3
Revista Matronas

Revista Matronas

ABRIL 2021 N° 1 Volumen 9

Vitamin D supplements and risk of preeclampsia in pregnant women

Section: Revisions

How to quote

Jiménez Siles S, Oropesa Ropero J. Suplementación de vitamina D en mujeres embarazadas y riesgo de preeclampsia. Matronas Hoy 2020; 9(1):29-36.

Authors

1 Sara Jiménez Siles, 2 Juan Oropesa Ropero

Position

1 Matrona AP. OSI Bilbao-Basurto. Vizcaya.2 Matrón. Hospital General Universitario San Jorge. Huesca.

Contact email: Sara51295@hotmail.es

Abstract

Introduction: vitamin D deficiency in pregnant women has been associated with an increased risk of preeclampsia. However, efficacy and benefits of vitamin D supplements continue to be controversial. A literature review was carried out to evaluate the impact of vitamin D supplements in pregnant women.
Purpose: to establish whether vitamin D supplements in pregnant women have an impact on the risk of preeclampsia and gestational diabetes in pregnancy.
Methods: a literature review was performed. An initial search was carried out in several databases which resulted in 23 articles being selected based on the inclusion and exclusion criteria. A critical reading was carried out, leading to a final selection of seven systematic reviews.
Results: most of the seven systematic reviews included showed that vitamin D supplementing during pregnancy probably reduced the risk of preeclampsia and gestational diabetes. Vitamin D supplements did not cause important adverse effects and had no adverse impact on the development of the pregnancy or on the fetus.
Discussion: study designs are very heterogeneous, but the evidence seems to lean towards a protective effect in women receiving vitamin D supplements.
Conclusion: although vitamin D supplements seem to reduce the risks of preeclampsia or gestational diabetes, current data should be interpreted with caution, since the available information is limited due to the heterogeneity of the studies, the variety of doses used in the studies, the multiple variables that can affect the absorption and metabolism of vitamin D, and the non-significant results. Therefore, further research is suggested.

Keywords:

vitamin D; preeclampsiaprimary prevention

Versión en Español

Título:

Suplementación de vitamina D en mujeres embarazadas y riesgo de preeclampsia

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

1.    Fogacci S, Fogacci F, Banach M, Michos E, Hernández A, Lip G. Vitamin D supplementation and incident preeclampsia: a systematic review and meta-analysis of randomized clinical trials. Clin Nutr. 2020 Jun; 39(6):1742-52.
2.    World Health Organization. WHO recommendation regarding Vitamin C or Vitamin E supplementation during pregnancy for the prevention of pre-eclampsia. The WHO Reproductive Health Library. 2016.
3.    Aguilar-Cordero M, Lasserrot-Cuadrado A, Mur-Villar N, León-Ríos X, Rivero-Blanco T, Pérez-Castillo I. Vitamin D, preeclampsia and prematurity: A systematic review and metaanalysis of observational and interventional studies. Midwifery. 2020; (87).
4.    Wagner C, Hollis B. The Implications of Vitamin D Status During Pregnancy on Mother and her Developing Child. Frontiers in Endocrinology. 2018.
5.    Dovnik A, Mujezinovi F. The Association of Vitamin D Levels with Common Pregnancy Complications. Nutrients. 2018; 10(817).
6.    Palacios C, Trak-Fellermeier M, Martínez R, LPL, Lips P, Salisi J, et al. Regimens of vitamin D supplementation for women during pregnancy (Review). Cochrane Database of Systematic Reviews. 2019; 10.
7.    Palacios C, L K, Peña-Rosas J. Vitamin D supplementation for women during pregnancy (Review). Cochrane Database of Systematic Reviews. 2019; 7.
8.    O’Callaghan M, Kiely M. Systematic Review of Vitamin D and Hypertensive Disorders of Pregnancy. Nutrients. 2018 marzo.
9.    Rodrigues M, Lima S, Mazeto G, Calderon I, Magalhães C. Efficacy of vitamin D supplementation in gestational diabetes mellitus: Systematic review and meta-analysis of randomized trials. PloS one. 2019 marzo.
10.    Gilani S, Janssen P. Maternal Vitamin D Levels During Pregnancy and Their Effects on Maternal-Fetal Outcomes: A Systematic Review. JOGC. 2019.
11.    Mirzakhani H, al E. Early pregnancy vitamin D status and risk of preeclampsia. J Clin Invest  2016 Dec 1; 126(12):4702-15.
12.     Baca K, Govil M, Zmuda J, Simhan M, Marazita M. Vitamin D metabolic loci and preeclampsia risk in multi-ethnic pregnant women. Physiol Rep 2018 Jan; 6(2):e13468.
13.    Stougaard M, Damm P, Frederiksen P, Jacobsen R, Heitmann B. Extra vitamin D from fortification and the risk of preeclampsia: The D-tect Study. Plos one. 2018.
14.    Zhao X, Fang R, Yu R, Chen D, Zhao J, Xiao J. Maternal Vitamin D Status in the Late Second Trimester and the Risk of Severe Preeclampsia in Southeastern China. Nutrients. 2018.
15.    Curtis E, Moon R, Harvey N, Cooper C. Maternal vitamin D supplementation during pregnancy. British Medical Bulletin. 2018; 126(1).
16.    Agarwal S, Kovilam O, Agrawal D. Vitamin D and its impact on maternal-fetal outcomes in pregnancy: A critical review. Critical Reviews in Food Science and Nutrition. 2017; 58(5).
17.    Khaing W, al E. Calcium and Vitamin D Supplementation for Prevention of Preeclampsia: A Systematic Review and Network Meta-Analysis. Nutrients. 2017.
18.    Pérez I, Aguilar M. Deficiency of vitamin D during pregnancy. Preeclampsia and prematurity. Prospero. 2019.
19.    Gallo S, McDermid J, Al-Nimr R, Hakeem R, Moreschi J, Pari-Keener M. Vitamin D Supplementation during Pregnancy: An Evidence Analysis Center Systematic Review and Meta-Analysis. J Acad Nutr Diet 2020 May;120(5):898-924.