{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:00:50Z","timestamp":1785254450952,"version":"3.55.0"},"reference-count":64,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Food Science &amp;amp; Nutrition"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Vitamin D deficiency is increasingly recognized as a public health concern among pregnant women due to its association with adverse pregnancy outcomes. Inadequate knowledge, attitudes, and practices (KAP) related to vitamin D may contribute to this issue. The study aimed to evaluate the KAP and serum vitamin D concentration among pregnant women. The study was a hospital\u2010based cross\u2010sectional study involving pregnant women residing in the Klang Valley area. Relevant data on sociodemographic characteristics, knowledge, attitudes, practices, and physical activity were collected using a structured questionnaire. Blood samples were collected using the veni puncture technique, and serum vitamin D levels were measured using the electrochemiluminescence immunoassay (ELCIA) technique. There was a significantly higher proportion of participants with good knowledge as compared with participants with poor knowledge (54.1% vs. 45.9%);\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.015. There was a significantly higher proportion of participants with negative attitudes as compared with positive attitudes (54.8% vs. 45.2%);\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.0001 and inconsistent practice level (50.7% vs. 49.3%);\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.953. The prevalence of vitamin D deficiency was 64.4%. Further analysis revealed that non\u2010Malay participants had significantly higher odds of having good knowledge of vitamin D compared to Malays (aOR\u2009=\u20090.420,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.027). Employment status was significantly associated with good practices. Employed participants were two times more likely to demonstrate vitamin D\u2010related practices (aOR\u2009=\u20092.036,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.049) compared to their unemployed counterparts. There were no significant associations between sociodemographic characteristics and participants' attitudes on vitamin D. Despite the high levels of knowledge about vitamin D among the participants, the majority had negative attitudes, inconsistent practice levels, and a high prevalence of vitamin D deficiency. The findings underscore the need for policies and culturally acceptable strategies aimed at promoting attitudes and practices to prevent vitamin D deficiency in pregnancy.\n                  <\/jats:p>","DOI":"10.1002\/fsn3.70575","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T06:34:13Z","timestamp":1752129253000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Vitamin D Knowledge, Attitudes, Practices and Serum Concentration Among Pregnant Women Attending a Malaysian Tertiary Hospital"],"prefix":"10.1002","volume":"13","author":[{"given":"Yakubu","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences Universiti Putra Malaysia (UPM)  Serdang Selangor Malaysia"},{"name":"Department of Medical Laboratory Science, Faculty of Allied Health Sciences, College of Medical Sciences Ahmadu Bello University  Zaria Kaduna State Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4131-3404","authenticated-orcid":false,"given":"Amilia Afzan Mohd","family":"Jamil","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences Universiti Putra Malaysia (UPM)  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurul Iftida","family":"Basri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences Universiti Putra Malaysia (UPM)  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simran Lau Sher","family":"Reen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences Universiti Putra Malaysia (UPM)  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Daniel Iman","family":"Asmunni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences Universiti Putra Malaysia (UPM)  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirosha","family":"Govidarajoo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences Universiti Putra Malaysia (UPM)  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"issue":"2","key":"e_1_2_11_2_1","first-page":"482","article-title":"A Need for Improvement in the Knowledge, Attitudes and Practice Toward Vitamin D Among University Students","volume":"43","author":"Abdullah N.","year":"2021","journal-title":"Bahrain Medical Bulletin"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.11.009"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690\u2010021\u201000712\u20102"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f1169"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.654292"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare5040076"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010017\u20104183\u20101"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/nure.12018"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2017.11.003"},{"issue":"1241","key":"e_1_2_11_11_1","article-title":"Vitamin D Deficiency in Pregnant New Zealand Women","volume":"119","author":"AnnieJudkins C. 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