Vitamin D nutrition and vitamin D metabolism in the premature human neonate

EB MAWER, SW Stanbury, MJ Robinson… - Clinical …, 1986 - Wiley Online Library
EB MAWER, SW Stanbury, MJ Robinson, J James, C Close
Clinical endocrinology, 1986Wiley Online Library
The effect of supplementation with daily doses of vitamin D2 (1000 IU or 3000 IU, 25–75 μg,
63–189 nmol) has been studied in 39 premature neonates, initial gestational age 25–32
weeks. The initial mean plasma 25‐hydroxyvitamin D was 25.8 nmol/l (10.3 ng/ml) but in 12
infants, most of whom were born in the winter months, the level was< 15 nmol/l (6 ng/ml),
and in seven babies plasma 1, 25‐dihydroxyvitamin D was< 48 pmol/l (20 pg/ml). These
findings suggest a considerable degree of maternal vitamin D‐deficiency. Maximum attained …
Summary
The effect of supplementation with daily doses of vitamin D2 (1000 IU or 3000 IU, 25–75 μg, 63–189 nmol) has been studied in 39 premature neonates, initial gestational age 25–32 weeks. The initial mean plasma 25‐hydroxyvitamin D was 25.8 nmol/l (10.3 ng/ml) but in 12 infants, most of whom were born in the winter months, the level was < 15 nmol/l (6 ng/ml), and in seven babies plasma 1,25‐dihydroxyvitamin D was <48 pmol/l (20 pg/ml). These findings suggest a considerable degree of maternal vitamin D‐deficiency. Maximum attained concentrations of 25‐hydroxyvitamin D on treatment were 77.3 nmol/l (30.9 ng/ ml), high dose and 86.8 nmol/l (34.7 ng/ml), low dose; the mean rate of increase was greatest during the first two weeks (2.2 nmol/l/d; 0.88 ng/ml/d) and declined over the next 4 weeks. Mean maximum concentrations of 1,25‐dihydroxyvitamin D2 were 283 pmol/l, (121 pg/ml), high dose and 309 pmol/l (129 pg/ml), low dose. Apart from a minor contribution to the initial plasma 1,25‐dihydroxyvitamin D concentration, no effect of gestational age could be discerned in any of the measured variables. The endogenous pool of 1,25‐dihydroxyvitamin D3 decayed with a T of 22.5 d, indicating that vitamin D supplementation of these infants was necessary to avoid vitamin D‐deficiency.
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