DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20213728

Vitamin D status in exclusively breastfed infants and their mothers

C. R. Vignesh Kumaran, K. V. Sivakumar, R. Suresh Kumar

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.


Keywords


Hypovitaminosis D, Vitamin D deficiency, Breastfeeding, rickets

Full Text:

PDF

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.