Breastfeeding and vitamin D status in Greece during the first 6 months of life

dc.contributor.authorChalla, A.en
dc.contributor.authorNtourntoufi, A.en
dc.contributor.authorCholevas, V.en
dc.contributor.authorBitsori, M.en
dc.contributor.authorGalanakis, E.en
dc.contributor.authorAndronikou, S.en
dc.date.accessioned2015-11-24T19:32:13Z
dc.date.available2015-11-24T19:32:13Z
dc.identifier.issn0340-6199-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23381
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subject*Breast Feedingen
dc.subjectFemaleen
dc.subjectGreece/epidemiologyen
dc.subjectHumansen
dc.subjectInfanten
dc.subjectInfant, Newbornen
dc.subjectProspective Studiesen
dc.subjectReference Valuesen
dc.subjectSeasonsen
dc.subjectVitamin D/*analogs & derivatives/blooden
dc.subjectVitamin D Deficiency/*epidemiologyen
dc.titleBreastfeeding and vitamin D status in Greece during the first 6 months of lifeen
heal.abstractSince no foods are vitamin D supplemented in Greece, vitamin D status was assessed in mothers at birth and their infants up to the first 6 months of life, while they were exclusively breast-fed. This was a prospective study. Full-terms (n =35) born during the summer-autumn months and their mothers were assigned to the summer group and the remainder (n =31) to the winter group. One week after birth, serum 25-hydroxyvitamin D (25OHD) was significantly lower in the winter-born than in the summer-born neonates (6.7+/-0.7 vs. 10.1+/-0.9 ng/ml, P <0.01). The respective levels of parathyroid hormone (iPTH) were 64.9+/-13.4 and 33.9+/-4.4 pg/ml (P <0.01). The mothers had serum 25OHD levels of 10.8+/-1.0 ng/ml and iPTH levels of 15.2+/-3.5 pg/ml in the winter and 12.9+/-1.3 ng/ml and 24.8+/-4.8 pg/ml in the summer. During the 6-month follow-up, a steady increase in circulating 25OHD (up to 19.4+/-2.8 ng/ml, P <0.0001) and a decrease in iPTH (to 26.8+/-3.5 pg/ml, P =0.10) were observed in the infants born in the winter. In the summer-born infants, serum 25OHD did not change but iPTH had increased significantly by the 3rd month (59.4+/-21.8, P <0.05). Serum calcium (Ca) increased within normal limits during the study period in both groups. Serum phosphorus (Pi) started higher in the winter group (7.43+/-0.38 vs. 6.27+/-0.23 mg/dl, P <0.01) but thereafter, it was similar in both groups. Total alkaline phosphatase (ALP) increased in both groups during the study (164+/-15 vs. 219+/-17 IU/l, P <0.05 and 189+/-14 vs. 288+/-35 IU/l, P <0.001, respectively). Serum osteocalcin (OC) decreased in the winter-born neonates (32.0+/-3.4 vs. 21.5+/-3.4 ng/ml, P <0.05) and did not change in the summer group (28.9+/-3.5 vs. 26.5+/-2.8 ng/ml). CONCLUSION: Neonates who are breast-fed exclusively during the first 6 months of life are in need of vitamin D supplementation irrespective of the season even in a sunny country like Greece where foods are not supplemented.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1007/s00431-005-1757-1-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16143866-
heal.identifier.secondaryhttp://www.springerlink.com/content/v712903115476726/fulltext.pdf-
heal.journalNameEur J Pediatren
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2005-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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