Vitamin D Deficiency, Vitamin D Insufficiency
Conditions
Keywords
Vitamin D, Cholecalciferol, Nutrient requirements, Randomised Controlled Trial, Lactation, pregnancy, Cord blood, Human milk, serum 25-hydroxyvitamin D, deficiency, insufficiency, nutrition
Brief summary
This is a randomized, placebo-controlled trial of vitamin D supplementation with 20mcg cholecalciferol (to achieve a total intake of 25mcg/day), with or without 500mg calcium to assess vitamin D requirements in lactating women and to ascertain whether vitamin D supplementation at levels sufficient to achieve defined thresholds of maternal serum 25-hydroxyvitamin D will increase the vitamin D content of maternal milk. The study will also report serum 25-hydroxyvitamin D in maternal-cord dyads over a 12-month period and describe the relationship between them. Information on maternal iPTH levels, anthropometry, diet and sun exposure will also be reported.
Interventions
20µg (800IU) of vitamin D3/day for 12-weeks while lactating, commencing 10-14 days post-partum.
20µg (800IU) of vitamin D3 + 500mg calcium carbonate/day for 12-weeks while lactating, commencing 10-14 days post-partum.
One gelatin placebo capsule containing zero vitamin D3 taken for 12-weeks while lactating, commencing 10-14 days post-partum.
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women intending to breast feed their infant for at least 12-weeks * Pregnant women \>20 weeks gestation * Pregnant women \>18 years of age * Pregnant women in good general health
Exclusion criteria
* Consumption of a vitamin D-containing supplement(\>10µg/day) in the 3 months prior to commencing the trial * Consumption of a vitamin D or calcium containing supplement during the 12- week trial * Mothers taking a vacation to a sunny climate or using a solarium during the 12-week trial * Mothers with pre-existing type 1 or type 2 diabetes * Mothers with pre-existing hypertension * Mothers with diagnosed hypercalcemia * Mothers with diagnosed intestinal malabsorption conditions * Mothers with multiple fetuses (e.g. twins) * Consumption of medications known to interfere with vitamin D metabolism.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Serum 25-hydroxyvitamin D in mothers and levels of vitamin D in maternal milk | 12 weeks | Baseline and endpoint serum 25(OH)D analysis in mothers (week 0 and week 12); baseline, week 4, week 8 and enpoint analysis of vitamin D3, D2 and 25(OH)D in expressed breast milk (hindmilk samples) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal serum iPTH | 12 weeks | Baseline and endpoint PTH will be measured in mothers |
Countries
Ireland