Vitamin D Deficiency
Conditions
Keywords
pregnancy, immune function
Brief summary
Researchers at the USDA Western Human Nutrition Research Center and clinicians at UC Davis Medical Center are currently conducting a study on the effects of vitamin D supplementation during pregnancy on maternal health and immune function. The investigators believe that vitamin D supplementation at levels greater than the current recommendation is beneficial for maternal health during pregnancy. In particular, there is evidence that vitamin D deficiency during pregnancy puts women at greater risk for diseases like pre-eclampsia, which may be due to an imbalance in immune function at the placenta. This randomized, double-blind study is designed to test this hypothesis. Pregnant women who participate in the study receive either 400 IU or 2,000 IU of vitamin D per day for the duration of their pregnancy. The investigators will collect blood at three time points during pregnancy (16-20 weeks, 26-28 weeks, 36 weeks gestation) for analysis of immune function and vitamin D status. The investigators are also collecting data on clinical parameters, such as blood pressure and glucose tolerance.
Interventions
Women in this study arm receive 400 IU of vitamin D3 per day, or what is in a standard prenatal multivitamin. They also receive a placebo study supplement.
Women in this arm receive 2,000 IU vitamin D per day: 400 IU from a standard prenatal multivitamin plus an additional 1,600 IU vitamin D3 in the study supplement.
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women * Less than 20 weeks gestation * Over 18 years of age * Able to swallow nutritional supplements
Exclusion criteria
* Use of medications known to affect vitamin D metabolism * Diagnosis of type 1 diabetes * History of thyroid, renal, or liver disease * Problems with digestion or absorption
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in T-cell cytokine expression | 16-20 wks, 26-28 wks, and 36 wks gestation | Inflammatory and regulatory cytokines will be measured in cultured T-cells by flow cytometry. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Vitamin D status | 16-20 wks, 26-28 wks, 36 wks gestation | Serum 25-OH vitamin D and 1, 25 (OH)2 Vitamin D |
| Change in innate immune function | 16-20 wks, 26-28 wks, 36 wks gestation | Monocyte and NK cell cytokine expression and response to stimulation with Toll-like Receptor agonists. |
| Change in blood pressure | 16-20 wks, 26-28 wks, 36 wks gestation | Blood pressure will be measured using standard techniques. |
Countries
United States