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Published on: August 7, 2017
Low maternal vitamin E intake during pregnancy is associated with asthma in 5-year-old children
Graham Devereux1, Stephen W Turner, Leone C A Craig
1Department of Environmental and Occupational Medicine, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZB, UK. g.devereux@abdn.ac.uk
Insights
Maternal intake of vitamin E and zinc during pregnancy is linked to reduced risks of childhood wheezing and asthma. This study highlights the importance of prenatal nutrition for respiratory health in children.
Area of Science:
- Pediatric Respiratory Medicine
- Nutritional Epidemiology
- Prenatal Health
Background:
- Previous research indicated a link between lower maternal vitamin E intake and wheezing in young children.
- This study builds upon prior findings to investigate a broader range of maternal nutrient intakes and their association with asthma-related outcomes.
Purpose of the Study:
- To determine if maternal nutrient intake during pregnancy is associated with asthma-related outcomes in children at age 5.
- To explore the relationship between specific nutrients, including vitamin E and zinc, and respiratory health in early childhood.
Main Methods:
- A longitudinal cohort study followed 1,861 children from pregnancy to age 5.
- Maternal nutrient intake was assessed via food frequency questionnaires and plasma levels during pregnancy.
- Children underwent respiratory assessments including spirometry and questionnaires at age 5.
Main Results:
- Maternal vitamin E intake during pregnancy was associated with reduced odds of wheezing, asthma ever, and persistent wheezing at age 5.
- Higher maternal plasma alpha-tocopherol correlated with improved lung function (FEV1) in children.
- Maternal zinc intake was linked to lower odds of asthma ever and active asthma.
Conclusions:
- Maternal consumption of foods rich in vitamin E and zinc during pregnancy is associated with a lower risk of developing wheeze and asthma in children.
- Prenatal nutrition plays a significant role in the development of childhood respiratory conditions.
Rationale:
We have previously reported an association between reduced maternal vitamin E intake during pregnancy and wheezing in 2-yr-old children.
Objectives:
To assess whether maternal nutrient intake during pregnancy is associated with asthma-related outcomes in children aged 5 yr.
Methods:
A longitudinal cohort study of 1,861 children born to women recruited during pregnancy and followed up at 5 yr.
Measurements:
Maternal nutrient status was assessed by a food frequency questionnaire and plasma levels. Respiratory and food frequency questionnaires were completed at 5 yr and children were invited for measurement of spirometry and skin-prick testing.
Main Results:
Symptom and food frequency questionnaire data were available for 1,253 and 1,120 children, respectively; 700 children were skin prick tested, and FEV(1) was measured in 478 and exhaled nitric oxide in 167 children. In 5-yr-old children, maternal vitamin E intake during pregnancy was negatively associated with wheeze in previous year (odds ratio per intake quintile, 0.82; 95% confidence interval, 0.71-0.95), asthma ever (0.84, 0.72-0.98), asthma and wheeze in previous year (0.79, 0.65-0.95), and persistent wheezing (0.77, 0.63-0.93). Maternal plasma alpha-tocopherol during pregnancy was positively associated with post-bronchodilator FEV(1) at 5 yr, with a 7-ml (95% confidence interval, 0-14; p = 0.04) increase in FEV(1) per microg/ml alpha-tocopherol. Maternal zinc intake during pregnancy was negatively associated with asthma ever (0.83, 0.71-0.78) and active asthma (0.72, 0.59-0.89). There were no associations between children's nutrient intake and respiratory outcomes.
Conclusion:
Maternal intake of foods containing vitamin E and zinc during pregnancy is associated with differences in the risks of developing childhood wheeze and asthma.
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