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Vitamin K1 levels in the umbilical cord blood of neonates in Arkhangelsk

https://doi.org/10.21508/1027-4065-2017-62-2-49-53

Abstract

The optimal course of biochemical processes needs adequate dietary intake of vitamins involved in the body’s metabolic reactions. The basis for the pathogenesis of neonatal hemorrhagic disease is deficiency of vitamin K, the level of which in the North-Western Region of Russia was estimated for the first time.

Objective: to measure umbilical cord blood vitamin K1 levels in newborn infants.

Methods. Forty full-term newborns were examined. Vitamin K1 levels were determined using high performance liquid chromatography-tandem mass spectrometry.

Results. The mean umbilical blood cord level of vitamin K1 was very low and amounted to 0.05 (<0.03; 0.15) µg/l. This study revealed no relationship between the level of the above trace element and neonatal sex (p=0,854), maternal age (p=0,913), abortions (p=0,568), threatened abortion (p=0,109), smoking (p=0,923).

Conclusion. The umbilical cord blood concentration of vitamin K1 in the newborns was found to be very low, which increases the risk of hemorrhagic disease and requires exogenous replenishment of the above vitamin after birth. 

About the Authors

L. G. Kiseleva
Northern State Medical University
Russian Federation
Arkhangelsk


G. N. Chumakova
Northern State Medical University
Russian Federation
Arkhangelsk


A. G. Soloviev
Northern State Medical University
Russian Federation
Arkhangelsk


O. A. Kharkova
Northern State Medical University
Russian Federation
Arkhangelsk


D. S. Kosyakov
Arktika Center for Collective Use of Scientific Equipment, M.V. Lomonosov Northern (Arctic) Federal University
Russian Federation
Arkhangelsk


N. V. Ulyanovsky
Arktika Center for Collective Use of Scientific Equipment, M.V. Lomonosov Northern (Arctic) Federal University
Russian Federation
Arkhangelsk


E. M. Gryzunova
Northern State Medical University
Russian Federation
Arkhangelsk


References

1. Shea M.K., Benjamin E.J., Dupuis J., Massaro J.M., Jacques P.F., D’Agostino R.B. Genetic and non-genetic correlates of vitamins K and D. Eur J Clin Nutr 2009; (63): 458–464.

2. Чумакова Г.Н., Агафонова Т.А. Влияние дефицита аскорбиновой кислоты на развитие кровоточивости в перинатальном периоде. Материалы научно-практической конференции «Актуальные проблемы гемостазиологии». Архангельск 2001: 62–66. [Chumakova G.N., Agafonova T.A. Effect of ascorbic acid deficiency on the development of bleeding in the perinatal period. Proceedings of the scientific-practical conference «Actual problems of hemostasis». Arkhangelsk 2001: 62–66. (in Russ)]

3. Титова О.Е., Ломакина А.Н., Кудрявцев А.В., Бичкаева Ф.А., Чумакова Г.Н. Обеспеченность жирорастворимыми витаминами А и Е диад мать–дитя. Экология человека 2009; (10): 60–63. [Titova O.E., Lomakina A.N., Kudrjavcev A.V., Bichkaeva F.A., Chumakova G.N. Provision of fat-soluble vitamins A and E dyad mother–child. Jekologija cheloveka 2009; (10): 60–63. (in Russ)]

4. Журавлева Е.А., Каменская Е.Н., Бульина Е.А. Роль цинка и меди в микронутриентном статусе новорожденных. Экология человека 2007; (11): 23 – 28. [Zhuravleva E. A., Kamenskaja E.N., Bul’ina E.A. The role of zinc and copper in the micronutrient status of infants. Jekologija cheloveka 2007; (11): 23–28. (in Russ)]

5. Shearer M.J. Vitamin K metabolism and nutriture. Blood Rev 1992; (6): 92–104.

6. Fagerström K.O. Measuring nicotine dependence. Ital Heart J 2001; 2(1): 53–55.

7. Cranenburg E.C., Schurgers L.J., Vermeer C. Vitamin K: the coagulation vitamin that became omnipotent. Thromb Haemost 2007; (98): 120–125.

8. Booth S.L., Suttie J.W. Dietary intake and adequacy of vitamin K. J Nutr 1998; (128): 785–788.

9. Schurgers L.J., Vermeer C. Differential lipoprotein transport pathways of K-vitamins in healthy subjects. Biochim Biophys Acta 2002; (1570): 27–32.

10. Shearer M.J. Vitamin K in parenteral nutrition. Gastroenterology 2009; (137): 105–118.

11. Notes from the field: late vitamin K deficiency bleeding in infants whose parents declined vitamin K prophylaxis – Tennessee. Morb Mortal Wkly Rep 2013; (15): 901–902.

12. Неонатология. Национальное руководство. Под ред. Н.Н. Володина. М: ГЭОТАР-Медиа 2013; 896. [Neonatology. National leadership. N.N. Volodin (ed). Moscow: GEOTAR-Media 2013; 896. (in Russ)]

13. Visser D.Y., Jansen N.J., Ijland M.M., de Koning T.J., van Hasselt P.M. Intracranial bleeding due to vitamin K deficiency: advantages of using a pediatric intensive care registry. Intensive Care Med 2011;( 37): 1014–1020.

14. Gomella T.L. Neonatology: Management, Procedures, OnCall Problems, Diseases, and Drugs. McGraw-Hill 2013; 687.

15. Food and Nutrition Board. Institute of Medicine. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. Washington, DC: National Academies Press 2001; 773.

16. Greer F.R., Marshall S., Cherry J., Suttie J.W. Vitamin K status of lactating mothers, human milk, and breast-feeding infants. Pediatrics 1991; (88): 751–756.

17. Шабалов Н.П. Неонатология. 5-е изд. в 2 томах. М: МЕДпресс-информ 2009; 1504. [Shabalov N.P. Neonatology. 5-e ed. in 2 vol. Moscow: MEDpress-inform 2009; 1504. (in Russ)]

18. Global Neonatal Consensus Symposium: Feeding the Preterm Infant. R. Uauy (ed.). J Pediatrics 2013; (162): 116.

19. Choulika S., Grabowski E., Holmes L.B. Is antenatal vitamin K prophylaxis needed for pregnant women taking anticonvulsants? Am J Obstet Gynecol 2004; (190): 882–883.


Review

For citations:


Kiseleva L.G., Chumakova G.N., Soloviev A.G., Kharkova O.A., Kosyakov D.S., Ulyanovsky N.V., Gryzunova E.M. Vitamin K1 levels in the umbilical cord blood of neonates in Arkhangelsk. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2017;62(2):49-53. (In Russ.) https://doi.org/10.21508/1027-4065-2017-62-2-49-53

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