uptake of universal vitamin D supplementation during pregnancy, its effectiveness in preventing vitamin D deficiency and the factors associated with these.
Design:
The regional public health organisation in Ayrshire, Scotland has a policy of universal provision of vitamin D supplements (10 µg/d) to all pregnant women for the duration of their pregnancy. Pregnant women in this area were recruited at their 12-week antenatal appointment. Blood samples were collected at the 12-week and 34-week appointments. To account for the seasonal variation, women were recruited in two cohorts: summer and winter. Telephone interviews were conducted at 34 weeks to assess the uptake of vitamin D supplements during pregnancy. Other variables were obtained from medical records.
Setting:
The study was conducted in the NHS Ayrshire and Arran Health Board in Scotland.
Participants:
612 pregnant women (aged 15–44 years) living in Ayrshire (latitude 55°), Scotland.
Results:
Sixty-six percentage took supplementation as recommended. Consumption of supplementation was significantly associated with a higher median serum 25-hydroxyvitamin D concentrations at 34 weeks. Despite this at 34 weeks, 33 % of the summer cohort had insufficient or deficient vitamin D status, while 15 % of the winter cohort had insufficient or deficient status. In multivariable analysis, only adherence and season were independent predictors of vitamin D status.
Conclusions:
While supplementation improved and maintained vitamin D status during pregnancy, it was not adequate to ensure all those insufficient at 12 weeks achieved sufficient status at the end of pregnancy.
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| first_indexed | 2024-03-08T21:55:08Z |
| format | Article |
| id | doaj.art-8951b29f85894131b1470fd5e5b4dcaa |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-08T21:55:08Z |
| publishDate | 2023-12-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-8951b29f85894131b1470fd5e5b4dcaa2023-12-20T02:26:58ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-12-01263311331910.1017/S1368980023002227How effective is public health policy in Scotland on vitamin D deficiency during pregnancy?Ruth Campbell0Christopher Curran1https://orcid.org/0000-0002-1200-7504Jonathan Hayward2Jon Godwin3Susan Johnston4Julie Armstrong5Andrew Collier6Department of Public Health, NHS Ayrshire and Arran, Ailsa Hospital, Dalmellington Road, Ayr KA6 6AB, UKDepartment of Diabetes and Endocrinology, University Hospital Ayr, NHS Ayrshire and Arran, Dalmellington Road, Ayr KA6 6DX, UKDepartment of Diabetes and Endocrinology, University Hospital Ayr, NHS Ayrshire and Arran, Dalmellington Road, Ayr KA6 6DX, UKNuffield Department of Population Health, University of Oxford, Old Road Campus, Oxford OX3 7LF, UKGlasgow Royal Infirmary, 84 Castle St, Glasgow G4 0SF, UKGlasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA, UKDepartment of Diabetes and Endocrinology, University Hospital Ayr, NHS Ayrshire and Arran, Dalmellington Road, Ayr KA6 6DX, UK Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA, UK Abstract Objective: To evaluate the uptake of universal vitamin D supplementation during pregnancy, its effectiveness in preventing vitamin D deficiency and the factors associated with these. Design: The regional public health organisation in Ayrshire, Scotland has a policy of universal provision of vitamin D supplements (10 µg/d) to all pregnant women for the duration of their pregnancy. Pregnant women in this area were recruited at their 12-week antenatal appointment. Blood samples were collected at the 12-week and 34-week appointments. To account for the seasonal variation, women were recruited in two cohorts: summer and winter. Telephone interviews were conducted at 34 weeks to assess the uptake of vitamin D supplements during pregnancy. Other variables were obtained from medical records. Setting: The study was conducted in the NHS Ayrshire and Arran Health Board in Scotland. Participants: 612 pregnant women (aged 15–44 years) living in Ayrshire (latitude 55°), Scotland. Results: Sixty-six percentage took supplementation as recommended. Consumption of supplementation was significantly associated with a higher median serum 25-hydroxyvitamin D concentrations at 34 weeks. Despite this at 34 weeks, 33 % of the summer cohort had insufficient or deficient vitamin D status, while 15 % of the winter cohort had insufficient or deficient status. In multivariable analysis, only adherence and season were independent predictors of vitamin D status. Conclusions: While supplementation improved and maintained vitamin D status during pregnancy, it was not adequate to ensure all those insufficient at 12 weeks achieved sufficient status at the end of pregnancy. https://www.cambridge.org/core/product/identifier/S1368980023002227/type/journal_articleVitamin DSupplementationPregnancyDeficiency |
| spellingShingle | Ruth Campbell Christopher Curran Jonathan Hayward Jon Godwin Susan Johnston Julie Armstrong Andrew Collier How effective is public health policy in Scotland on vitamin D deficiency during pregnancy? Public Health Nutrition Vitamin D Supplementation Pregnancy Deficiency |
| title | How effective is public health policy in Scotland on vitamin D deficiency during pregnancy? |
| title_full | How effective is public health policy in Scotland on vitamin D deficiency during pregnancy? |
| title_fullStr | How effective is public health policy in Scotland on vitamin D deficiency during pregnancy? |
| title_full_unstemmed | How effective is public health policy in Scotland on vitamin D deficiency during pregnancy? |
| title_short | How effective is public health policy in Scotland on vitamin D deficiency during pregnancy? |
| title_sort | how effective is public health policy in scotland on vitamin d deficiency during pregnancy |
| topic | Vitamin D Supplementation Pregnancy Deficiency |
| url | https://www.cambridge.org/core/product/identifier/S1368980023002227/type/journal_article |
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