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Adherence to supplemental vitamin D intake and infant weight gain: a retrospective cohort study in rural southwestern China

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机构: [1]Department of Child Health Care, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China. [2]Zhenxiong People's Hospital, Zhaotong, Yunnan, China. [3]Wude Health Center, Wude, Zhenxiong, Zhaotong, Yunnan, China.
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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.

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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
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第一作者机构: [1]Department of Child Health Care, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
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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.
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