For years, the medical community thought that vitamin D was something
we generally all got enough of - available from the sunshine and in our
food, there always seemed plenty around. However our modern indoor
lifestyles, changes in nutritional intake and excessive sun safety
advice have meant that vitamin D deficiency is very real and extremely
more important to have enough of during stages of fertility and
pregnancy.
Maternal
vitamin D levels have the ability to affect the baby significantly.
Modern research has now linked vitamin D deficiency to increased risk of
gestational diabetes in pregnancy and several immune function disorders
in the children of deficient mothers. Prior to conception, the
fertility focused mother-to-be needs good levels of vitamin D for proper
implantation, immune balance, calcium absorption and insulin regulation
also.
The link between vitamin D levels and correct glucose
metabolism has been well established in recent years, with researchers
looking at the development of diabetes type 2. This link also
corresponds to gestational diabetes, a condition in pregnancy which has
significantly increased in New Zealand and Australia in recent years.
Recent studies have shown that as much as 40% of women with gestational
diabetes are also vitamin D deficient, and the lower the vitamin D
levels the poorer the glycaemic control.
Vitamin D in pregnancy is
a key link in reducing the risk of autoimmune conditions in the
offspring. In 2001, a study was published linking vitamin D deficiency
in pregnancy to an increased risk of the autoimmune condition, multiple
sclerosis. The study involving 35,794 women found that a higher vitamin D
intake reduced the risk of multiple sclerosis in their children.
Multiple sclerosis is not the only autoimmune condition linked with
inadequate vitamin D in pregnancy. In fact, researchers now believe that
vitamin D plays a protective role against all autoimmune conditions
(including diabetes type 1, asthma & atopic conditions) during
pregnancy, as well as in the first 12 months of a baby's life. Studies
indicate that babies who receive 2000IU vitamin D daily for the first
year of life reduced the risk of developing diabetes type 1 later in
life by up to 80%.
Aside from the debilitating impact of
autoimmune conditions, poor vitamin D levels increase the likelihood of
childhood infections (particularly respiratory viruses) even in
apparently healthy babies. Researchers are now suggesting that maternal
supplementation of vitamin D during pregnancy may provide an effective
strategy against neonatal infection.
So how much vitamin D is
enough and what foods contain it? A recent clinical trial demonstrated
that supplementation of 4000IU vitamin D daily was not associated with a
single adverse effect, confirming its safety during pregnancy. Women
who have darker skin, or who avoid sun exposure are at a greater risk of
deficiency as well as vegetarians and vegans. For this group, I would
recommend 3000-4000IU daily. If you do not fall in this category, then
supplementation of 2000IU daily would be recommended. Vitamin D is found
in regular daily exposure to sunshine, as well as fatty fish (ie salmon
and mackerel), eggs, whole milk and butter.
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