Research Article

Vitamin D, Gestational Diabetes, and Measures of Glucose Metabolism in a Population-Based Multiethnic Cohort

Table 1

25-Hydroxyvitamin D (25(OH)D) status and confounding variables in the total sample and stratified by gestational diabetes mellitus (GDM) status, WHO 2013 criteria. Values are mean (95% confidence interval) or (numbers (%)).

GDM (WHO 2013)
YesNo

Status at inclusion (15 GWi)
Overall mean 25(OH)D (nmol/L)50.2 (48.3, 52.1)47.7 (44.0, 51.3)51.4 (49.2, 53.7)0.07
25(OH)D < 50 nmol/L (n (%))389 (52)141 (60)248 (49)0.01
25(OH)D status during pregnancya
Consistently sufficient (n (%))417 (57)109 (47)308 (61)<0.01
Decreasing (n (%))63 (8.6)22 (9.6)41 (8.1)0.50
Increasing (n (%))145 (20)55 (24)90 (18)0.06
Consistently deficient (n (%))111 (15)44 (19)67 (13)0.03
Prepregnancy maternal status
Age (years)29.8 (29.5, 30.2)30.3 (29.6, 30.9)29.6 (29.2, 30.1)0.12
Ethnicity (n (%))
 Europe346 (46.4)82 (35)264 (52)<0.01
 South Asia191 (25.6)81 (35)110 (22)<0.01
 Middle East and North Africa115 (15.4)41 (17)74 (15)0.49
 Sub-Saharan Africa53 (7.1)20 (8.5)33 (6.5)0.32
 East Asia40 (5.4)11 (4.7)29 (5.7)0.57
Parity (n (%))
 Para 0340 (46)104 (44)236 (46)0.61
 Para 1256 (34)73 (31)183 (36)0.18
 Para ≥ 2149 (20)58 (25)91 (18)0.03
Education (years) (n (%))a
 <10122 (16)50 (21)72 (14)0.02
 10–12293 (40)100 (43)193 (38)0.20
 >12324 (44)84 (36)240 (48)<0.01
Prepregnancy BMIii (kg/m2)a24.5 (24.2, 24.9)25.9 (25.2, 26.6)23.9 (23.5, 24.3)<0.01
Status at inclusion
Gestational week15.1 (14.9, 15.4)15.2 (14.7, 15.6)15.1 (14.8, 15.4)0.74
Sum of skinfolds (mm)b72.0 (70.6, 73.5)77.0 (74.3, 79.8)69.8 (68.1, 71.5)<0.01
Season for 25(OH)D measurement (n (%))
 Summer347 (47)130 (55)217 (43)<0.01
 Winter398 (53)105 (45)293 (57)<0.01
Status at 28 GW
Gestational weekc28.3 (28.2, 28.4)28.2 (28.0, 28.3)28.3 (28.2, 28.4)0.20
ΔSum of skinfolds (15 to 28 GW) (mm)d5.8 (4.8, 6.8)6.2 (4.5, 7.9)5.6 (4.3, 6.8)0.58
Weight gain (prepregnant to 28 GW) (kg)8.7 (8.3, 9.0)8.8 (8.1, 9.4)8.6 (8.2, 9.0)0.71
Dietary clusters (n (%))a
 Healthy239 (33)54 (23)185 (37)<0.01
 Unhealthy493 (67)179 (77)314 (63)<0.01

iGW: gestational week derived from the 1st day of the woman’s last menstrual period; iiBMI: body mass index; amissing information of 5–13 women; b; cmissing information of 1–4 women; d. Consistently sufficient: 25(OH)D ≥ 37 nmol/L at 15 and 28 GW. Decreasing: 25(OH)D ≥ 37 nmol/L at 15 GW and <37 nmol/L at 28 GW. Increasing: 25(OH)D < 37 nmol/L at 15 GW and ≥37 nmol/L at 28 GW. Consistently deficient: 25(OH)D < 37 nmol/L at 15 and 28 GW. values for the differences between GDM and non-GDM. Bold numbers indicate values < 0.05. Independent t-test or two-sample test of proportions.