To examine maternal vitamins A, D, and E concentrations during the second and third trimesters of pregnancy and their associations with birth weight in individuals with pre-pregnancy overweight or obesity, specifically focusing on a high-income setting.
Key Findings:
Mean maternal retinol and 25(OH)D concentrations declined significantly from the second to the third trimester.
Vitamin E levels increased during the same period.
Vitamin A insufficiency, vitamin D deficiency/insufficiency, and macrosomia were prevalent among participants.
Maternal vitamins A, D, and E were not associated with birth weight, indicating no significant impact on fetal growth.
Interpretation:
Maternal fat-soluble vitamin levels did not independently influence birth weight in overweight or obese pregnant individuals, suggesting limited impact on fetal growth in this high-risk population and highlighting the need for further research.
Limitations:
Small sample size of 57 mother-infant pairs may limit the robustness of findings.
Study conducted in a high-income setting, limiting generalizability to other populations.
Potential biases or confounding factors not fully addressed.
Conclusion:
Maternal vitamin A and D concentrations declined while vitamin E increased during pregnancy, but these changes did not correlate with birth weight, indicating that vitamin status may not be a major determinant of fetal growth in this context.
by Astrid Kamilla Stunes, Unni Syversen, Anna Hundere Øvreseth, Ingvild Tapio Kinge, Siv Mørkved, Kjell Åsmund Salvesen, Kirsti Krohn Garnæs, Trine Moholdt
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