20.500.12556/RUL-127248 Dodajanje vitamina D nosečnicam diplomsko delo Adding vitamin D in pregnancy diploma work Uvod: Vitamin D poznamo kot hranilo in prohormon. Pomemben je za mišično skeletni in imunski sistem. Težav z njegovim pomanjkanjem so se zavedali že v preteklosti, v današnjem času pa to spoznanje pridobiva vedno večji pomen. Pomanjkanje vitamina D v nosečnosti lahko namreč vpliva tako na neonatalni, kot tudi na maternalni izid. Namen: Namen diplomske naloge je pregled slovenskih in mednarodnih priporočil različnih strokovnih organizacij, glede dodajanja vitamina D v nosečnosti. Cilj je ugotoviti koncentracije vitamina D pri slovenskih nosečnicah in raziskati varnost dodajanja vitamina D v nosečnosti. Metode dela: uporabljena je bila deskriptivna metoda raziskovalnega dela in sicer pregled strokovne literature ter priporočil v slovenščini in angleščini. Strokovni članki so iz naslednjih podatkovnih baz: PubMed, Cochrane Library, Chinal in Science Direct. Vključenih je devet raziskav. Sledila je kvalitativna metasinteza virov, o nadomeščanju in doseganju zadostnih koncentracij vitamina D z različnimi prehranskimi dopolnili. Opravljen je bil tudi intervju z dr. Dovnikom, ki je leta 2016 raziskoval koncentracijo vitamina D pri nosečnicah in novorojenčkih na področju Maribora. Rezultati: Priporočila strokovnih organizacij se gibljejo med 200 in 800 iu D vitamina za nosečnice dnevno. Slovenija spada med države, kjer je prevalenca pomanjkanja vitamina D visoka. V raziskavah med nosečnicami v Sloveniji so našli pomanjkanje vitamina D (leta 2015 pri 55 % nosečnic, 2016 pa pri 65,1 % nosečnic). Nezadostno koncentracijo vitamina D, so v raziskavah imele nosečnice, ki so jim dodajali 400 iu dnevno. Raziskave potrjujejo varno dodajanje vitamina D nosečnicam do 4000 iu dnevno. Razprava in zaključek: Priporočila strokovnih organizacij za vnos vitamina D nosečnico obravnavajo kot odraslega nenosečega posameznika, čeprav metabolizem in potrebe po vitaminu D v nosečnosti niso enake. Glede na utemeljeno pomanjkanje vitamina D med nosečnicami v Sloveniji ter dokazanem ugodnem vplivu na imunost v času Covida-19, bi bilo smiselno tudi slovenskim ženskam v nosečnosti priporočiti nadomeščanje vitamina D, minimalno 1000 iu/dan v obliki prehranskih dodatkov. Introduction: Vitamin D is known as nourishment and prohormone, that is important for muscle-skeleton health and immune system. Problems that occur with vitamin D deficiency were already presented in the past. Today vitamin D importance is growing with new researches and clinical trials. Vitamin D deficiency in pregnancy has shown a negative effect on neonatal and maternal outcomes. Purpose: The purpose is to overview recommendations made by world know health organisations and to find out what is status of vitamin D in pregnant woman living in Slovenia. Methods: We used descriptive work methods. We searched scientific literature in Slovenian and English language. Scientific and professional literature was found in electronic databases PubMed, Cochrane Library, Chinal and Science Direct. Nine clinical researches were included. Qualitative meta synthesis of literature was made about reaching different concentration of vitamin D with adding vitamin D in different doses daily. At the end of diploma, is interview with doc. Dovnik. He did a trial about vitamin D concentration in women and new-borns in Maribor. Results: World health organizations recommendations are from 200 to 800 iu a day. Slovenia is a country where vitamin D deficiency is very common. Research show that in 2015, 55 % of pregnant women in Slovenia was vitamin D deficient and in 2016 deficiency was found in 65.1 % of pregnant women in Slovenia. Worldwide research shown that adding 400 iu a day was not efficient in pregnant women, who had vitamin D deficiency. It also shown that adding vitamin D in pregnancy to 4000 iu daily was safe. Discussion and conclusion: World health organisations recommendations are treating pregnant women same as adults, even though metabolism and needs are not the same. Because of proven positive effect on maternal immunity in times of Covid-19. Slovenia should recommend adding vitamin D in pregnancy. diplomska dela babištvo Vitamin D nosečnost priporočila za dodajanje vitamina D diploma theses midwifery vitamin D pregnancy recommendations for adding vitamin D true false false [T. Fišer] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2021-05-29 07:46:10 2021-05-29 07:46:24 2022-09-06 03:50:20 0000-00-00 00:00:00 2021 0 Ljubljana 0 Ljubljana 27 str., [2] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.2/.7 104454 65132803 11459.pdf 11459.pdf 1 E19B246FF1E68F00074E102401E9DA0D 91fcaf41ef6fdacdcca5cd601cdbabb843c84a15ff811d52fd49834215379cb7 22aa49e4-c041-11eb-a523-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=143555 Zdravstvena fakulteta 0 0 0