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Updated: Mar 3, 2026

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
Association between maternal vitamin D status during pregnancy and offspring cognitive function during childhood and
Sargoor R Veena1, Ghattu V Krishnaveni1, Krishnamachari Srinivasan2
1Epidemiology Research Unit, CSI Holdsworth Memorial Hospital, Mysore, South India.
Insights
Maternal vitamin D deficiency during pregnancy did not impact offspring cognitive development in Indian children. This study found no link between maternal vitamin D levels and cognitive abilities in childhood or adolescence.
Area of Science:
- Nutritional Neuroscience
- Developmental Psychology
- Public Health Nutrition
Background:
- Maternal vitamin D deficiency during pregnancy is linked to adverse offspring cognitive outcomes in animal models.
- Human studies investigating the association between maternal vitamin D status and offspring cognition are limited, particularly in diverse populations.
- A high prevalence of vitamin D deficiency (68%) was observed in pregnant women in the study cohort.
Purpose of the Study:
- To investigate the association between maternal vitamin D status during pregnancy and offspring cognitive function in Indian children.
- To test the hypothesis that lower maternal vitamin D levels are linked to poorer cognitive abilities in offspring.
- To contribute evidence to the understanding of vitamin D's role in neurodevelopment.
Main Methods:
- Cognitive function was assessed in 468 children (9-10 years) and 472 adolescents (13-14 years) using the Kaufman Assessment Battery for Children and other cognitive tests.
- Maternal serum 25-hydroxyvitamin D concentrations were measured during mid-pregnancy (30±2 weeks gestation).
- Statistical analyses adjusted for numerous potential confounding factors including child's age and sex, socioeconomic status, and maternal intelligence.
Main Results:
- Maternal vitamin D status, both deficient and across the full range, showed no association with offspring cognitive function at either childhood or adolescent assessment points.
- No significant differences were found between maternal vitamin D levels and any cognitive test outcomes in children.
- Girls demonstrated superior performance in specific cognitive domains (short-term memory, reasoning, verbal fluency, attention) compared to boys.
Conclusions:
- Despite a high prevalence of vitamin D deficiency during pregnancy in this Indian population, no association was found with offspring cognitive function.
- The findings suggest that maternal vitamin D status during pregnancy may not be a critical determinant of cognitive development in this context.
- Further research may be needed to explore other factors influencing cognitive outcomes in populations with high rates of vitamin D deficiency.
Background And Objectives:
Animal studies have demonstrated poor cognitive outcomes in offspring in relation to maternal vitamin D deficiency before and/or during pregnancy. Human studies linking maternal vitamin D status during pregnancy with offspring cognitive function are limited. We aimed to test the hypothesis that lower maternal vitamin D status during pregnancy is associated with poor offspring cognitive ability in an Indian population.
Methods And Study Design:
Cognitive function was assessed in children from the Mysore Parthenon birth cohort during childhood (age 9-10 years; n=468) and adolescence (age 13-14 years; n=472) using 3 core tests from the Kaufman Assessment Battery for children and additional tests measuring learning, long-term retrieval/ storage, short-term memory, reasoning, verbal fluency, visuo-spatial ability, and attention and concentration. Maternal serum 25-hydroxyvitamin D concentration was measured at 30±2 weeks of gestation.
Results:
During pregnancy 320 (68%) women had 'vitamin D deficiency' (serum 25-hydroxyvitamin D concentration <50 nmol/L). Girls scored better than boys in tests of short-term memory, reasoning, verbal fluency, and attention (p<0.05 for all). Maternal vitamin D status (low as well as across the entire range) was unrelated to offspring cognitive function at both ages, either unadjusted or after adjustment for the child's current age, sex, maternal age, parity, season at the time of blood sampling, gestational age, the child's birth and current size, socio-economic status, parents' education, maternal intelligence and home environment.
Conclusions:
In this population, despite a high prevalence of vitamin D deficiency during pregnancy, there was no evidence of an association between maternal vitamin D status and offspring cognitive function.
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