Vitamin D supplementation reduces the risk of preeclampsia in high-risk pregnant females
DOI:
https://doi.org/10.18203/2320-6012.ijrms20223621Keywords:
Vitamin D supplementation, Preeclampsia, PregnancyAbstract
Background: Maternal vitamin D insufficiency has been linked with increased risk of preeclampsia. Despite this, the evidence regarding the efficacy of vitamin D supplementation in preventing preeclampsia is controversial. The aim of study was to collate the incidence of preeclampsia in high-risk females with vitamin D supplementation versus placebo.
Methods: The present study was a randomized controlled trial. The study was conducted in the department of obstetrics and gynecology, Madinah Teaching Hospital affiliated with University Medical and Dental College Faisalabad. The study was collected over one year from July 2019 to June 2020. Patients were randomly assigned to two groups. Patients in group-A were given vitamin D supplementation of 600 IU daily. The control group (group-B) was given placebo. If blood pressure (BP) ≥140/90 mmHg and proteinuria found positive in urine, then preeclampsia was labeled (as per operational definition). Both groups were compared for preeclampsia by using Chi–square test. P value <0.05 was taken as significant.
Results: The incidence of preeclampsia was 4% (n=2/150) in group A and 8% (n=6/150) in group B developed preeclampsia. The difference was (p value=0.3) insignificant difference.
Conclusions: Vitamin D addition in pregnancy did not demonstrate a statistically significant effect of vitamin D on the prevention of preeclampsia.
References
Yakoob MY, Salam RA, Khan FR, Bhutta ZA. Vitamin D supplementation for preventing infections in children under five years of age. Cochrane Database Syst Rev. 2016;11:CD008824.
Özdemir AA, Ercan Gündemir Y, Küçük M, Yıldıran Sarıcı D, Elgörmüş Y, Çağ Y, Bilek G. Vitamin D Deficiency in Pregnant Women and Their Infants. J Clin Res Pediatr Endocrinol. 2018;10(1):44-50.
Salim N, Abdul Sattar M, Adnan A. High prevalence of vitamin D deficiency in Pakistan and miscarriages: A hazard to pregnancies. Ann Med Surg (Lond). 2022;82:104634.
Ali AM, Rafique M, Saleem Z. Association of vitamin D deficiency to the risk of preeclampsia in Saudi Arabia. JPMA 2021;1B(71):257-61.
Smith TA, Kirkpatric DR, Kovilam O, Agrawal DK. Immunomodulatory role of vitamin D in the pathogenesis of preeclampsia. Exp Rev Clin Immunol. 2015;11(9):1055-63.
Diaz NCS, Delgado EMG, Urrego CLD, Varela ALV, Gomez SES, Lesmes DCQ. Vitamin D and risk of preeclampsia: a systemic review and meta – analysis. Biomedica. 2018;38:43-5.
Duhing KE, Shennan AH. Recent advances in the diagnosis and management of preeclampsia. F 1000 Prime Rep. 2015;7:24.
Bonder LM, Simhan HN, Catov JM, Platt RW, Diesel JC, Klebanoff MA. Maternal Vitamin D status and the risk of mild and severe preeclampsia. Epidemiology. 2014;25:207-14.
Wetta LA, Biggio JR, Cliver S, Abramovici A, Barnes S, Tita AT. Is midtrimester vitamin D status associated with spontaneous preterm birth? Am J Perinatol. 2014;31:541-6.
Cicero AF, Esposti DD, Immordino V, Morbini M, Baronio C, Rosticci M, et al. Independent determinants of maternal and fetal outcomes in a sample of pregnant out patients with normal blood pressure, chronic hypertension, gestational hypertension and preeclampsia. J Clin Hypertension. 2015;17:777-82.
Naghshineh E, Sheikhaliyan S. Effect of vitamin D supplementation in the reduce risk of preeclampsia in nulliparous women. Adv Biomed Res. 2016;5-7.
Sablok A, Batra A, Thariani K, Bharti R, Aggarwal AR, et al. Supplementation of vitamin D in pregnancy and its correlation with feto- maternal outcome. Clin Endocrinol (oxf). 2015;83(4):536-41.
Stougaard M, Damm P, Frederiksen P, Jacobsen R, Heitmann BL. Extra vitamin D from fortification and the risk of preeclampsia: The D- tect study. PLoS One. 2018;13(1): e0191288.
Mirzakhani H, Litonjua AA, McElrath TF, O'Connor G, Lee-Parritz A, Iverson R, et al. Early pregnancy vitamin D status and risk of preeclampsia. J Clin Investig. 2016;126(12):4702-15.
Behjat S, Zandvakill F, Soufizadeh N, Baybordi E. The effects of vitamin D supplement on prevention of recurrence of preeclampsia in pregnant women with a history of preeclampsia. Obstet Gynecol Int. 2017;8249264.
Purwani JM, Gala P, Dwarkanath P, Larkin HM, Kurpad A, Mehta S. The role of vitamin D in pre-eclampsia: a systemic review. BMC Pregnancy Childbirth. 2017;17:231.
Fogacci S, Fogacci F, Banach M. Vitamin D supplementation and incident preeclampsia: A systemic review and meta- analysis randomized clinical trials. Clin Nutr. 2020;39(6)1742-52.