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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.
Background:
Animal data suggest that maternal iron deficiency during pregnancy leads to lower birth weight and sustained blood pressure elevation in the offspring. In humans, iron deficiency during pregnancy is common and is associated with adverse birth outcomes such as low birth weight. Data are lacking, however, regarding the effects of maternal iron intake and iron status during pregnancy on offspring blood pressure. Our aim was to examine the extent to which lower maternal iron intake, haemoglobin level and mean cell volume (MCV) during pregnancy are associated with higher child systolic blood pressure (SBP) at age 3 years.
Methods:
We studied 1167 participants in Project Viva, a longitudinal cohort study of pregnant women and their children. We estimated first and second trimester maternal iron intake from food frequency questionnaires. We used an electronic laboratory database to identify haemoglobin and MCV levels in pregnancy. We measured child BP up to five times with a Dinamap and used mixed-effects regression models in our analysis.
Results:
Mean (SD) child SBP at 3 years was 92.0 (9.9) mmHg. Adjusting for confounders, for each 10 mg increase in first trimester iron intake, child SBP was not lower, but was in fact 0.4 mmHg higher (95% CI 0.1, 0.7). For second trimester iron intake, and for first or second trimester haemoglobin and MCV levels, we did not find any appreciable association with 3 year SBP.
Conclusions:
In contrast to animal studies, we did not find that lower maternal iron status during pregnancy was associated with higher offspring BP.
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