Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study
Evelien R van Meel1,2, Gautam Saharan1,2, Vincent Wv Jaddoe1,3
1The Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands.
Insights
Maternal psychological distress during pregnancy is linked to childhood asthma and reduced lung function. This association persists into later childhood, suggesting intrauterine programming for respiratory health.
Area of Science:
- Environmental Health
- Pediatric Respiratory Medicine
- Reproductive Psychiatry
Background:
- Maternal psychological distress during pregnancy is a known risk factor for respiratory issues in preschoolers.
- The persistence of this association into later childhood remains unclear.
Purpose of the Study:
- To investigate the long-term effects of parental psychological distress during pregnancy on school-aged children's lung function and asthma prevalence.
Main Methods:
- A population-based prospective cohort study involving 4231 children.
- Parental psychological distress assessed using the Brief Symptom Inventory during and after pregnancy.
- Childhood lung function (spirometry) and asthma (questionnaire) evaluated at age 10.
Main Results:
- Maternal psychological distress during pregnancy correlated with lower forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1) in children.
- All measures of maternal psychological distress during pregnancy were associated with an increased risk of childhood asthma.
- Paternal psychological distress during pregnancy did not show a significant association with childhood respiratory morbidity.
Conclusions:
- Maternal psychological distress during pregnancy, but not paternal, is associated with increased asthma risk and reduced lung function in children.
- These findings suggest a potential role for intrauterine programming in the development of later-life respiratory diseases.
Background:
Although maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood.
Objective:
To examine the association between parental psychological distress during pregnancy and lung function and asthma in children of school age.
Methods:
This study of 4231 children was embedded in a population-based prospective cohort. Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire.
Results:
The prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference -0.10 (95% CI -0.20 to -0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1) and FVC (-0.13 (95% CI -0.24 to -0.01) and -0.13 (95% CI -0.24 to -0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity.
Conclusion:
Maternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respiratory disease.
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