Cited by 365Vitamin D Research StudiesVitamin K Research StudiesNeonatal Health and Biochemistry

Global summary of maternal and newborn vitamin D status – a systematic review

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Saraf, Rajneeta, Morton, Susan M.B., Camargo, Carlos A., Grant, Cameron C.·2016·Maternal & Child Nutrition

Abstract

Pregnant women and newborns are at increased risk of vitamin D deficiency. Our objective was to create a global summary of maternal and newborn vitamin D status. We completed a systematic review (1959–2014) and meta‐analysis of studies reporting serum 25‐hydroxyvitamin D [25(OH)D] concentration in maternal and newborn populations. The 95 identified studies were unevenly distributed by World Health Organization (WHO) region: A mericas (24), E uropean (33), E astern M editerranean (13), S outh‐E ast A sian (7), W estern P acific (16) and A frican (2). Average maternal 25(OH)D concentrations (nmol L−1) by region were 47–65 (A mericas), 15–72 (E uropean), 13–60 (E astern M editerranean), 20–52 (S outh‐E ast A sian), 42–72 (W estern P acific) and 92 (A frican). Average newborn 25(OH)D concentrations (nmol L−1) were 35–77 (A mericas), 20–50 (E uropean), 5–50 (E astern M editerranean), 20–22 (S outh‐E ast A sian), 32–67 (W estern P acific) and 27–35 (A frican). The prevalences of 25(OH)D <50 and <25 nmol L−1 by WHO region in pregnant women were: A mericas (64%, 9%), E uropean (57%, 23%), E astern M editerranean (46%, 79%), S outh‐E ast A sian (87%, not available) and W estern P acific (83%, 13%). Among newborns these values were: A mericas (30%, 14%), E uropean (73%, 39%), E astern M editerranean (60%, not available), S outh‐E ast A sian (96%, 45%) and W estern P acific (54%, 14%). By global region, average 25(OH)D concentration varies threefold in pregnant women and newborns, and prevalence of 25(OH)D <25 nmol L−1 varies eightfold in pregnant women and threefold in newborns. Maternal and newborn 25(OH)D concentrations are highly correlated. Addressing vitamin D deficiency in pregnant women and newborns should be a global priority. To protect children from the adverse effects of vitamin D deficiency requires appropriate interventions during both pregnancy and childhood.

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  • Approximately 95% of Japanese pregnant women have been reported to have 25(OH)D levels <50 nmol/L; corresponding figures in the UK and Latin America are 55% and 37%, respectively.

    “Approximately 95% of Japanese pregnant women have been reported to have 25(OH)D levels <50 nmol/L; the corresponding figures in the UK and Latin America have been reported to be 55% and 37%, respectively [51,52], a finding confirmed by a systematic review of global maternal and new born vitamin D status [53].”

    From Vitamin D and Autism Spectrum Disorder: A Literature Review (2016) · cites this paper as [53]

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Authors
Saraf, R., Morton, S. M. B., Camargo, C. A., & Grant, C. C.
Affiliations
  • University of Auckland (NZ)
  • Harvard University (US)
Venue
Maternal & Child Nutrition
Publisher
Wiley
Published
2015-09-15
Volume
12
Issue
4
Pages
647-668
ISSN
  • 1740-8695 (ISSN-L)
  • 1740-8709
OpenAlex
W1960532056
Cited by
365
References
88
Citations by year
2026: 27 · 2025: 35 · 2024: 33 · 2023: 35 · 2022: 45 · 2021: 43 · 2020: 49 · 2019: 27 · 2018: 38 · 2017: 17 · 2016: 14 · 2015: 2
FWCI
3.47
Type
journal article
Language
en
Open access
Locations
  • Maternal and Child Nutrition (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Curekids
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
  • Health Sciences › Nursing › Nutrition and Dietetics › Vitamin K Research Studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal Health and Biochemistry
Keywords
vitamin D deficiency, 25-hydroxyvitamin D, maternal vitamin D status, pregnancy, WHO regions, global prevalence, serum vitamin D levels
MeSH terms
Maternal Health, Africa, Asia, Southeastern, Female, Fetal Blood, Health Status, Humans, Infant, Newborn, Nutritional Status, Pregnancy, United States, Vitamin D, Vitamin D Deficiency, Global Health, Meta-Analysis as Topic, Prevalence, Mediterranean Region, Dietary Supplements, Maternal Nutritional Physiological Phenomena

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