We tested the hypothesis that vitamin D supplementation is associated with early body mass index (BMI) patterns.Using retrospective longitudinal data of infants and toddlers in a 2-year follow-up study, we identified BMI-for-age Z score (BAZ) growth trajectories using latent class growth modeling (LCGM) analysis. Logistic regression models were adopted to investigate the impact of vitamin D supplementation on BAZ patterns.Five BAZ trajectories were derived using LCGM. Higher intake of vitamin D supplement was significantly associated with lower odds of rapid weight gain or mild undernutrition in the first 2 years (odds ratios: 0.60-0.83 for class 2: early rapid growth; 0.69-0.82 for class 3: early weight loss, late rapid growth; 0.83-0.89 for class 4: suboptimal growth). Adherence to 400 IU Vitamin D ≥ 1 year was significantly associated with less likelihood of being in class 3 (odds ratio 0.17).Among infants and toddlers aged 0 to 2 years, dietary supplementation of vitamin D is insufficient in rural areas of China. Insufficient vitamin D intake was found to be associated with suboptimal BAZ growth at early stages. Effective collaboration is needed between pediatricians and caregivers, to assure adherence to the nutritional guideline.
基金:
This study was supported by the Shanghai
Municipal Committee of Science and Technology
(grant numbers: 16411970100, 18411967700);
Shanghai Children’s Health Services Capacity
Planning Special Program for Advanced
Pediatric Overseas Research Team Training
Program (grant number: GDEK201710); and
Shanghai Municipal Health Commission (grant
number: GWV-10.1-XK19).
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2020]版:
大类|4 区医学
小类|4 区医学:研究与实验4 区药学
最新[2023]版:
大类|4 区医学
小类|4 区医学:研究与实验4 区药学
第一作者:
第一作者机构:[1]Department of Child Health Care, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Child Health Care, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.[*1]Department of Child Health Care, Shanghai Children’s Hospital, Shanghai Jiao Tong University, Luding Road 355, Putuo District 200062, Shanghai, China.
推荐引用方式(GB/T 7714):
Zheng Xiaofei,Wu Qijun,Weng Dadong,et al.Adherence to supplemental vitamin D intake and infant weight gain: a retrospective cohort study in rural southwestern China[J].The Journal of international medical research.2020,48(11):300060520969311.doi:10.1177/0300060520969311.
APA:
Zheng Xiaofei,Wu Qijun,Weng Dadong,Fu Yeju,Yue Duxian&Wang Yu.(2020).Adherence to supplemental vitamin D intake and infant weight gain: a retrospective cohort study in rural southwestern China.The Journal of international medical research,48,(11)
MLA:
Zheng Xiaofei,et al."Adherence to supplemental vitamin D intake and infant weight gain: a retrospective cohort study in rural southwestern China".The Journal of international medical research 48..11(2020):300060520969311