Categories
Natural sciences

Natural sciences

Effects of vitamin D in pregnancy on maternal and offspring health-related outcomes: An umbrella review of systematic review and meta-analyses

Effects of vitamin D in pregnancy on maternal and offspring health-related outcomes: An umbrella review of systematic review and meta-analyses

Jun 04, 2026

1. Background: The Importance of Vitamin D During Pregnancy Vitamin D is an essential fat-soluble vitamin that plays a critical role not only in calcium and phosphorus metabolism and bone development, but also in immune regulation, metabolic function, and fetal growth and development. Due to increased physiological demands during pregnancy, combined with insufficient sunlight exposure and inadequate dietary intake, vitamin D deficiency has become a common global health concern among pregnant women. Whether vitamin D deficiency adversely affects maternal and neonatal health, and whether vitamin D supplementation can improve these outcomes, remains an important issue in clinical medicine and public health. 2. Research Method: An Umbrella Review of Existing Evidence This study employed an umbrella review approach to comprehensively synthesize findings from published systematic reviews and meta-analyses examining the effects of maternal vitamin D status and vitamin D supplementation during pregnancy on maternal and offspring health outcomes. A systematic search was conducted in PubMed, Embase, and the Cochrane Library. Sixteen eligible systematic reviews and meta-analyses published up to October 2023 were included, representing data from more than 250,000 pregnant women. 3. Association Between Vitamin D Deficiency and Adverse Maternal and Neonatal Health Outcomes The findings indicate that vitamin D deficiency during pregnancy is significantly associated with several adverse maternal and neonatal health outcomes. Pregnant women with vitamin D deficiency are at increased risk of preterm birth, gestational diabetes mellitus, recurrent miscarriage, and bacterial vaginosis. Their infants are more likely to experience low birth weight, small-for-gestational-age (SGA) status, and other unfavorable birth outcomes. Furthermore, low maternal vitamin D levels may be associated with an increased risk of long-term neurodevelopmental disorders in offspring, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). 4. Benefits of Vitamin D Supplementation for Maternal and Neonatal Health The study found that appropriate vitamin D supplementation during pregnancy can increase maternal serum vitamin D concentrations and reduce the risk of pre-eclampsia, miscarriage, and vitamin D deficiency. For fetuses and newborns, vitamin D supplementation was associated with increased birth length, reduced fetal or neonatal mortality, and improved neonatal vitamin D status. 5. Additional Benefits for Women with Gestational Diabetes Mellitus The benefits of vitamin D supplementation appear to be particularly pronounced among women with gestational diabetes mellitus (GDM). Supplementation was associated with improved glycemic control and insulin sensitivity, as well as reduced risks of polyhydramnios, fetal distress, macrosomia, neonatal hyperbilirubinemia, and neonatal hospitalization. 6. Conclusions and Clinical Implications Overall, this study demonstrates that maternal vitamin D status is closely linked to both maternal and neonatal health. Maintaining adequate vitamin D levels during pregnancy may help reduce pregnancy-related complications and improve fetal growth, development, and long-term child health outcomes. The findings support routine monitoring of vitamin D levels, particularly among women at high risk of deficiency, and suggest that vitamin D supplementation during pregnancy should be considered. Current evidence indicates that supplementation with more than 400 IU/day of vitamin D may help prevent certain adverse maternal and neonatal outcomes. 7. Research Contributions and Future Perspectives The findings of this study provide valuable evidence for clinical practice, prenatal nutritional guidance, and public health policy development. By highlighting the importance of maintaining adequate vitamin D status during pregnancy, this research contributes to strategies aimed at improving the health and well-being of both mothers and their children.   (Provided by: Clinical Medical Research Center research team, Chia-Yi Christian Hospital)

Microbially Induced Carbonate Precipitation (MICP): A Promising Approach for Environmental Remediation

Microbially Induced Carbonate Precipitation (MICP): A Promising Approach for Environmental Remediation

