DISCUSSION
The prevalence of hypovitaminosis D is in growing problem among both pregnant and non-pregnant women. In the current study, 141(88.1%) pregnant women of our participants had insufficient/deficient serum 25OHD level, and 116(72.5%) out of all participants had vitamin D deficiency (25OHD levels <50 nmol/L), which is more prevalent among GDM group 70(87.5%) than control 46(57.5%), and 13 (8.1%) out of all participants had severe hypovitamnosis D. This prevalence is in agreement with other previous studies as Al Kalbani et al, 34 reported 98% vitamin D deficiency was in Omani pregnant women. Also, Karim et al, 16 reported 78% insufficient/deficient vitamin D in Pakistani pregnant women, and Al-Shaikh et al, 35 reported 86.4 % of Saudi pregnant women
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Vinkhuyzen et al, 37 reported 26% of pregnant women at midgestation, 46% of neonates were vitamin D deficient and 21% of the mother-infant pairs had persistent vitamin D deficiency (deficient in maternal and cord …show more content…
44 Inverse association between serum vitamin D and glucose levels, 38,39,45 and insulin resistance 20,38,39,46-48 have been established in several epidemiological
All day and all night, they battled the emergency with each instrument available to them to keep the United States and world economies above water. Working with two U.S. presidents, and under flame from a crabby Congress and an open angered by conduct on Wall Street, the Fed—nearby associates in the Treasury Department—effectively settled a wavering monetary framework. With inventiveness and definitiveness, they kept a financial fall of incomprehensible scale and went ahead to create the strange projects that would resuscitate the U.S. economy and turn into the model for different nations. Rich with detail of the basic leadership prepare in Washington and permanent representations of the real players, The Courage to Act relates and clarifies the most exceedingly bad budgetary emergency and monetary droop in America since the Great Depression, giving an insider 's record of the approach reaction (http://www.forbes.com/sites/richardsalsman/2012/03/06/five-financial-reforms-that-would-prevent-crises-and-promote-prosperity/#).
Another study was conducted in Chile by Cortes et al, and this study’s aim was similar to De Wals et al’s aim which was whether there is an impact of folic acid fortification on NTDs’ prevalence or not (Cortes et al., 2012). The researchers held an observation program in a specific hospital to detect the rate of occurrence of NTDs in stillbirths and livebirths (Cortes et al., 2012). The researchers showed that total NTDs’ prevalence decreased from prefortification period to postfortification period, and the reduction of spina bifida was about 52% in postfortification (Cortes et al., 2012). Therefore, this study is one of the studies that
Deficiency of the micronutrient folate continues to significantly affect the health of pregnant women and their children, globally. A great cause of concern with folate deficiency is the occurrence of Neural Tube Defects (NTDs) in new-born babies due to abnormal early foetal development. According to Greene et al. (2016), NTDs are abnormalities to the formation of the brain, spinal cord or related structures from early foetal development. The rate of the prevalence of NTDs varies between countries from 0.3 to 199.4 cases per 10,000 births. In Australia specifically, approximately 19.5 cases of NTDs occurred per 10,000 cases between 2009 and 2010 (Zaganjoy et al.,
People can very easily be coerced into believing or doing anything, as long as the correct word choice is used. The leaders of the Civil Rights movement were aware of this as they were constantly trying to get people, which includes both the victims and persecutors of segregation, into taking action against the discrimination. Martin Luther King Jr. in his “I Have A Dream Speech” and his “Letter From Birmingham Jail” is a clear example. Rosa Parks, a prominent figure in the movement, is also a great example as she is quoted many times in the text “How History Got the Rosa Parks Story Wrong” by Jeanne Theoharris. Civil Rights leaders used words to provoke, calm, and inspire.
