Evaluasi efek suplementasi vitamin D dalam pencegahan preeklampsia: Literature review

Author(s): Rista Dwi Hermilasari
DOI: 10.30867/gikes.v5i3B.1829

Abstract

Background: A pregnancy complication accompanied by hypertension and proteinuria as a cause of maternal morbidity and mortality is preeclampsia. Vitamin D deficiency in pregnant women can cause adverse pregnancy outcomes. Vitamin D is an important micronutrient during pregnancy that potentially prevent preeclampsia.

Objectives: The purpose of this review is to evaluate the effect of vitamin D supplementation in preventing preeclampsia.

Methods: This narrative literature review is using article tracer from Google Scholar and PubMed database with publication in last ten years. This article search is using keywords “vitamin D”,  “hypovitaminosis D”, “pre-eclampsia”, “preeclampsia in pregnancy”, and “vitamin D supplementation”. The data collection technique used a narrative review of six literature regarding the effectiveness of vitamin D in preventing preeclampsia. Research data analysis includes creating research questions, searching articles according to keywords on inclusion criteria, reviewing abstracts and literature content, and reviewing document results.

Results: Vitamin D deficiency contributes to the development of preeclampsia. Several studies have found that the incidence of preeclampsia increases in pregnant women with vitamin D deficiency. Serum vitamin D levels in pregnant women with preeclampsia are lower than in pregnant women without preeclampsia. Vitamin D supplementation is effective to rise vitamin D blood concentrations and can also lowering the risk of preeclampsia.

Conclusion: Vitamin D supplement proves beneficial throughout pregnancy as an adjuvant therapy for reducing the incidence of preeclampsia.

 

Keywords :

Maternal preeclampsia, Pregnancy, Vitamin D, Vitamin D deficiency

Keywords

Clinical Nutrition; Health; Health of Maternal and child

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References

Achkar, M. M., Dodds, L., & Giguère, Y. (2016). Vitamin D status in early pregnancy and risk of preeclampsia. Am J Obstet Gynecol, 212(4), 511.e1–511.e7. https://doi.org/10.1016/j.ajog.2014.11.009.Vitamin

Akbari, S., Khodadadi, B., Amir, S., Ahmadi, Y., Abbaszadeh, S., & Shahsavar, F. (2018). Taiwanese Journal of Obstetrics & Gynecology Association of vitamin D level and vitamin D de fi ciency with risk of preeclampsia : A systematic review and updated meta-analysis. Taiwanese Journal of Obstetrics & Gynecology, 57(2), 241–247. https://doi.org/10.1016/j.tjog.2018.02.013

Ali, A. M., Rafique, M., & Saleem, Z. (2021). Association of vitamin D deficiency to the risk of preeclampsia in Saudi Arabia. J Pak Med Assoc, 71(1), 257–261.

Armaly, Z., Jadaon, J. E., Jabbour, A., Abassi, Z. A., & Burton, G. (2018). Preeclampsia : Novel Mechanisms and Potential Therapeutic Approaches. Front Physiol, 9(973). https://doi.org/10.3389/fphys.2018.00973

Aziz, H., Abrar, F., Gul, S., Masud, A., Awan, S., & Qamar, S. (2021). Association of Vitamin D 25(OH)D Deficiency as a Risk Factor for Pre- Eclampsia. Pakistan Journal of Public Health, 11(3), 178–183.

Baca, K. M., Simhan, H. N., Platt, R. W., & Bodnar, L. (2016). Low maternal 25-hydroxyvitamin D concentration increases the risk of severe and mild preeclampsia. Ann Epidemiol., 26(12), 853–857. https://doi.org/10.1016/j.annepidem.2016.09.015.Low

Ballestín, S., Campos, M., Ballestín, J., & Bartolomé, M. (2021). Is Supplementation with Micronutrients Still Necessary during Pregnancy? A Review. Nutrients, 13(9), 3134.

