Obesity Clinical Trial
Official title:
D-tecting Disease - From Exposure to Vitamin D During Critical Periods of Life
Vitamin D deficiency is common among otherwise healthy pregnant women and may have
consequences for them as well as the early development and long-term health of their
children. However, the importance of maternal vitamin D status has not been widely studied.
The present study is divided into a societal experiment (1) and a case-cohort study (2):
1. The present study includes an in-depth examination of the influence of exposure to
vitamin D early in life and during critical periods of growth for development of type 1
diabetes (T1D), type 2 diabetes, gestational diabetes, pre-eclampsia, obesity, asthma,
arthritis, cancer, mental and cognitive disorders, congenital disorders, dental caries
and bone fractures during child- and adulthood. The study is based on the fact that
mandatory fortification of margarine with vitamin D, which initiated in 1937, was
terminated in 1985.
Apart from determining the influences of exposure prior to conception and during pre-
and postnatal life, the investigators examined the importance of vitamin D exposure
during specific seasons and trimesters, by comparing disease incidence among individuals
born before and after the fortification.
2. Additionally, a validated method was used to determine neonatal vitamin D status using
stored dried blood spots (DBS) from individuals who develop the aforementioned disease
entities as adults and their time and gender-matched controls.
Unparalleled, the study will help determine the effects of vitamin D exposure during critical
periods in life. There are a sufficient number of individuals to verify any effects during
different gestation phases and seasons of the year. The results, which will change our
current understanding of the significance of vitamin D, will enable new research in related
fields, including interventional research designed to assess supplementation needs for
different subgroups of pregnant women. Also, other health outcomes can subsequently be
studied to generate multiple new interdisciplinary health research opportunities involving
vitamin D.
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