• Debbie A Lawlor, Andrew K Wills, Abigail Fraser, Adrian Sayers, William D Fraser, and Jonathan H Tobias.
• MRC Centre for Causal Analyses in Translational Epidemiology, University of Bristol, Bristol UK. d.a.lawlor@bristol.ac.uk
• Lancet. 2013 Jun 22; 381 (9884): 217621832176-83.

BackgroundMaternal vitamin D status in pregnancy is a suggested determinant of bone-mineral content (BMC) in offspring, but has been assessed in small studies. We investigated this association in a large prospective study.MethodsEligible participants were mother-and-singleton-offspring pairs who had participated in the Avon Longitudinal Study of Parents and Children, and in which the mother had recorded measurements of 25(OH)D concentration in pregnancy and the offspring had undergone dual-energy x-ray absorptiometry at age 9-10 years. 25(OH)D concentrations in pregnancy were assessed per 10·0 nmol/L and classified as sufficient (more than 50·00 nmol/L), insufficient (49·99-27·50 nmol/L), or deficient (lower than 27·50 nmol/L). Associations between maternal serum 25(OH)D concentrations and offspring total body less head (TBLH) and spinal BMC were assessed by trimester.Results3960 mother-and-offspring pairs, mainly of white European origin, were assessed (TBLH BMC n=3960, spinal BMC n=3196). Mean offspring age was 9·9 years. 2644 (67%) mothers had sufficient, 1096 (28%) insufficient, and 220 (6%) deficient 25(OH)D concentrations in pregnancy, but TBLH and spinal BMC did not differ between offspring of mothers in the lower two groups versus sufficient 25(OH)D concentration. No associations with offspring BMC were found for any trimester, including the third trimester, which is thought to be most relevant (TBLH BMC confounder-adjusted mean difference -0·03 g per 10·0 nmol/L, 95% CI -1·71 to 1·65; spinal BMC 0·04 g per 10·0 nmol/L, 95% CI -0·12 to 0·21).ConclusionsWe found no relevant association between maternal vitamin D status in pregnancy and offspring BMC in late childhood.FundingUK Medical Research Council, Wellcome Trust, and University of Bristol.Copyright © 2013 Elsevier Ltd. All rights reserved.

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