Vitamin D status in exclusively breastfed infants and their mothers

Authors

  • C. R. Vignesh Kumaran Department of Paediatrics, Government Medical College, Omandurar, Government Estate, Chennai, Tamil Nadu, India
  • K. V. Sivakumar Department of Paediatrics, Government Medical College, Omandurar, Government Estate, Chennai, Tamil Nadu, India
  • R. Suresh Kumar Department of Paediatrics, KGH, Madras Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20213728

Keywords:

Hypovitaminosis D, Vitamin D deficiency, Breastfeeding, rickets

Abstract

Background: The prevalence of hypovitaminosis D in exclusively breastfed infants was found to be 82%, 52% and 20 % from UAE, Pakistan and China respectively but there is a paucity of data from India regarding the same.

Methods: Prevalence of subclinical Hypovitaminosis D in exclusive breastfed babies and their mothers. This study was a descriptive study conducted among breastfed infants and their mothers to reconnoitre the vitamin D level status. All exclusively breast fed healthy term babies with birth weight >2.5 kg who are less than 6 months of age and its mothers. The existence of correlation in the mean vitamin D level between the exclusively breastfed mothers and its infants.

Results: The infants status of vitamin D deficiency and insufficient was 91.9% and 8.1% respectively. The mothers status of vitamin D deficiency and insufficient was 78.3% and 21.7% respectively.

Conclusions: Hypovitaminosis D was highly prevalent among mothers living in tropical area irrespective of diet habits or socioeconomic group. There was a significant positive correlation in the mean Vitamin D level of the mothers and their exclusively breastfed infants.

Author Biography

C. R. Vignesh Kumaran, Department of Paediatrics, Government Medical College, Omandurar, Government Estate, Chennai, Tamil Nadu, India

Dept. of Pediatrics, KGH, Madras Medical College, Chennai-600 003

References

Balasubramanian S, Shivbalan S, Kumar PS. Hypocalcemia due to Vitamin D deficiency in exclusively breastfed infants. Indian Pediatr. 2006;43(3):247-51.

Misra M, Pacaud D, Petryk A, Collett-Solberg PF, Kappy M; Drug and Therapeutics Committee of the Lawson Wilkins Pediatric Endocrine Society: Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics. 2008;122:398-417.

Moradi S, Shahdadian F, Mohammadi H, Rouhani MH. A comparison of the effect of supplementation and sunlight exposure on serum vitamin D and parathyroid hormone: A systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2020;60(11):1881-89.

Scholz-Ahrens KE, Ahrens F, Barth CA. Nutritional and health attributes of milk and milk imitations. Eur J Nutr. 2020;59(1):19-34.

Hoche S, Meshesha B, Wakgari N. Sub-Optimal Breastfeeding and Its Associated Factors in Rural Communities of Hula District, Southern Ethiopia: A Cross-Sectional Study. Ethiop J Health Sci. 2018;28(1):49-62.

Leung AK, Sauve RS. Breast is best for babies. J Natl Med Assoc. 2005;97(7):1010-19.

Casey CF, Slawson DC, Neal LR. VItamin D supplementation in infants, children, and adolescents. Am Fam Physician. 2010;81(6):745-8.

Dawodu A, Agarwal M, Hossain M et al. Hypovitaminosis D and Vitamin D deficiency in Exclusively Breast-feeding infant and their mothers in summer: A Justification for vitamin D supplementation of breast-feeding infants. J Pediatr. 2003;142:169-73.

Atiq M, Suria A SQ, Ahmed I. Vitamin D status of breastfed Pakistani infants. Acta Paediatr. 1998;87(7);737-40.

Ho ML, Yen HC, Tsang RC, Specker BL, Chen XC, Nichols BL. Randomized study of sunshine exposure and serum 25-OHD in breast fed infants in Beijing, China. J Pediatr. 1985;107(6):928-31.

Gordon Cm, Depeter KC, Feldman HA, Grace E, Emans SJ. Prevalence of vitamin D deficiency among healthy adolescents. Arch Pediatr Adolesc Med. 2004;158(6):531-7.

Specker BL, Valanis B, Hertzberg V, Edwards N, Tsang RC. Sunshine exposure and serum 25-hydroxyvitamin D concentrations in exclusively breast-fed infants. J Pediatr. 1985;107:372-6.

Randev S, Kumar P, Guglani V. Vitamin D Supplementation in Childhood - A Review of Guidelines. Indian J Pediatr. 2018;85(3):194-201.

Muro SJM, Yeste Fernández D, Muñoz MA, Cancio FM, Parera AL, Lezcano CA. Niveles plasmáticos de vitamina D en población autóctona y en poblaciones inmigrantes de diferentes etnias menores de 6 años de edad [Plasma vitamin D levels in native and immigrant children under the age of 6 years of different ethnic origins]. An Pediatr (Barc). 2015;82(5):316-24.

Elsori DH, Hammoud MS. Vitamin D deficiency in mothers, neonates and children. The Journal of Steroid Biochemistry and Molecular Biology. 2018;175:195-99.

Andiran N, Yordam N, Ozön A. Risk factors for vitamin D deficiency in breast-fed newborns and their mothers. Nutrition. 2002;18(1):47-50.

Lips P. Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol. 2007;103(3-5):620-5.

Caccamo D, Ricca S, Currò M, Ientile R. Health Risks of Hypovitaminosis D: A Review of New Molecular Insights. Int J Mol Sci. 2018;19(3):892.

Kamboj P, Dwivedi S, Toteja GS. Prevalence of hypovitaminosis D in India & way forward. Indian J Med Res. 2018;148(5):548-556.

Downloads

Published

2021-09-23

Issue

Section

Original Research Articles