Barjat, T. R., Sarkis, C., Rancon, F., & Thibaudin, L. (2021). Vitamin D deficiency during late pregnancy mediates placenta associated complications. Scientific Reports, 11, 20708. https://doi.org/10.1038/s41598-021-00250-5

Barrera, D., Díaz, L., Noyola-Martínez, N., & Halhali, A. (2015). Vitamin D and inflammatory cytokines in healthy and preeclamptic pregnancies. Nutrients, 7, 6465–6490. https://www.mdpi.com/107252

Bisson, C., Dautel, S., Patel, E., Suresh, S., Dauer, P., & Rana, S. (2023). Preeclampsia pathophysiology and adverse outcomes during pregnancy and postpartum. Front Med, 10, 1144170. https://doi.org/10.3389/fmed.2023.1144170

Chaemsaithong, P., Sahota, D. S., & Poon, L. C. (2022). Expert Review First trimester preeclampsia screening and. American Journal of Obstetrics and Gynecology, 226(2), S1071-S1097.e2. https://doi.org/10.1016/j.ajog.2020.07.020

Dahma, G., Neamtu, R., Nitu, R., Gluhovschi, A., Bratosin, F., & ... (2022). The influence of maternal vitamin D supplementation in pregnancies associated with preeclampsia: A case-control study. Nutrients, 14(15), 3008. https://www.mdpi.com/1737994

Dimitriadis, E., Rolnik, D. L., Zhou, W., Estrada-gutierrez, G., Koga, K., & Rossana, P. V. (2023). Pre-eclampsia. Nature Reviews Disease Primers, 9(8). https://doi.org/10.1038/s41572-023-00417-6

Fogacci, S., Fogacci, F., Banach, M., Michos, E. D., Hernandez, A. V, Lip, G. Y. H., Blaha, M. J., Toth, P. P., Borghi, C., & Cicero, A. (2020). Vitamin D supplementation and incident preeclampsia: A systematic review and meta-analysis of randomized clinical trials. Clinical Nutrition, 39(6), 1742–1752. https://www.sciencedirect.com/science/article/pii/S0261561419330274

Fox, R., Kitt, J., Leeson, P., Aye, C. Y. L., & Lewandowski, A. J. (2019). Preeclampsia : Risk Factors , Diagnosis , Management , and the Cardiovascular Impact on the O ff spring. J. Clin. Med., 8, 1625.

Gaccioli, F., Sovio, U., Gong, S., Cook, E., Charnock-jones, D. S., & Smith, G. C. S. (2023). Increased Placental sFLT1 (Soluble fms-Like Tyrosine Kinase Receptor-1) Drives the Antiangiogenic Profile of Maternal Serum Preceding Preeclampsia but Not Fetal Growth Restriction. Hypertension, 80, 325–334. https://doi.org/10.1161/HYPERTENSIONAHA.122.19482

Gathiram, P., & Moodley, J. (2016). Review Articles Pre-eclampsia : its pathogenesis and pathophysiolgy. Cardiovasc J Afr, 27(2), 71–78. https://doi.org/10.5830/CVJA-2016-009

Gholami, H., Fayazi, S., Shirshekan, M., Motamed, N., & Tofighi, S. (2022). Comparison of Serum level of Vitamin D in Pregnant Women with Preeclampsia and a Control Group in Ayatollah Mousavi Hospital in Zanjan. Journal of Obstetrics, Gynecology and Cancer Research, 7(4), 335–340. https://www.jogcr.com/article_697312.html

Giourga, C., Papadopoulou, S. K., Voulgaridou, G., & Karastogiannidou, C. (2023). Vitamin D Deficiency as a Risk Factor of Preeclampsia during Pregnancy. Diseases, 11(4), 158.

Hui Qing Lu, R. H. (2019). Lasting Effects of Intrauterine Exposure to Preeclampsia on Offspring and the Underlying Mechanism. Am J Perinatol Rep, 9(3), e275–e291.

