Parathyroid Hormone in Pregnancy: Vitamin D and Other Determinants

We aimed to assess the parathyroid hormone (PTH) concentration in pregnant women at the beginning of pregnancy (1st trimester) and within days before delivery (3rd trimester) and evaluate its determinants. From September 2014 through December 2015 in a cross-sectional study, 204 women in the 1st tri...

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Main Authors: Ola Hysaj, Patricia Marqués-Gallego, Aline Richard, Magdeldin Elgizouli, Alexandra Nieters, Katharina C. Quack Lötscher, Sabine Rohrmann
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/2/360
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author Ola Hysaj
Patricia Marqués-Gallego
Aline Richard
Magdeldin Elgizouli
Alexandra Nieters
Katharina C. Quack Lötscher
Sabine Rohrmann
author_facet Ola Hysaj
Patricia Marqués-Gallego
Aline Richard
Magdeldin Elgizouli
Alexandra Nieters
Katharina C. Quack Lötscher
Sabine Rohrmann
author_sort Ola Hysaj
collection DOAJ
description We aimed to assess the parathyroid hormone (PTH) concentration in pregnant women at the beginning of pregnancy (1st trimester) and within days before delivery (3rd trimester) and evaluate its determinants. From September 2014 through December 2015 in a cross-sectional study, 204 women in the 1st trimester of pregnancy and 203 women in the 3rd trimester of pregnancy were recruited. Blood samples were collected to measure PTH and circulating 25-hydroxy-vitamin D (25(OH)D) concentrations. Lifestyle and demographic data were collected using a questionnaire. Serum 25(OH)D and PTH were inversely correlated in both early and late pregnancy. Our analyses suggest that in the 3rd trimester of pregnancy, a 25(OH)D level of 18.9 ng/mL (47.3 nmol/L) could serve as an inflection point for the maximal suppression of PTH. Statistically significant determinants of PTH concentrations in multiple regression were 25(OH)D concentrations, season, multiparity and education of the partner (all <i>p</i> < 0.05) in early pregnancy. In late pregnancy, 25(OH)D concentrations and country of origin were statistically significant determinants of PTH concentrations (all <i>p</i> < 0.05). These factors and their effect on PTH appear to be vastly determined by 25(OH)D; however, they might also affect PTH through other mechanisms besides 25(OH)D.
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spelling doaj.art-ebfd02114c1b423582940fa46489313a2023-12-03T14:38:58ZengMDPI AGNutrients2072-66432021-01-0113236010.3390/nu13020360Parathyroid Hormone in Pregnancy: Vitamin D and Other DeterminantsOla Hysaj0Patricia Marqués-Gallego1Aline Richard2Magdeldin Elgizouli3Alexandra Nieters4Katharina C. Quack Lötscher5Sabine Rohrmann6Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Hirschengraben 84, 8001 Zurich, SwitzerlandEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Hirschengraben 84, 8001 Zurich, SwitzerlandEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Hirschengraben 84, 8001 Zurich, SwitzerlandFREEZE-Biobank, Center for Chronic Immunodeficiency, Medical Center, Faculty of Medicine, University of Freiburg, Breisacherstr. 115 4, D-79106 Freiburg, GermanyFREEZE-Biobank, Center for Chronic Immunodeficiency, Medical Center, Faculty of Medicine, University of Freiburg, Breisacherstr. 115 4, D-79106 Freiburg, GermanyClinic of Obstetrics, University Hospital Zurich, Frauenklinikstrasse 10, 8091 Zurich, SwitzerlandEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Hirschengraben 84, 8001 Zurich, SwitzerlandWe aimed to assess the parathyroid hormone (PTH) concentration in pregnant women at the beginning of pregnancy (1st trimester) and within days before delivery (3rd trimester) and evaluate its determinants. From September 2014 through December 2015 in a cross-sectional study, 204 women in the 1st trimester of pregnancy and 203 women in the 3rd trimester of pregnancy were recruited. Blood samples were collected to measure PTH and circulating 25-hydroxy-vitamin D (25(OH)D) concentrations. Lifestyle and demographic data were collected using a questionnaire. Serum 25(OH)D and PTH were inversely correlated in both early and late pregnancy. Our analyses suggest that in the 3rd trimester of pregnancy, a 25(OH)D level of 18.9 ng/mL (47.3 nmol/L) could serve as an inflection point for the maximal suppression of PTH. Statistically significant determinants of PTH concentrations in multiple regression were 25(OH)D concentrations, season, multiparity and education of the partner (all <i>p</i> < 0.05) in early pregnancy. In late pregnancy, 25(OH)D concentrations and country of origin were statistically significant determinants of PTH concentrations (all <i>p</i> < 0.05). These factors and their effect on PTH appear to be vastly determined by 25(OH)D; however, they might also affect PTH through other mechanisms besides 25(OH)D.https://www.mdpi.com/2072-6643/13/2/360parathyroid hormonevitamin Dpregnancydeterminants
spellingShingle Ola Hysaj
Patricia Marqués-Gallego
Aline Richard
Magdeldin Elgizouli
Alexandra Nieters
Katharina C. Quack Lötscher
Sabine Rohrmann
Parathyroid Hormone in Pregnancy: Vitamin D and Other Determinants
Nutrients
parathyroid hormone
vitamin D
pregnancy
determinants
title Parathyroid Hormone in Pregnancy: Vitamin D and Other Determinants
title_full Parathyroid Hormone in Pregnancy: Vitamin D and Other Determinants
title_fullStr Parathyroid Hormone in Pregnancy: Vitamin D and Other Determinants
title_full_unstemmed Parathyroid Hormone in Pregnancy: Vitamin D and Other Determinants
title_short Parathyroid Hormone in Pregnancy: Vitamin D and Other Determinants
title_sort parathyroid hormone in pregnancy vitamin d and other determinants
topic parathyroid hormone
vitamin D
pregnancy
determinants
url https://www.mdpi.com/2072-6643/13/2/360
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