Meta AnalysisID 8027

孕期补充维生素D的时机与剂量反应:随机对照试验的系统评价和贝叶斯网状Meta分析

CRD42023432314

Our review will be based on the following PICOT question: "Based on randomized controlled trials (T), for pregnant women (P), how different doses of vitamin D with varying frequencies of administration (I) perform when c

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Meta Analysis Id
8027
Evidence Id
16585
Core Evidence Id
16585
Source Meta Analysis Id
8027
Herb2 Meta Analysis Id
HBMA008027
Crd Id
CRD42023432314
Title
Timing and Dose-response of Vitamin D Supplementation during Pregnancy: A Systematic Review and Bayesian Network Meta-analysis of Randomized Controlled Trials
Review Question
Our review will be based on the following PICOT question: "Based on randomized controlled trials (T), for pregnant women (P), how different doses of vitamin D with varying frequencies of administration (I) perform when compared against each other or to placebo (C) considering the outcomes preeclampsia, gestational diabetes, pregnancy loss, preterm birth, low birth weight, hypercalcemia and hypercalciuria(O)?"
Study Type Included
We will include only randomized controlled trials (RCTs) that report any of the outcomes of interest (preeclampsia, gestational diabetes, pregnancy loss, preterm birth, low birth weight, hypercalcemia and hypercalciuria). Our analyses will exclude: (1) non-randomized studies; (2) trials without outcomes of interest; (3) overlapping populations, defined as studies with overlapping institutions and recruitment periods; and (4) conference abstracts.
Condition Being Studied
Sufficient levels of vitamin D are essential for the absorption of calcium, maintaining healthy bones, and supporting the immune system. These factors directly affect both the mother and the developing fetus. Previous meta-analyses have indicated that supplementing with vitamin D during pregnancy might decrease the likelihood of complications like preeclampsia and gestational diabetes. However, there is no consensus on the appropriate timing and dosage of vitamin D supplementation. Furthermore, the disparity in benefits between patients with and without a vitamin D deficiency is still unclear. Thus, this study aims to fill this knowledge gap by synthesizing the existing evidence.
Participant
Pregnant women. Exclusion criteria: (1) participants who started intervention before pregnancy; and (2) studies that included patients less than 18 years old.
Animal
Human Disease Modelled
Intervention
We will incorporate studies that compare the following interventions against each other or against a placebo: low dose (< 1000 IU), moderate dose (1000 – 2000 IU), or high dose (> 2000 IU) of vitamin D supplementation. Additionally, we will compare interventions involving different frequencies of administration (daily, weekly, or monthly).
Comparator Control
Placebo.
Main Outcome
Preeclampsia, gestational diabetes, pregnancy loss and preterm birth. Measures of effect Relative risks (RR).
Outcome Measure
Additional Outcome
Low birth weight, maternal hypercalcemia and hypercalciuria. Measures of effect Relative risks (RR).
Study Method
Meta-analysis, Systematic review
Keyword
Bayes Theorem; Cholestanes; Diabetes, Gestational; Dietary Supplements; Female; Humans; Hypercalcemia; Hypercalciuria; Infant, Newborn; Pre-Eclampsia; Pregnancy; Pregnant Women; Premature Birth; Randomized Controlled Trials as Topic; Vitamin D; Vitamins
Contact
Henrique Provinciatto [email protected]
Organisational Affiliation
Barao de Maua University Center
Funding Source
None.
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Brazil
Review Stage
Review Ongoing
First Submission Date
2023-06-03
Registration Date
2023-06-14
Anticipated Start Date
2023-06-04
Anticipated Completion Date
2023-08-31
Title Cn
孕期补充维生素D的时机与剂量反应:随机对照试验的系统评价和贝叶斯网状Meta分析
Title En
Timing and Dose-response of Vitamin D Supplementation during Pregnancy: A Systematic Review and Bayesian Network Meta-analysis of Randomized Controlled Trials
Bilingual Status
complete