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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Perinatal vitamin A status in relation to neurodevelopmental outcome at two years of age
Xuan Zhang1, Ke Chen, Xiao-Ping Wei
1Children's Nutritional Research Center, Childrens Hospital of Chongqing Medical University, Chongqing, P R China. gracexuan330@163.com
Insights
Adequate vitamin A levels at birth positively impact infant motor skills and cognitive development. This study highlights vitamin A
Area of Science:
- Nutritional Science
- Developmental Pediatrics
- Maternal-Fetal Medicine
Background:
- Limited data exists on how antioxidant vitamins during pregnancy affect offspring intellectual development.
- Understanding the role of vitamins A, E, and C in early neurodevelopment is crucial.
Purpose of the Study:
- To investigate the association between maternal and cord blood levels of vitamins A, E, and C at delivery and the neurodevelopment of children in early childhood.
- To explore the relationship between vitamin A placental transport ratio and neurodevelopmental outcomes.
Main Methods:
- 158 mother-infant pairs were studied.
- Serum concentrations of vitamins A, E, and C were measured in maternal and cord blood post-delivery.
- Child intellectual development was assessed using the Gesell Development Schedule (GDS) at two years of age.
Main Results:
- Higher vitamin A placental transport ratio (VA-PTR) correlated with better motor development and overall DQ.
- Elevated cord vitamin A (VA) levels were linked to enhanced language and social area DQ.
- Vitamin A was also associated with increased birth head circumference and birth weight.
Conclusions:
- Adequate vitamin A status at delivery appears to positively influence neonatal birth outcomes.
- Sufficient vitamin A levels are associated with improved neurodevelopmental trajectories in early childhood.
Unlabelled:
Information about the effect of antioxidant vitamins nutrition during pregnancy on offsprings intellectual development is extremely limited.
Objective:
To investigate the correlation of antioxidant vitamins (Vitamin A, E and C) at delivery and the neurodevelopment of early childhood.
Method:
A total of 158 paired maternal-neonatal subjects were recruited. The serum concentrations of vitamin A, E and C in maternal and cord blood after delivery were determined and intellectual development was evaluated by Gesell Development Schedule (GDS) at two years old.
Result:
After adjusting for potential confounders, vitamin A placental transport ratio (VA-PTR) was positively associated with motor area development quotients (DQ) and average DQ(p<0.01). Cord VA level was positively related with language area and social area DQ (p<0.05). Nevertheless, there was no significant association between cord VE, VC levels, VE PTR or VC PTR and GDS. The adaptive area and average DQ in high cord VA group was higher than those in low VA group (p<0.05). Cord VA level and VA-PTR were positively associated with birth head circumference and birth weight, respectively.
Conclusion:
Our data suggested that adequate vitamin A at delivery had beneficial influence on neonatal birth outcomes and children's neurodevelopment in later childhood.
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