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Antioxidant vitamin status during pregnancy in relation to cognitive development in the first two years of life
Ke Chen1, Xuan Zhang, Xiao-ping Wei
1Child Health Care, Children's Hospital, Chongqing Medical University, Chongqing, PR China. surgemail@163.com
Insights
Maternal antioxidant vitamin status, particularly vitamin E, during pregnancy positively impacts children's cognitive and motor development. Adequate vitamin E transfer across the placenta is crucial for preventing developmental delays.
Area of Science:
- Nutritional Science
- Developmental Pediatrics
- Maternal-Fetal Medicine
Background:
- Maternal nutrition during pregnancy is critical for fetal development.
- Antioxidant vitamins play vital roles in cellular protection and development.
- The impact of specific antioxidant vitamins on early childhood neurodevelopment requires further investigation.
Purpose of the Study:
- To examine the association between maternal and cord blood levels of antioxidant vitamins (A, E, C) and intellectual development in early childhood.
- To determine the influence of vitamin E transfer rate on developmental outcomes.
Main Methods:
- 150 paired maternal-neonatal subjects were recruited.
- Serum concentrations of vitamins A, E, and C were measured using high-performance liquid chromatography.
- Child intellectual development was assessed using the Gesell Development Schedules (GDS) at two years of age.
Main Results:
- Higher cord serum vitamin E levels correlated with improved motor and adaptive development.
- Cord serum vitamin A and E levels positively influenced motor and overall developmental quotients.
- Placental vitamin E transport rate was linked to language, social, and motor development, and acted as a protective factor against developmental delays.
Conclusions:
- Maternal vitamin A and E status, along with placental vitamin E transfer efficiency at delivery, positively influence children's cognitive and behavioral development.
- These findings highlight the importance of adequate antioxidant vitamin levels during pregnancy for optimal child neurodevelopment.
Objective:
To investigate the correlation of the antioxidant vitamins status (vitamins A, E and C) during pregnancy and the intellectual development of early childhood.
Method:
A total of 150 paired maternal-neonatal subjects were recruited into the present study. The serum concentrations of antioxidant vitamins (vitamins A, E and C) in maternal blood and cord blood after delivery were determined by high performance liquid chromatography and the intellectual development was evaluated by Gesell Development Schedules (GDS) at two-years-old.
Result:
Children with higher cord serum vitamin E level showed higher scores of motor, adaptive domain and average compared to children with lower cord serum vitamin E level (p<0.01 or 0.05), respectively. Cord serum vitamin A level had significant positive correlation with effect on motor DQs (beta=4.227, p<0.05), and vitamin E level in cord blood showed a positive relation with motor DQ and average DQ (beta=0.329 and 0.1875, respectively, p<0.05) in multiple linear regression model. The language and social DQs were influenced by placental vitamin E transport rate (beta=3.1968 and 3.0194, respectively, p<0.05). The placental transport rate of vitamin E also was a protective factor for the prevalence of motor behavior developmental delay [OR: 0.118, 95% confident interval (95% CI), 0.018-0.765, p=0.0251], personal and social behavior developmental delay (OR: 0.052, 95% CI: 0.004-0.610, p=0.0185) and average developmental delay (OR: 0.041, 95% CI: 0.003-0.642, p=0.0229) in logistic multiple regression model.
Conclusion:
Data suggested that vitamin A, E status and vitamin E transfer rate at delivery had beneficial influence on children's cognitive and behavior development quotients.
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