PMID- 35116132 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220205 IS - 1976-1457 (Print) IS - 2005-6168 (Electronic) IS - 1976-1457 (Linking) VI - 16 IP - 1 DP - 2022 Feb TI - High early pregnancy serum 25-hydroxy vitamin D level, within a sub-optimal range, is associated with gestational diabetes mellitus: a prospective cohort study. PG - 120-131 LID - 10.4162/nrp.2022.16.1.120 [doi] AB - BACKGROUND/OBJECTIVES: Low early pregnancy serum 25-hydroxy vitamin D (25[OH]D) levels can increase gestational diabetes mellitus (GDM) risk, although inconsistent findings related to that association have been reported. This study examined the association of serum vitamin D with GDM and the possible influencers on this association. SUBJECTS/METHODS: This study included 259 pregnant women within the Seremban Cohort Study (SECOST). Blood samples at < 14 weeks of gestation were drawn to determine serum 25(OH)D levels. GDM diagnosis was made at 24 to 32 weeks of gestation using a standard procedure. Association between serum vitamin D and GDM was tested using binary logistic regression. RESULTS: Nearly all women (90%) had mild (68.3%) or severe (32.2%) vitamin D deficiency (VDD). Non-GDM women with mild VDD had a significantly higher mean vitamin D intake than GDM women with mild VDD (t = 2.04, p < 0.05). Women with higher early pregnancy serum vitamin D levels had a greater risk of GDM. However, this significant association was only identified among those with a family history of type 2 diabetes mellitus (T2DM) and in women with a body mass index indicating overweight or obese status. CONCLUSIONS: The high prevalence of VDD in this sample of pregnant women underscores the need for effective preventive public health strategies. Further investigation of this unexpected association between serum vitamin D level and GDM risk in predominantly VDD pregnant women and the potential effects of adiposity and family history of T2DM on that association is warranted. CI - (c)2022 The Korean Nutrition Society and the Korean Society of Community Nutrition. FAU - Yong, Heng Yaw AU - Yong HY AUID- ORCID: 0000-0002-0454-641X AD - Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Selangor, Malaysia. FAU - Mohd Shariff, Zalilah AU - Mohd Shariff Z AUID- ORCID: 0000-0002-5347-4627 AD - Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Selangor, Malaysia. FAU - Palaniveloo, Lalitha AU - Palaniveloo L AUID- ORCID: 0000-0002-0321-4229 AD - Center for Nutrition Epidemiology Research, Institute for Public Health, National Institute of Health, Ministry of Health, 40170 Selangor, Malaysia. FAU - Loh, Su Peng AU - Loh SP AUID- ORCID: 0000-0002-5609-8065 AD - Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Selangor, Malaysia. FAU - Mohd Yusof, Barakatun Nisak AU - Mohd Yusof BN AUID- ORCID: 0000-0003-0403-5895 AD - Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Selangor, Malaysia. FAU - Rejali, Zulida AU - Rejali Z AUID- ORCID: 0000-0002-1386-5527 AD - Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Selangor, Malaysia. FAU - Bindels, Jacques AU - Bindels J AUID- ORCID: 0000-0001-7937-7107 AD - Danone Nutricia Research, 3584 CT Utrecht, The Netherlands. FAU - Tee, Yvonne Yee Siang AU - Tee YYS AUID- ORCID: 0000-0001-7129-5764 AD - Danone Specialized Nutrition (Malaysia), 59200 Kuala Lumpur, Malaysia. FAU - van der Beek, Eline M AU - van der Beek EM AUID- ORCID: 0000-0002-7923-3653 AD - Danone Nutricia Research, 3584 CT Utrecht, The Netherlands. AD - Department of Pediatrics, University Medical Centre Groningen, University of Groningen, 9712 CP Groningen, The Netherlands. LA - eng PT - Journal Article DEP - 20210812 PL - Korea (South) TA - Nutr Res Pract JT - Nutrition research and practice JID - 101311052 PMC - PMC8784260 OTO - NOTNLM OT - Vitamin D OT - body mass index OT - gestational diabetes mellitus OT - vitamin D deficiency COIS- Conflict of Interest: Yvonne Yee Siang Tee and Jacques Bindels are employees of Danone Specialized Nutrition (Malaysia) and of Nutricia Research Foundation (Netherlands), respectively. Eline van der Beek was employed by Danone Nutricia Research at the time of the study was conducted (former employee). None of the authors had any personal or financial conflict of interest. EDAT- 2022/02/05 06:00 MHDA- 2022/02/05 06:01 PMCR- 2022/02/01 CRDT- 2022/02/04 05:48 PHST- 2020/08/07 00:00 [received] PHST- 2021/02/22 00:00 [revised] PHST- 2021/07/13 00:00 [accepted] PHST- 2022/02/04 05:48 [entrez] PHST- 2022/02/05 06:00 [pubmed] PHST- 2022/02/05 06:01 [medline] PHST- 2022/02/01 00:00 [pmc-release] AID - 10.4162/nrp.2022.16.1.120 [doi] PST - ppublish SO - Nutr Res Pract. 2022 Feb;16(1):120-131. doi: 10.4162/nrp.2022.16.1.120. Epub 2021 Aug 12.