Jindal, S., Sharma, J. C., & Sharma, M. (2019). Association of Deficiency of Maternal Vitamin D Levels with Severity of Preeclampsia. Epidemiology International, 4(3), 10–16.

Kabuyanga, R. K., Tugirimana, P. L., Sifa, B., Balezi, M., Kinenkinda, X. K., Baptiste, J., & Zambeze, S. (2024). Effect of early vitamin D supplementation on the incidence of preeclampsia in primigravid women : a randomised clinical trial in Eastern Democratic Republic of the Congo. 1–11. https://doi.org/10.1186/s12884-024-06277-6

Kabuyanga, R., Tugirimana, P., Balungwe, B., Dikete, M., Mitangala, M., Elongi, P., Kakoma, J., Kinenkinda, X., & Zambeze, J. (2024). Effect of early vitamin D supplementation on the incidence of preeclampsia in primigravid women: a randomised clinical trial in Eastern Democratic Republic of the Congo. BMC Pregnancy and Childbirth, 24(107). https://www.scirp.org/html/8-1432229_101261.htm

Karamali, M., Beihaghi, E., Mohammadi, A., & Asemi, Z. (2015). Note of Concern: Effects of High-Dose Vitamin D Supplementation on Metabolic Status and Pregnancy Outcomes in Pregnant Women at Risk for Pre-Eclampsia. Horm Metab Res, 47(12), 867–872. https://doi.org/10.1055/a-1736-8860

Khari, S., Verma, P., & Vishwakarma, S. (2020). Study the prevalence of pre eclampsia in vitamin D supplemented non supplemented primigravida women. Indian Journal of Obstetrics and Gynecology Research, 7(1), 23–37. https://pdfs.semanticscholar.org/572a/b0487bfd4afbaa61f0aeb30b86bc1fd8a3fc.pdf

Khodadadiyan, A., Rahmanian, M., Shekouh, D., Golmohammadi, M., Ghaedi, A., Bazrgar, A., Sayadi, M., Bazrafshan, M., Heydari, A., & Drissi, H. (2023). Evaluating the effect of vitamin D supplementation on serum levels of 25 hydroxy vitamin D , 1 , 25 dihydroxy vitamin D , parathyroid hormone and renin – angiotensin – aldosterone system : a systematic review and meta analysis of clinical trials. BMC Nutrition, 9(132).

https://doi.org/10.1186/s40795-023-00786-x

Khusniyati, M., & Hudhariani, R. N. H. (2023). The continuity of care from pregnancy to newborn for mrs. FR at public health Welahan I Jepara. Journal for Quality in Women’s Health, 6(2), 132–141.

Kornacki, J., Olejniczak, O., Sibiak, R., Gutaj, P., & Wender-Ozegowska, E. (2024). Pathophysiology of Pre-Eclampsia — Two Theories of the Development of the Disease. Int. J. Mol. Sci., 25, 307.

Koulouraki, S., Paschos, V., Pervanidou, P., Christopoulos, P., Gerede, A., & Eleftheriades, M. (2023). Short- and Long-Term Outcomes of Preeclampsia in Offspring : Review of the Literature. Children, 10(5), 826.

Lei, M., Kinshella, W., Omar, S., Scherbinsky, K., Vidler, M., Magee, L. A., Dadelszen, P. Von, Moore, S. E., Elango, R., Precise, T., & Framework, C. (2022). Maternal nutritional risk factors for pre eclampsia incidence : findings from a narrative scoping review. Reproductive Health, 19(1), 188. https://doi.org/10.1186/s12978-022-01485-9

Liu, C. C., & Huang, J. P. (2023). Potential benefits of vitamin D supplementation on pregnancy. Journal of the Formosan Medical Association, 122, 557–563. https://www.sciencedirect.com/science/article/pii/S092966462300058X

Machano, M. M., & Joho, A. A. (2020). Prevalence and risk factors associated with severe pre-eclampsia among postpartum women in Zanzibar : a cross-sectional study. BMC Public Health, 20, 1347.

