From: Calcium, zinc, and vitamin D in breast milk: a systematic review and meta-analysis
Group | Vitamin D | 25OHD | Total ARA | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
N | n | Mean (95% CI) | pa | N | n | Mean (95% CI) | p | N | n | Mean (95% CI) | p | |
All studies | 20 | 2400 | 17 (13, 20) | NA | 24 | 2470 | 80 (66, 93) | NA | 19 | 2162 | 58 (45, 70) | NA |
All studies without outliers | 18 | 2364 | 18 (14, 22) | 20 | 2013 | 50 (41, 59) | 18 | 2146 | 60 (49, 72) | |||
Infant age | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
0–5.9 months | 14 | 1404 | 12 (9, 14) | 0.053 | 21 | 1870 | 115 (92, 138) | < 0.001 | 20 | 1777 | 65 (55, 75) | < 0.001 |
6–11.9 months | 2 | 172 | 6 (-3, 15) | 1 | 69 | 81 (79, 83) | 3 | 124 | 125 (21, 230) | |||
12–35.9 months | 0 | 0 | - | 2 | 70 | 51 (-30, 133) | 0 | 0 | - | |||
Unspecified | 7 | 918 | 23 (13, 33) | 5 | 312 | 46 (23, 69) | 4 | 210 | 22 (6, 37) | |||
Vitamin D supplementation | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Supplemented | 6 | 620 | 11 (8, 14) | 0.007 | 7 | 659 | 137 (85, 189) | 0.032 | 10 | 968 | 91 (73, 109) | < 0.001 |
Not supplemented | 9 | 589 | 8 (4, 11) | 8 | 389 | 71 (39, 103) | 9 | 543 | 48 (34, 63) | |||
Unspecified/Mixed | 10 | 1293 | 21 (13, 29) | 15 | 1295 | 64 (49, 79) | 9 | 592 | 36 (24, 49) | |||
Country income category | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Low | 1 | 41 | 35 (27, 44) | < 0.001 | 2 | 62 | 26 (-5, 56) | < 0.001 | 1 | 41 | 82 (73, 92) | < 0.001 |
Lower-middle | 3 | 290 | 24 (11, 36) | 1 | 101 | 32 (29, 34) | 1 | 101 | 46 (42, 51) | |||
Upper-middle | 4 | 315 | 15 (3, 26) | 3 | 465 | 1219 (1069, 1368) | 1 | 20 | 14 (11, 17) | |||
High | 19 | 1754 | 15 (12, 18) | 22 | 1842 | 61 (48, 74) | 20 | 2000 | 56 (44, 67) | |||
Continent | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Africa | 1 | 41 | 35 (27, 44) | < 0.001 | 2 | 62 | 26 (-5, 56) | < 0.001 | 1 | 41 | 82 (73, 92) | < 0.001 |
Asia | 11 | 1211 | 16 (10, 21) | 8 | 850 | 143 (107, 178) | 8 | 921 | 37 (26, 48) | |||
Australasia/Oceania | 2 | 166 | 4 (-4, 12) | 2 | 166 | 22 (-21, 66) | 2 | 166 | 26 (-24, 77) | |||
Europe | 8 | 748 | 18 (13, 23) | 9 | 1245 | 127 (91, 163) | 5 | 774 | 75 (54, 97) | |||
North America | 5 | 234 | 22 (14, 29) | 7 | 147 | 49 (37, 62) | 7 | 260 | 70 (44, 96) | |||
Season | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Fall | 2 | 54 | 45 (-32, 122) | 0.053 | 1 | 40 | 58 (48, 68) | 0.055 | 1 | 40 | 63 (53, 73) | < 0.001 |
Spring | 2 | 99 | 10 (6, 15) | 1 | 85 | 50 (42, 58) | 1 | 85 | 58 (50, 66) | |||
Summer | 3 | 313 | 9 (4, 13) | 3 | 262 | 88 (60, 116) | 2 | 256 | 117 (108, 126) | |||
Winter | 4 | 434 | 5 (4, 6) | 3 | 381 | 60 (39, 82) | 3 | 381 | 66 (45, 87) | |||
Measurement method | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
HPLC and CPBA | 7 | 489 | 16 (11, 22) | 0.293 | 9 | 550 | 51 (39, 64) | < 0.001 | 8 | 517 | 68 (46, 91) | 0.360 |
LC-MS/MS | 7 | 852 | 13 (8, 18) | 8 | 1315 | 60 (39, 80) | 9 | 1558 | 50 (29, 71) | |||
Other | 6 | 1059 | 22 (11, 32) | 7 | 605 | 497 (409, 585) | 2 | 87 | 66 (56, 75) |