Maternal iron intake and iron status during pregnancy and child blood pressure at age 3 years

Mandy B Belfort1, Sheryl L Rifas-Shiman, Janet W Rich-Edwards

  • 1Division of Newborn Medicine, Children's Hospital, Boston, MA 02115, USA. mandy.belfort@childrens.harvard.edu

Insights

Maternal iron intake during pregnancy did not correlate with lower child blood pressure. Higher first trimester iron intake was unexpectedly linked to a slight increase in child systolic blood pressure at age 3.

Area of Science:

  • Obstetrics and Gynecology
  • Pediatric Cardiology
  • Nutritional Science

Background:

  • Maternal iron deficiency during pregnancy is common and linked to adverse birth outcomes like low birth weight.
  • Animal studies suggest maternal iron deficiency may elevate offspring blood pressure.
  • Human data on the impact of maternal iron status on offspring blood pressure are limited.

Purpose of the Study:

  • To investigate the association between maternal iron intake, hemoglobin levels, and mean cell volume (MCV) during pregnancy and child systolic blood pressure (SBP) at age 3.
  • To examine if lower maternal iron status during pregnancy is linked to higher offspring blood pressure.

Main Methods:

  • Longitudinal cohort study (Project Viva) with 1167 pregnant women and their children.
  • Maternal iron intake estimated via food frequency questionnaires in the first and second trimesters.
  • Child blood pressure measured up to five times using a Dinamap; mixed-effects regression models used for analysis.

Main Results:

  • Mean child SBP at 3 years was 92.0 (9.9) mmHg.
  • A 10 mg increase in first trimester iron intake was associated with a 0.4 mmHg higher child SBP (95% CI 0.1, 0.7), after adjusting for confounders.
  • No significant association found between second trimester iron intake, or first/second trimester hemoglobin or MCV levels, and 3-year SBP.

Conclusions:

  • Contrary to animal data, this study found no evidence that lower maternal iron status during pregnancy is associated with higher offspring blood pressure.
  • Increased first trimester iron intake showed a slight, non-protective association with higher child systolic blood pressure at age 3.
Abstract

Related Concept Videos

Environmental Influences on Intelligence01:29

Environmental Influences on Intelligence

Despite the strong genetic influence on traits like intelligence, environmental factors significantly shape outcomes. For example, while over 90% of height variation is due to genetic differences, environmental factors such as nutrition also have a notable impact. Similarly, for intelligence, changes in a child's surroundings can significantly alter their IQ. Research shows that enriched environments boost children's academic success and help them develop key cognitive skills. Children from...
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors: