ClinicalTrials.gg
Active, not recruitingNCT06292195VitDTrackingUpdated Sep 30, 2026

Effects of Vitamin D on Health Promotion During Pregnancy and Its Impact on Prematurity-Related Outcome

An observational study in Vitamin D Deficiency and Pregnancy, sponsored by University of Évora. Active, not recruiting at 3 sites in Portugal. Open to female participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by University of Évora · Observational

Updated Sep 30, 2026Now Active, not recruitingPrimary completion moved+4 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,000
Ages
16 Years and older
Sex
Female
01

Study summary

The VitDTracking study focuses on the relevance of maternal vitamin D levels and their association with prematurity, aiming to improve maternal and child health outcomes, particularly by reducing avoidable preterm births. In Portugal, vitamin D levels during pregnancy have never been studied. Epidemiological data from other countries reveal a high prevalence of vitamin D deficiency/insufficiency, especially in pregnant women.

The hypovitaminoses prevalence remains high even with a supplementation dosage of 400 to 600 IU/day during pregnancy (dosage used in Portugal), which is considered as a suboptimal dose. This phenomenon is associated with adverse maternal and child outcomes, such as intrauterine growth restriction, preeclampsia, cholestasis, hypertension, and gestational diabetes as major causes of prematurity.

Additionally, the Portuguese population has a higher prevalence of genome alterations that confer a lower capacity to produce vitamin D from sunlight exposure. These genetic characteristics are present in about 19% of the population, representing a prevalence four times higher than the European average (19% versus 4.75%), leading to a higher predisposition to vitamin D deficiency.

Read the detailed description

This observational study involves the implementation of multicenter recruitment centers. Data collection will take place in healthcare organizations in the Alentejo region (Évora, Beja, Portalegre, and Elvas) with a minimum total sample of 1000 pregnant women, integrating both primary and specialized healthcare, with local healthcare professionals, doctors, and nurses as collaborators.

The study will measure vitamin D levels during pregnancy and their impact on outcome indicators related to prematurity. The aim is to assess the impact of the prevalence of vitamin D deficiency on prematurity outcomes. This involves monitoring vitamin D levels in prenatal and postnatal surveillance, adding this biomarker to routine blood collections. Biometric and biochemical data collection will occur at two distinct time points. The first collection will take place during the first prenatal surveillance appointment, preferably in the first trimester. The second collection will occur postpartum, during the hospitalization period.

The study will also assess maternal vitamin D deficiency and associated factors in the Alentejo region. It aims to identify the existence of genetic polymorphisms related to vitamin D and assess associations with adverse clinical outcomes related to prematurity. This involves requesting genetic analysis by the local medical collaborator and collecting saliva from the pregnant woman (non-invasive method) for the study of polymorphisms in seven genes, integrating the analysis of 18 genetic variants that play a role in the metabolism, transport, degradation and downstream pathways of vitamin D. Saliva samples from pregnant women will be collected during hospitalization before or after birth.

02

Conditions studied

  • Vitamin D Deficiency
  • Pregnancy

Keywords

  • Vitamin D
  • Pregnancy
  • Prematurity
  • Genetic polymorphisms
03

In context

Vitamin D Deficiency

801 studies on the registry are indexed under Vitamin D Deficiency; 60 are open to participants now.

This study's enrollment of 2,000 is above the median of 138 across 185 observational studies indexed under Vitamin D Deficiency.

Browse Vitamin D Deficiency studies →

Lead sponsor

University of Évora is the lead sponsor of 34 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Pregnant women's in the Alentejo region

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pregnant women's living in the Alentejo region aged 16 years or older, who after disclosure and clarification of doubts, agree to participate in the study with signed .

Exclusion criteria

Exclusion Criteria:

  • Language barrier (lack of basic understanding of Portuguese).
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,000 participants (actual)
Target follow-up
3 Years
Patient registry
Yes

Groups and cohorts

  • Cohort VitDTracking: Group 1- Pregnant women with vitamin D Sufficiency (≥30 ng/mL)

    Other: Exposure

  • Cohort VitDTracking: Group 2 - Pregnant women with vitamin D Insufficiency (20-29 ng/mL)

    Other: Exposure

  • Cohort VitDTracking: Group 3 - Pregnant women with vitamin D Deficiency (<20 ng/mL)

    Other: Exposure

Interventions

  • OtherExposure

    Maternal vitamin D levels during pregnancy (serum 25-hydroxyvitamin D levels)

06

What researchers measure

Primary outcomes

  1. Differences in the rate of Prematurity with different maternal Vitamin D levels

    Prematurity Rate in percentage

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  2. Differences in Birth Weight with different maternal Vitamin D levels

    Birth Weight in grams

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  3. Differences in Apgar Scores with different maternal Vitamin D levels

    Apgar Scores in Scale (\<7 or ≥7)

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  4. Differences in the number of admissions to the Neonatal Intensive Care Unit with different maternal Vitamin D levels

    Number of admissions to the Neonatal Intensive Care Unit in percentage

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  5. Differences in the Neonatal Morbidity rate with different maternal Vitamin D levels

    Neonatal Morbidity rate in percentage

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  6. Differences in the Neonatal Mortality rate with different maternal Vitamin D levels

    Neonatal Mortality rate in percentage

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  7. Differences in the number of Neonatal Infections with different maternal Vitamin D levels

    Number of Neonatal Infections in percentage

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  8. Differences in the Number of Congenital Malformation diagnoses with different maternal vitamin D levels

    Number of Congenital Malformation diagnoses in percentage

    Time frame: Blood samples will be taken from pregnant women up to the 13th week of pregnancy and then at the second collection point up to 48 hours after the birth (after participant enrollment; two collection points)

  9. Differences in the presence of vitamin D-related polymorphisms with different maternal levels of vitamin D

    Differences will be assessed following the defined outcome indicators related to prematurity

    Time frame: Saliva samples from pregnant women will be collected during admission to the hospital or up to 48 hours after delivery (after participant enrollment; single collection point)

Secondary outcomes

  1. Differences in maternal vitamin D levels between the three groups/cohorts related to prematurity

    Time frame: Through study completion, an average of 3 months

  2. Differences in maternal vitamin D levels between the three groups/cohorts related to birth weight

    Time frame: Through study completion, an average of 3 months

  3. Differences in maternal vitamin D levels between the three groups/cohorts related to Apgar scores

    Time frame: Through study completion, an average of 3 months

  4. Differences in maternal vitamin D levels between the three groups/cohorts related to admission to the Neonatal Intensive Care Unit

    Time frame: Through study completion, an average of 3 months

  5. Differences in maternal vitamin D levels between the three groups/cohorts related to neonatal morbidity

    Time frame: Through study completion, an average of 3 months

  6. Differences in maternal vitamin D levels between the three groups/cohorts related to neonatal mortality

    Time frame: Through study completion, an average of 3 months

  7. Differences in maternal vitamin D levels between the three groups/cohorts related to neonatal infections.

    Time frame: Through study completion, an average of 3 months

  8. Differences in maternal vitamin D levels between the three groups/cohorts related to the diagnosis of congenital malformations

    Time frame: Through study completion, an average of 3 months

  9. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with prematurity

    Time frame: Through study completion, an average of 3 months

  10. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with birth weight

    Time frame: Through study completion, an average of 3 months

  11. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with Apgar scores

    Time frame: Through study completion, an average of 3 months

  12. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with admission to the Neonatal Intensive Care Unit.

    Time frame: Through study completion, an average of 3 months

  13. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with neonatal morbidity

    Time frame: Through study completion, an average of 3 months

  14. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with neonatal mortality

    Time frame: Through study completion, an average of 3 months

  15. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with neonatal infections

    Time frame: Through study completion, an average of 3 months

  16. Differences in the presence of vitamin D-related polymorphisms between the three groups/cohorts associated with the diagnosis of congenital malformations

    Time frame: Through study completion, an average of 3 months

07

Study locations

3 sites
  • Unidade Local de Saúde do Baixo Alentejo
    Beja, Beja District 7801-849, Portugal
  • Unidade Local de Saúde do Norte Alentejano
    Portalegre, Portalegre District 7301-853, Portugal
  • Unidade Local de Saúde do Alentejo Central - Hospital Espirito Santo de Évora
    Evora, Évora District 7000-811, Portugal
08

References and documents

Publications

  • Barbosa O, Freitas AT, Silvestre MP, Moreira-Rosario A, Aguiar P, Regua AI, Madaleno T, Almeida M, Cruz D. Effects of Maternal Vitamin D Levels on Prematurity: Feasibility Study in a Multicenter Observational Pilot. Nutrients. 2025 Mar 27;17(7):1160. doi: 10.3390/nu17071160. PubMed 40218918 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2023 (actual). Primary completion is estimated for Dec 2026, 37 months after the start.

Of 61 non-industry observational studies under Vitamin D Deficiency, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 40. This study's planned 37 months is above that.

Counting every sponsor, half of 62 studies reached it within 19 months; a quarter within 9 and three quarters within 40.

Since we started tracking on Sep 25, 2026, the dates moved once, on Sep 30, 2026: primary completion Dec 2024 → Dec 2026 and completion Dec 2025 → Jun 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Feb 19, 2024
First posted
Mar 5, 2024
StartActual
Nov 3, 2023
Primary completionEst.
Dec 31, 2026was Dec 2024
CompletionEst.
Jun 30, 2027was Dec 2025
Last update
Sep 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Sep 30, 2026
Sites
3 sites added, 3 sites removed
Show 3 added (3 Portugal)
  • Unidade Local de Saúde do Baixo Alentejo · Beja, Portugal
  • Unidade Local de Saúde do Norte Alentejano · Portalegre, Portugal
  • Unidade Local de Saúde do Alentejo Central - Hospital Espirito Santo de Évora · Evora, Portugal
Show 3 removed
  • Unidade Local de Saúde do Baixo Alentejo · Beja, Portugal
  • Unidade Local de Saúde do Norte Alentejano · Portalegre, Portugal
  • Unidade Local de Saúde do Alentejo Central - Hospital Espirito Santo de Évora · Évora, Portugal
Sep 30, 2026
Primary completion
Dec 31, 2024→Dec 31, 2026
Sep 30, 2026
Study completion
Dec 31, 2025→Jun 30, 2027
Sep 30, 2026
Enrollment
1000 (estimated)→2000 (actual)
Sep 30, 2026
Publications
1 publication citing this study linked from PubMed, e.g. PubMed 40218918 ↗
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Recruiting→Active, not recruiting
    Publications 1 publication citing this study linked from PubMed, e.g. PubMed 40218918 ↗
    3 sites added, 3 sites removed
    Show 3 added (3 Portugal)
    • Unidade Local de Saúde do Baixo Alentejo · Beja, Portugal
    • Unidade Local de Saúde do Norte Alentejano · Portalegre, Portugal
    • Unidade Local de Saúde do Alentejo Central - Hospital Espirito Santo de Évora · Evora, Portugal
    Show 3 removed
    • Unidade Local de Saúde do Baixo Alentejo · Beja, Portugal
    • Unidade Local de Saúde do Norte Alentejano · Portalegre, Portugal
    • Unidade Local de Saúde do Alentejo Central - Hospital Espirito Santo de Évora · Évora, Portugal
    Primary completion Dec 31, 2024→Dec 31, 2026
    Study completion Dec 31, 2025→Jun 30, 2027
    Enrollment 1000 (estimated)→2000 (actual)
    + 4 other changes: verification date, design details, contact details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06292195
Lead sponsor
University of Évora
Collaborators
Comprehensive Health Research Center, Unidade Local De Saúde Do Norte Alentejano, Unidade local de Saúde do Baixo Alentejano, Unidade Local de Saúde do Alentejo Central, Universidade Nova de Lisboa, Instituto de Engenharia de Sistemas e Computadores - Inovação e Desenvolvimento de Lisboa (INESC-ID)
Responsible party
Maria Olívia Pereira Barbosa (Principal Investigator; MSc; PhD student, University of Évora) — Principal investigator
First posted
Mar 5, 2024
Start date
Nov 3, 2023
Primary completion
Dec 31, 2026 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Sep 30, 2026

Study contacts

Maria OP Barbosa, MSc; PhD student
principal investigator · University of Évora
Dulce Cruz, PhD
principal investigator · University of Évora
André Rosário, PhD
principal investigator · Universidade Nova de Lisboa
Marta Silvestre, PhD
principal investigator · Universidade Nova de Lisboa
Ana T Freitas, PhD
principal investigator · Instituto de Engenharia de Sistemas e Computadores - Inovação e Desenvolvimento de Lisboa (INESC-ID)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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