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Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes
Published on: June 28, 2024
Choline concentrations in human maternal and cord blood and intelligence at 5 y of age
Caroline Signore1, Per Magne Ueland, James Troendle
1Epidemiology Branch, Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.
Insights
Maternal choline levels during pregnancy and at birth did not impact child intelligence quotient (IQ) scores at age 5. This study found no correlation between gestational choline concentrations and cognitive development in children.
Area of Science:
- Neuroscience
- Developmental Biology
- Nutritional Science
Background:
- Animal studies suggest prenatal choline influences offspring cognitive function.
- Human data on gestational choline and neurodevelopment is lacking.
Purpose of the Study:
- To investigate the association between maternal and cord blood choline levels and child IQ at age 5.
- To determine if choline concentrations during pregnancy correlate with cognitive outcomes.
Main Methods:
- Prospective study of 404 maternal-child pairs.
- Maternal serum choline measured at four gestational intervals and in cord blood.
- Child IQ assessed at age 5 using the Wechsler Preschool and Primary Scale of Intelligence-Revised.
Main Results:
- No significant effect of maternal or cord blood choline on Full Scale IQ at age 5.
- No correlation observed with Verbal IQ, Performance IQ, or subscales for spatial relation and memory.
Conclusions:
- Physiological ranges of choline during gestation and at birth are not associated with childhood intelligence.
- Findings suggest choline levels within the normal range do not predict cognitive development in children.
Background:
Animal studies indicate that maternal prenatal choline supplementation leads to permanent enhancement of attention and spatial memory abilities in offspring, whereas dietary choline restriction during pregnancy impairs cognitive function in offspring. The association between gestational choline concentrations and neurodevelopmental outcome in humans has not been studied.
Objective:
Our objective was to assess the relation between maternal and cord blood choline concentrations and child intelligence quotient (IQ) scores at 5 y of age.
Design:
With data and samples from a prospective study (n = 404 maternal-child pairs), serum concentrations of free and total choline were measured in maternal serum at 4 gestational age intervals (16-18 wk, 24-26 wk, 30-32 wk, and 36-38 wk) and in cord blood. Child IQ at 5 y of age was assessed with the Wechsler Preschool and Primary Scale of Intelligence-Revised. Multiple regression techniques were used to estimate the relation between choline concentrations and Full Scale IQ, Verbal and Performance IQ, and subscales that assess spatial relation and memory ability while adjusting for other factors that affect IQ.
Results:
There was no effect at gestational ages 16-18 wk, 24-26 wk, 30-32 wk, and 36-38 wk or in cord blood of serum concentrations of free or total choline on Full Scale child IQ or on selected scales related to visuospatial processing and memory.
Conclusion:
Gestational and newborn choline concentrations in the physiologic range showed no correlation with childhood intelligence.
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