Mar 16, 2026

With the rapid expansion of industrialization and urban development, environmental pollution caused by heavy metals, metal ions, and radioactive elements has become an increasingly serious global issue. These contaminants commonly originate from industrial discharge, mining activities, agricultural fertilizers, nuclear-related operations, aerospace technology, and municipal waste disposal. Once released into soil and water systems, they may accumulate and persist for long periods, posing significant risks to ecosystems and human health. Toxic elements such as arsenic (As), cadmium (Cd), lead (Pb), nickel (Ni), and copper (Cu), as well as radioactive elements like uranium (U), strontium (Sr), and radium (Ra), can enter food chains and interact with DNA and proteins, potentially causing structural damage, cellular dysfunction, and impaired biological growth. Traditional remediation technologies typically rely on physical and chemical treatments, such as adsorption, ion exchange, chemical extraction, and precipitation. Although these methods can remove pollutants effectively in certain cases, they often require large amounts of chemicals and energy, making them costly and sometimes generating secondary pollution. Biological approaches such as phytoremediation offer a more environmentally friendly alternative, but their efficiency is often limited by environmental conditions including climate, soil type, and plant growth rates. Consequently, researchers have increasingly focused on developing sustainable and eco-friendly technologies for pollution control. Among these emerging methods, Microbially Induced Carbonate Precipitation (MICP) has attracted significant attention in recent years. MICP is based on the natural metabolic activities of microorganisms that induce mineral formation. Certain microorganisms produce an enzyme known as urease, which catalyzes the hydrolysis of urea into ammonia (NH₃) and carbon dioxide (CO₂). This biochemical reaction increases the pH of the surrounding environment and promotes the formation of carbonate ions (CO₃²⁻). When calcium ions (Ca²⁺) or other metal ions are present, carbonate ions react with these cations to form carbonate minerals such as calcium carbonate (CaCO₃). These minerals can adsorb, encapsulate, or co-precipitate heavy metals and radioactive elements, transforming them into stable and insoluble mineral forms. As a result, the mobility and toxicity of contaminants are significantly reduced. In essence, MICP utilizes biomineralization, a natural process in which microorganisms facilitate the formation of minerals through metabolic reactions. The MICP process generally involves three main stages: carbonate generation through microbial metabolism, crystal nucleation, and mineral precipitation. The resulting carbonate minerals often possess stable crystalline structures, including calcite, aragonite, and vaterite. These minerals effectively immobilize pollutants within soil or sediment matrices, preventing their migration into surrounding environments. A wide range of microorganisms are capable of participating in MICP processes. Among them, Sporosarcina pasteurii is one of the most widely studied bacteria due to its exceptionally high urease activity. These microorganisms can efficiently induce carbonate precipitation under suitable environmental conditions, enabling the immobilization of numerous contaminants. Studies have demonstrated that heavy metals such as cadmium, lead, copper, zinc, and nickel can be effectively removed through MICP, with removal efficiencies often exceeding 90%. Furthermore, MICP has also shown promising potential in immobilizing radioactive elements, including strontium and uranium, suggesting possible applications in nuclear contamination remediation. Beyond environmental remediation, MICP technology also shows considerable potential across multiple disciplines. In geotechnical engineering, MICP can enhance soil stability through bio-cementation, which strengthens soil structure and improves shear resistance. In materials science, researchers have applied microbial biomineralization processes to synthesize nanomaterials such as nickel oxide (NiO) and cerium oxide (CeO₂) nanoparticles. Additionally, MICP has been explored in the development of self-healing concrete, where microbial carbonate precipitation can seal cracks in construction materials, thereby extending the lifespan and durability of infrastructure. Despite its significant advantages, several challenges remain before MICP can be widely implemented in large-scale environmental applications. For example, the hydrolysis of urea during the MICP process produces ammonium ions (NH₄⁺), which may contribute to nitrogen pollution in aquatic systems. Furthermore, large-scale field applications require careful control of environmental conditions to maintain microbial activity and ensure effective mineral precipitation. Factors such as temperature, pH, dissolved oxygen levels, bacterial species, and the concentrations of calcium ions and urea can significantly influence the efficiency of the MICP process. Continued interdisciplinary research is therefore necessary to optimize reaction conditions, improve efficiency, and reduce operational costs. Overall, MICP represents an innovative environmental remediation strategy that integrates microbiology, geochemistry, and materials science. By harnessing natural biomineralization processes, this technology offers an environmentally friendly and potentially cost-effective solution for the removal of heavy metals and radioactive contaminants from soil and water systems. Moreover, its broader applications in carbon sequestration, environmental restoration, and advanced material development highlight its importance for future sustainable technologies. As research in this field continues to advance, MICP is expected to play an increasingly important role in addressing global environmental pollution challenges and supporting long-term ecological sustainability.

1