Malm, G., Lindh, C., Hansson, S., Källén, K., Malm, J., & Rylander, L. (2023). Maternal serum vitamin D level in early pregnancy and risk for preeclampsia: A case-control study in Southern Sweden. In PLoS ONE (Vol. 18, Issue 2). journals.plos.org. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0281234

Masnavi, E., Hoseini, M., Aramesh, S., & Hasanzadeh, S. (2022). Relationship between Vitamin D and Preeclampsia in Prevalence of Positive Fungal Cultures in Patients with Pregnant Women: A Comparative Descriptive Study. Journal of Clinical Care and Skills, 3(2), 67–71.

Memon, H. A., Rafique, M., Khalid, S., & Perveen, R. (2022). Role of Vitamin D for the Prevention of Pre-Eclampsia in Pregnant Women: A Randomized Controlled Trial. PJMHS, 16(1), 1086–1088. https://www.researchgate.net/profile/Professional-Publication/publication/359237186_Role_of_Vitamin_D_for_the_Prevention_of_Pre-Eclampsia_in_Pregnant_Women_A_Randomized_Controlled_Trial/links/6230a411d37dab4f96e684c0/Role-of-Vitamin-D-for-the-Prevention-o

Michalczyk, M., Celewicz, A., Celewicz, M., Wo, P., & Rzepka, R. (2020). Review Article The Role of Inflammation in the Pathogenesis of Preeclampsia. Mediators of Inflammation, 2020, 1–9.

Mirzakhani, H., Litonjua, A. A., McElrath, T. F., O’Connor, G., Lee-Parritz, A., Iverson, R., Macones, G., Strunk, R. C., Bacharier, L. B., Zeiger, R., Hollis, B. W., Handy, D. E., Sharma, A., Laranjo, N., Carey, V., Qiu, W., Santolini, M., Liu, S., Chhabra, D., … Weiss, S. T. (2016). Early pregnancy vitamin D status and risk of preeclampsia. The Journal of Clinical Investigation, 126(12), 4702–4715. https://doi.org/10.1172/JCI89031

Naghshineh, E., & Sheikhaliyan, S. (2016). Effect of vitamin D supplementation in the reduce risk of preeclampsia in nulliparous women. Advanced Biomedical Research, 5(7). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770602/

Nikuei, P., Rajaei, M., Roozbeh, N., Mohseni, F., Poordarvishi, F., & Azad, M. (2020). Diagnostic accuracy of sFlt1 / PlGF ratio as a marker for preeclampsia. BMC Pregnancy and Childbirth, 20(1), 80.

Octavius, G. S., Daleni, V. A., Angeline, G., & Virliani, C. (2023). Systematic Review A systematic review and meta-analysis of prevalence of vitamin D de fi ciency among Indonesian pregnant women : a public health emergency. AJOG Global Reports, 3(2), 100189. https://doi.org/10.1016/j.xagr.2023.100189

Phipps, E., Thadhani, R., Benzing, T., & Karumanchi, S. A. (2020). Pre-eclampsia : pathogenesis , novel diagnostics and therapies. Nat Rev Nephrol, 15(5), 275–289. https://doi.org/10.1038/s41581-019-0119-6.Pre-eclampsia

Pligt, P. Van Der, Willcox, J., & Szymlek-gay, E. A. (2018). Associations of Maternal Vitamin D Deficiency with Pregnancy and Neonatal Complications in Developing Countries : A Systematic Review. Nutrients, 10(5), 640. https://doi.org/10.3390/nu10050640