During pregnancy the mother has certain nutrient needs. When a mother is pregnant in the second and third trimesters, she should take in an additional 340-352 kilocalories per day. Pregnant women should also have an extra 25 grams of protein per day and 175 grams per day of carbohydrates. Water intake also increases when a woman is pregnant due to the fetus’s needs, increased blood volume and amniotic fluid being produced. Pregnant women also need higher levels of vitamins. Infants need to have an increased energy supply during their first months of life because of rapid growth using so much of their own energy. During the first six months of an infant’s life, they should take in about 55% of their energy from fat. During the second six months, it should be about 40%. Carbohydrates, proteins, other vitamins and water should be increased also. Children should have around 45 to 65% of carbohydrates of energy. Children ages one to three should have about 1.3 liters of water per day and children ages four to eight should have about 1.7 liters of water per day. Adolescents also have their own nutrient needs. Girls need around 2100 to 2400 kilocalories per day and boy need around 2200 to 3150 kilocalories per day. Protein intake should be about 0.8 grams per kilograms per day. Vitamin and mineral needs are increased more during adolescent years than childhood. In adulthood and on, there is a decrease in the needs for energy. Protein is still at 0.8 grams per kilograms of body weight per day and fat needs do not change either. Carbohydrates and fiber do not change but the total amount that is needed may decrease. Water needs should stay around 1.7 liters per day, but as adults get older, they may lose their thirst. Most elderly do not need to change the amount of vitamins and minerals they take in but it is common for them to be deficient in
Vitamin D plays a critical role in many normal bodily functions as well as fighting against a wide number of health barriers. In an article by Jacqueline Kanopa, studies revealed that exposure to ultraviolet rays play a huge part in Vitamin D production, as well as having preventative effects on a disorder known as rickets; which leads to weakened bones due to lack of Vitamin D. This study supports the belief that exposure to UV rays play a critical role in Vitamin D production, and can be beneficial to those prone to certain
In this report the focus will be the nutritional aspects of Type 2 Diabetes, although physical activity is a vital attribute to Type 2 Diabetes it will not be the main focus. This report will determine the modifiable and
The presenter then went on to say that 70% of women who are at an age where there reproductive system still works properly are deficient in vitamin D. She then talked to me about how this was linked to greater maternal weight. Women who were lacking in Vitamin D would have a much higher chance having Caesarean compared to a woman who was not overweight and was sufficient in vitamin D. Kristen A Sawka pointed out in her conclusion that early pregnancy weight was correlated with having lower vitamin D and that nutritional counseling was important to promote optimal weight and vitamin D levels before and during pregnancy may promote ideal pregnancy outcomes. In other words she is saying the two topics are linked. After listening to this presentation I found the
Vitamin intake is a commonly overlooked necessity in basic nutritional health. What most people do not know is that certain vitamin deficiencies can cause many health risks and problems. Many people believe that are getting all the vitamins they need from their diet, however most of the time they are not. One of the most common vitamin deficiencies is the low intake of Vitamin D. There are some vitamins that are produced by the body such as vitamin K; however some of the most important vitamins are not produced by the body. Vitamin D is one of the vitamins that our body needs to function correctly that is not naturally produced by the body. Vitamin D can be consumed through
It is a recognised certainty that nutrition is a fundamental requirement to sustain a healthy lifestyle and is also extremely valuable when recovering from an illness or an injury. Nutrients are absorbed in the body and this physiological process is essential for homeostasis and ensuring equilibrium is sustained within the body as without enough food and drink the body will not function correctly (Edwards & Thomas, 2009). This essay will provide information on folic acid and its properties, its role and the midwife’s role and responsibility in informing women in the early stages of pregnancy
The purpose of this study is to analyze the preventative effects of folic acid supplementation during preconception and pregnancy in women. Folic acid supplementation is a standard recommendation among a variety of vitamins and minerals during preconception and is said to prevent congenital defects, primarily neural tube defects in children. However, various studies suggest that folic acid supplementation is not directly correlated with the prevention of neural tube defects, but other factors such as socioeconomic status, healthcare, and education come into play (Banhidy, 2011). The use of folic acid to prevent neural tube defects is widely accepted and recommended by health professionals and researchers
It is thought that nutrients insufficiency plays crucial role in preeclampsia development in pregnant women. Micronutrients and vitamins have clinical antioxidant and anti-inflammatory properties, and they are substantial for normal placentation by acting on placental endothelial function. In addition, nutrients contribute to the spiral artery remodeling and angiogenesis. (Ilekis et al., 2017).
A study published in Archives of Internal Medicine found that 75 percent or more of American teens and adults are deficient in Vitamin D. That is why we have so many serious illnesses, like cancer, diabetes and heart disease (Huff, 2010).
In Australia, the reasonableness and effectiveness of folic acid being mandatorily fortified to support healthy pregnancy when considering the occurrence of NTDS in Australian children due to the amount their mothers have consumed of folic acid during pregnancy. The main purpose for creating a mandatory policy to include folic acid to the wheat flour of non-organic bread in Australia is to reduce the incidence of NTDs across the nation. Substantial rates of NTDs occur worldwide as significantly more folate is needed early in pregnancy than in other life stages. This early stage of pregnancy is often when women are unaware that they are pregnant. The folate is required for the development of the embryonic neural tube, which develops into
It took a while to struggle back to her feet because her legs shook so much. She started with fear when a hedgehog scampered in front of her path. Just like her, it was frightened and scared. She wondered, not for the first time, whether she had done the right thing? The answer had to be yes. Yes! Yes! YES!