VITAMINE D PROVISION OF PREGNANT WOMEN IN THE AMUR REGION
Abstract
The data obtained from the Far-Eastern Institution of Hydrometeorology and Environment Monitoring during 2009-2014 prove the insufficiency of solar insolation for prophylaxis of hypovitaminosis D in pregnant women. The aim of the study is to reveal the frequency and the peculiarities of D-deficit state in healthy pregnant women who live in the Amur region and to define the risk factors that contribute to its development. During the study of the contents of vitamin D in the blood serum in 60 women (the mean age is 25.55±0.63 years old) it was found out that its level on average was 27.75±1.18 ng/ml. The values 25(OH)D3 were low (<29 ng/ml) in 34 (56.6%) pregnant women (the first group); in 26 (43.3%) women (the second group) the values corresponded to the norm (30-100 ng/ml). The mean value of phosphorus, total calcium, alkaline phosphatase in the blood serum in pregnant women of the 1st and 2nd groups was within the norm; there were not significant differences between the groups. Among revealed risk factors of vitamin D insufficiency development in healthy pregnant women the most significant were the age of future mothers older than 25 years old (χ2=15.37; p<0.001); the prophylaxis of hypovitaminosis by insufficient doze of 25(OH)D3 or not taking of vitamin D (χ2=22.27; p<0.001); the presence of pathology of osteoarticular system (χ2=10.15; p<0.001), of gastrointestinal tract (χ2=8.37; p<0.01), of respiratory system (χ2=4.95; p<0.05); during pregnancy apparent toxicosis and threatened miscarriage in the 1st and 3rd trimesters of pregnancy (χ2=4.81; p<0.05); gestosis (χ2=3.97; p<0.05); acute respiratory infections with the high temperature of body and catarrhal symptoms (χ2=5.10; p<0.05); smoking during or before pregnancy (χ2=9.54; p<0.01); anxiety and insomnia (χ2=4.76; p<0.05); caries, enamel defect and absence of teeth (χ2=3.97; p<0.05); red dermographism (χ2=4.76; p<0.05). The ways to prevent and correct D-deficit condition in pregnant women and newborns were found out.
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Review
For citations:
Borisenko E.P. VITAMINE D PROVISION OF PREGNANT WOMEN IN THE AMUR REGION. Bulletin Physiology and Pathology of Respiration. 2015;(58):77-82. (In Russ.)
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