Płudowski, P., Kos-Kudł, B., Walczak, W., Fal, A., Zozulińska-Ziółkiewicz, D Sieroszewski, P., Peregud-Pogorzelski, J., Lauterbach, R., Targowski, T., Lewiński, A., Spaczyński, R., Wielgoś, M., Pinkas, J., Jackowska, T., Helwich, E., Ma, A., Holick, M., & Misiorowski, W. (2023). Guidelines for preventing and treating vitamin D deficiency: a 2023 update in Poland. Nutrients, 15(3), 695. https://www.mdpi.com/2072-6643/15/3/695

POGI. (2016). Pedoman nasional pelayanan kedokteran diagnosis dan tatalaksana preeklampsia. Perkumpulan Obstetri dan Ginekologi Indonesia.

Poon, L. C., Shennan, A., Hyett, J. A., Kapur, A., Hadar, E., Divakar, H., Mcauliffe, F., Costa, S., Dadelszen, P. Von, David, H., Anne, M., Carlo, G., Renzo, D., Romero, R., Alton, M. D., Berghella, V., Nicolaides, K. H., & Hod, M. (2019). The International Federation of Gynecology and Obstetrics ( FIGO ) initiative on pre- ¬ eclampsia : A pragmatic guide for trimester screening and prevention. Int J Gynecol Obstet, 145(Suppl. 1), 1–33. https://doi.org/10.1002/ijgo.12802

Rana, S., Lemoine, E., Granger, J. P., & Karumanchi, S. A. (2019). Compendium on the Pathophysiology and Treatment of Hypertension. Circ Res, 124(7), 1094–1112. https://doi.org/10.1161/CIRCRESAHA.118.313276

Roth, D. E., Abrams, S. A., Aloia, J., Bergeron, G., Bourassa, M. W., Brown, K. H., Calvo, M. S., Cashman, K. D., Combs, G., & De-, L. M. (2018). Global prevalence and disease burden of vitamin D deficiency: a roadmap for action in low- and middle-income countries. Ann N Y Acad Sci., 1430(1), 44–79. https://doi.org/10.1111/nyas.13968.Global

Sadin, B., Gargari, B. P., & Tabrizi, F. P. F. (2015). Vitamin D status in preeclamptic and non-preeclamptic pregnant women: a case-control study in the north west of Iran. Health Promotion Perspectives, 5(3), 183–190. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4667260/

Saleh, L., Verdonk, K., Visser, W., Meiracker, A. H. V. D., & Danser, A. H. J. (2016). The emerging role of endothelin-1 in the pathogenesis of pre-eclampsia. Ther Adv Cardiovasc Dis, 10(5), 282–293. https://doi.org/10.1177/1753944715624853

Sasan, S. B., Zandvakili, F., Soufizadeh, N., & Baybordi, E. (2017). The effects of vitamin D supplement on prevention of recurrence of preeclampsia in pregnant women with a history of preeclampsia. Obstetrics and …, 2017, 8249264. https://www.hindawi.com/journals/ogi/2017/8249264/

SDKI. (2012). Indonesia demographic and health survey 2012.

Smith, T. A., Kirkpatrick, D. R., Kovilam, O., & Devendra, K. A. (2015). Immunomodulatory Role of Vitamin D in the Pathogenesis of Preeclampsia. Expert Rev Clin Immunol, 11(9), 1055–1063. https://doi.org/10.1586/1744666X.2015.1056780.Immunomodulatory

Sonuga, A., Sonuga, O., & Asaolu, M. (2017). Serum Vitamin D Status in Women with Preeclampsia in Ibadan , Nigeria - A Serum Vitamin D Status in Women with Preeclampsia in Ibadan , Nigeria - A Case-Control Study. JALSI, 14(4). https://doi.org/10.9734/JALSI/2017/37632

Zhao, X., Fang, R., Yu, R., Chen, D., Zhao, J., & Xiao, J. (2017). Maternal vitamin D status in the late second trimester and the risk of severe preeclampsia in southeastern China. Nutrients, 9(2), 138. https://www.mdpi.com/180490

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