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Vitamin D Status Is Not Associated with Cognitive or Motor Function in Pre-School Ugandan Children
Agnes M Mutua1, Margaret Nampijja2,3, Alison M Elliott3,4
1Kenya Medical Research Institute (KEMRI), Centre for Geographic Medicine Research-Coast, KEMRI Wellcome Trust Research Programme, P.O. BOX 230-80108 Kilifi, Kenya.
Insights
Vitamin D deficiency is common in children. This study found no link between vitamin D levels and cognitive or motor skills in Ugandan children, highlighting a need for more research in sub-Saharan Africa.
Area of Science:
- Pediatric Nutrition
- Neurodevelopmental Pediatrics
- Global Child Health
Background:
- Vitamin D deficiency is a global health concern, particularly affecting young children.
- Animal studies suggest vitamin D is crucial for brain development, but human data, especially in sub-Saharan Africa, is limited and inconclusive.
- Neurobehavioural outcomes in children may be influenced by vitamin D status.
Purpose of the Study:
- To investigate the association between vitamin D status and cognitive and motor outcomes in Ugandan children.
- To address the gap in evidence regarding vitamin D's neurodevelopmental impact in sub-Saharan Africa.
- To analyze prospective data from a birth cohort in Uganda.
Main Methods:
- Prospective birth cohort study involving 302 Ugandan children.
- Measurement of 25-hydroxyvitamin D (25(OH)D) levels in children under five years old.
- Assessment of cognitive and motor outcomes at five years of age using multivariable linear regression adjusted for confounders.
Main Results:
- The majority of children had sufficient vitamin D levels (25(OH)D >50 nmol/L).
- No statistically significant association was found between early-life vitamin D status and cognitive or motor outcomes at five years of age.
- The study provides data on vitamin D levels and neurodevelopment in a sub-Saharan African population.
Conclusions:
- Early-life vitamin D status does not appear to be associated with cognitive and motor outcomes in this cohort of Ugandan children.
- Further longitudinal research is needed to understand the complex relationship between vitamin D and neurobehavioural development in children in sub-Saharan Africa.
- This study contributes to the limited body of evidence on vitamin D and child neurodevelopment in the region.
Abstract:
Vitamin D deficiency is common worldwide and young children are among the most affected groups. Animal studies suggest a key role for vitamin D in brain development. However, studies investigating the effects of vitamin D on neurobehavioural outcomes in children are inconclusive and evidence is limited in sub-Saharan Africa. We evaluated the effect of vitamin D status on cognitive and motor outcomes using prospective data from the Entebbe Mother and Baby Study birth cohort. We analysed data from 302 Ugandan children with 25-hydroxyvitamin D (25(OH)D) measurements below five years and developmental measures at five years of age. We used multivariable linear regression, adjusted for potential confounders, to estimate the effect of 25(OH)D on cognitive and motor outcomes. Of 302 children, eight (2.7%) had 25(OH)D levels <50 nmol/L, 105 (35.8%) had levels 50-75 nmol/L and 189 (62.6%) had levels >75 nmol/L. There was no evidence that earlier vitamin D status was associated with cognitive and motor outcomes in five-year-old Ugandan children. This study adds to the sparse literature and highlights the need for further longitudinal studies on vitamin D and neurobehavioural outcomes in children living in sub-Saharan Africa.
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