The effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United Kingdom

Iron and vitamin D deficiencies are common during pregnancy. Our aim was to identify whether antenatal vitamin D3 supplementation affects iron status (via hepcidin suppression) and/or inflammation. Using a subset of the UK multicenter Maternal Vitamin D Osteoporosis Study (MAVIDOS)—a double-blinded,...

Full description

Bibliographic Details
Main Authors: Braithwaite, VS, Crozier, SR, D'Angelo, S, Prentice, A, Cooper, C, Harvey, NC, Jones, KS, Mavidos Trial Group
Format: Journal article
Language:English
Published: MDPI 2019
_version_ 1826261030493224960
author Braithwaite, VS
Crozier, SR
D'Angelo, S
Prentice, A
Cooper, C
Harvey, NC
Jones, KS
Mavidos Trial Group
author_facet Braithwaite, VS
Crozier, SR
D'Angelo, S
Prentice, A
Cooper, C
Harvey, NC
Jones, KS
Mavidos Trial Group
author_sort Braithwaite, VS
collection OXFORD
description Iron and vitamin D deficiencies are common during pregnancy. Our aim was to identify whether antenatal vitamin D3 supplementation affects iron status (via hepcidin suppression) and/or inflammation. Using a subset of the UK multicenter Maternal Vitamin D Osteoporosis Study (MAVIDOS)—a double-blinded, randomized, placebo-controlled trial (ISRCTN82927713; EudraCT2007-001716-23)—we performed a secondary laboratory analysis. Women with blood samples from early and late pregnancy (vitamin D3 (1000 IU/day from ~14 weeks gestation n = 93; placebo n = 102) who gave birth in the springtime (March–May) were selected as we anticipated seeing the greatest treatment group difference in change in 25-hydroxyvitamin D (25OHD) concentration. Outcomes were hepcidin, ferritin, C-reactive protein, and α1-acid glycoprotein concentration in late pregnancy (25OHD concentration was measured previously). By late pregnancy, 25OHD concentration increased by 17 nmol/L in the vitamin D3 group and decreased by 11 nmol/L in the placebo group; hepcidin, ferritin, and inflammatory markers decreased but no treatment group differences were seen. In late pregnancy, positive relationships between 25OHD and hepcidin and 25OHD and ferritin in the placebo group were observed but not in the treatment group (group × 25OHD interaction, p < 0.02). Vitamin D3 supplementation had no effect on hepcidin, ferritin, or inflammatory status suggesting no adjunctive value of vitamin D3 in reducing rates of antenatal iron deficiency.
first_indexed 2024-03-06T19:15:08Z
format Journal article
id oxford-uuid:1815113a-a7b3-49ae-ba7c-199f38860916
institution University of Oxford
language English
last_indexed 2024-03-06T19:15:08Z
publishDate 2019
publisher MDPI
record_format dspace
spelling oxford-uuid:1815113a-a7b3-49ae-ba7c-199f388609162022-03-26T10:41:30ZThe effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United KingdomJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1815113a-a7b3-49ae-ba7c-199f38860916EnglishSymplectic Elements at OxfordMDPI2019Braithwaite, VSCrozier, SRD'Angelo, SPrentice, ACooper, CHarvey, NCJones, KSMavidos Trial GroupIron and vitamin D deficiencies are common during pregnancy. Our aim was to identify whether antenatal vitamin D3 supplementation affects iron status (via hepcidin suppression) and/or inflammation. Using a subset of the UK multicenter Maternal Vitamin D Osteoporosis Study (MAVIDOS)—a double-blinded, randomized, placebo-controlled trial (ISRCTN82927713; EudraCT2007-001716-23)—we performed a secondary laboratory analysis. Women with blood samples from early and late pregnancy (vitamin D3 (1000 IU/day from ~14 weeks gestation n = 93; placebo n = 102) who gave birth in the springtime (March–May) were selected as we anticipated seeing the greatest treatment group difference in change in 25-hydroxyvitamin D (25OHD) concentration. Outcomes were hepcidin, ferritin, C-reactive protein, and α1-acid glycoprotein concentration in late pregnancy (25OHD concentration was measured previously). By late pregnancy, 25OHD concentration increased by 17 nmol/L in the vitamin D3 group and decreased by 11 nmol/L in the placebo group; hepcidin, ferritin, and inflammatory markers decreased but no treatment group differences were seen. In late pregnancy, positive relationships between 25OHD and hepcidin and 25OHD and ferritin in the placebo group were observed but not in the treatment group (group × 25OHD interaction, p < 0.02). Vitamin D3 supplementation had no effect on hepcidin, ferritin, or inflammatory status suggesting no adjunctive value of vitamin D3 in reducing rates of antenatal iron deficiency.
spellingShingle Braithwaite, VS
Crozier, SR
D'Angelo, S
Prentice, A
Cooper, C
Harvey, NC
Jones, KS
Mavidos Trial Group
The effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United Kingdom
title The effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United Kingdom
title_full The effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United Kingdom
title_fullStr The effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United Kingdom
title_full_unstemmed The effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United Kingdom
title_short The effect of vitamin D supplementation on hepcidin, iron status, and inflammation in pregnant women in the United Kingdom
title_sort effect of vitamin d supplementation on hepcidin iron status and inflammation in pregnant women in the united kingdom
work_keys_str_mv AT braithwaitevs theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT croziersr theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT dangelos theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT prenticea theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT cooperc theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT harveync theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT jonesks theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT mavidostrialgroup theeffectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT braithwaitevs effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT croziersr effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT dangelos effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT prenticea effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT cooperc effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT harveync effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT jonesks effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom
AT mavidostrialgroup effectofvitamindsupplementationonhepcidinironstatusandinflammationinpregnantwomenintheunitedkingdom