[Association between serum 25(OH)D levels at birth and bronchopulmonary dysplasia in preterm infants]

Zhongguo Dang Dai Er Ke Za Zhi. 2017 Oct;19(10):1051-1055. doi: 10.7499/j.issn.1008-8830.2017.10.004.
[Article in Chinese]

Abstract

Objective: To assess the association between serum 25-hydroxyvitamin D [25(OH)D] levels at birth and bronchopulmonary dysplasia (BPD) in preterm infants.

Methods: This study recruited preterm infants with gestational age of below 34 weeks who were born between January 2014 and December 2016. These preterm infants were classified into two groups: BPD and control. The association between serum 25(OH)D levels at birth and BPD was analyzed.

Results: Serum 25(OH)D levels in the BPD group was significantly lower than those in the control group [(37±17 nmol/L vs 47±20 nmol/L; P<0.05), and the rate of vitamin D deficiency was significantly higher than those in the control group (90.2% vs 74.0%; P<0.05). The level of serum 25(OH)D was negatively correlated with the incidence of BPD (r=-0.201, P=0.001).

Conclusions: Vitamin D deficiency at birth may be associated with BPD in preterm infants, but need to be further studied by multivariate analysis.

目的: 分析早产儿出生时血清25-羟维生素D [25(OH)D]水平与支气管肺发育不良(BPD)的关系。

方法: 选取2014年1月至2016年12月入住NICU、出生胎龄 < 34周的早产儿,按是否患BPD分为BPD组(41例)和对照组(219例),分析25(OH)D水平与BPD的关系。

结果: BPD组血清25(OH)D水平显著低于对照组(37±17 nmol/L vs 47±20 nmol/L;P < 0.05);维生素D缺乏率显著高于对照组(90.2% vs 74.0%,P < 0.05)。血清25(OH)D水平与BPD发生率呈负相关(r=-0.201,P=0.001)。

结论: 早产儿维生素D缺乏可能与BPD发病有关,但需多因素分析进一步证实。

MeSH terms

  • Bronchopulmonary Dysplasia / blood
  • Bronchopulmonary Dysplasia / etiology*
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature / blood*
  • Male
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Vitamin D Deficiency / complications

Substances

  • Vitamin D
  • 25-hydroxyvitamin D

Grants and funding

江苏省临床医学科技专项(BL2014025);江苏省卫生计生委妇幼健康科研项目(F201427);江苏省妇幼保健重点学科项目(FXK201213);无锡市“科教强卫工程”医学重点学科、医学青年人才项目(ZDXK003、QNRC039)