Relationship between Consumption of Vitamin D Food Sources, Sun Exposure, and Consumption of Vitamin D Supplements with Intrauterine Growth Restriction at Airlangga University Hospital Surabaya

Thirza Alifia Putri Ariadwianto, Widati Fatmaningrum, Muhammad Ilham Aldika Akbar
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Abstract

Background: Intrauterine Growth Restriction (IUGR) is defined as a condition when fetus experiences poor growth during the pregnancy due to pathological factors, namely placental dysfunction. One of the causes of several risk factors for IUGR such as maternal diseases, namely diabetes mellitus and preeclampsia, is Vitamin D deficiency. Objective: To study the relationship between the consumption of Vitamin D food sources, sun exposure, and consumption of Vitamin D supplement in pregnant woman with Intrauterine Growth Restriction (IUGR) at Airlangga University hospital in Surabaya. Method: This analytic study with case control design was conducted on pregnant woman who delivered baby at the delivery room in Airlangga University hospital in 2021 to 2023, using Food Frequency Questionnaire (FFQ). 44 women were included in case and control group. The data was later analysed with SPSS application. P-value < 0.05 is considered significant. Results: The result showed in the case group with IUGR, the Vitamin D food sources consumption was higher than the control group without IUGR. Therefore, there is no relationship between Vitamin D food sources consumption with IUGR (P > 0.05). Meanwhile in the control group without IUGR, the sun exposure and Vitamin D supplement consumption were higher than the case group with IUGR. Hence, there is relationship between Sun exposure and Vitamin D supplement consumption with IUGR (P < 0.05). Conclusion: The result showed that the strategies of collecting the Vitamin D dietary is not effective and not recommended to study the relationship of Vitamin D food sources consumption with IUGR. More study or research need to be conducted. Keywords: Intrauterine Growth Restriction (IUGR), Pregnancy, Vitamin D food sources consumption, Sun Exposure, Vitamin D supplement consumption
泗水 Airlangga 大学医院维生素 D 食物来源摄入量、日光照射和维生素 D 补充剂摄入量与宫内发育受限之间的关系
背景:胎儿宫内生长受限(IUGR)是指胎儿在妊娠期间因病理因素(即胎盘功能障碍)而生长不良。导致胎儿宫内生长受限的几种危险因素之一是维生素 D 缺乏,如孕产妇疾病(即糖尿病和子痫前期):研究泗水 Airlangga 大学医院宫内生长受限(IUGR)孕妇的维生素 D 食物摄入量、日晒和维生素 D 补充剂摄入量之间的关系:本分析研究采用病例对照设计,使用食物频率问卷(FFQ)对 2021 年至 2023 年期间在 Airlangga 大学医院产房分娩的孕妇进行调查。病例组和对照组共有 44 名孕妇。随后使用 SPSS 应用程序对数据进行了分析。P值<0.05为有意义:结果显示,患有 IUGR 的病例组的维生素 D 食物摄入量高于未患有 IUGR 的对照组。因此,维生素 D 食物来源的摄入量与 IUGR 之间没有关系(P > 0.05)。与此同时,未患 IUGR 的对照组的日晒率和维生素 D 补充剂摄入量均高于患 IUGR 的病例组。因此,日晒和维生素 D 补充剂摄入量与 IUGR 存在关系(P < 0.05):结果表明,在研究维生素 D 食物来源的摄入量与 IUGR 的关系时,收集维生素 D 膳食的策略并不有效,也不值得推荐。需要进行更多的研究:宫内生长受限(IUGR);妊娠;维生素 D 食物来源摄入量;日光照射;维生素 D 补充剂摄入量
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