Vitamin D Metabolism During Pregnancy
Abstract
In the non-pregnant state the serum concentration of 25-hydroxyvitamin D (25-OHD) varies according to the season of the year, the geographic location and the dietary intake of vitamin D (1). The serum concentration of 25-OHD is regarded as a measure of the vitamin D status in the absence of intestinal or hepatic disease. A dietary deficiency of vitamin D or a limited exposure of the skin to sunlight would be associated with a low serum level of 25-OHD (1). In pregnant residents of mid-western U.S.A. and of mixed ethnic origin, the major determinant of the 25-OHD concentration in serum is exposure to sunlight (2). Varied sunlight exposure is the common denominator in the seasonal and geographic variation in the serum concentration of 25-OHD. The ultraviolet radiation of sunlight stimulates the cutaneous synthesis of vitamin D3 (3). When exposure to sunlight and the dietary content of vitamin D are taken into account, the serum concentration of 25-OHD during pregnancy is no different than the values observed in non-pregnant subjects (2,4,5). As expected, whenever the dietary intake of vitamin D or the exposure to sunlight is restricted during pregnancy, the serum concentration of 25-OHD is lower (6,7).
Keywords
Intestinal Calcium Absorption Ovine Placenta Excerpta Medica International Congress Series Pregnant Resident Intestinal CaBPPreview
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References
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