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Updated: Oct 16, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
Prenatal maternal and cord blood vitamin D concentrations and negative affectivity in infancy
Sara Sammallahti1,2, Elisa Holmlund-Suila3,4, Runyu Zou1
1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC, Sophia Children's Hospital, Rotterdam, The Netherlands.
Insights
Maternal vitamin D levels during pregnancy are linked to lower infant negative affectivity, a risk factor for psychopathology. Higher maternal vitamin D is associated with better child mental health outcomes.
Area of Science:
- Perinatal health
- Developmental psychology
- Nutritional science
Background:
- Higher maternal vitamin D concentration during pregnancy is linked to improved child mental health.
- Negative affectivity in infancy is an early indicator of potential psychopathology.
- Understanding factors influencing early infant temperament is crucial for developmental outcomes.
Purpose of the Study:
- To investigate the association between maternal serum 25-hydroxyvitamin D (25(OH)D) in early/mid-pregnancy and neonatal cord blood 25(OH)D concentrations with infant Negative Affectivity.
- To determine if vitamin D status during gestation impacts early-emerging infant temperament traits.
- To explore the relationship between maternal vitamin D and infant behavioral risk factors for psychopathology.
Main Methods:
- Two independent cohorts (VIDI and Generation R Study) including term-born infants were analyzed.
- Maternal serum 25(OH)D was measured during early/mid-pregnancy, and cord blood 25(OH)D at birth.
- Infant Negative Affectivity was assessed using the Revised Infant Behavior Questionnaire, with linear regression analyses performed.
Main Results:
- Higher maternal early/mid-pregnancy 25(OH)D concentrations were consistently associated with lower infant Negative Affectivity across both cohorts.
- Each 10 nmol/l increase in maternal 25(OH)D was linked to a decrease in Negative Affectivity.
- Associations between cord blood 25(OH)D and Negative Affectivity were less consistent, observed in one cohort but not the other.
Conclusions:
- Maternal vitamin D status in early- to mid-pregnancy may influence the development of infant temperament, specifically reducing negative affectivity.
- These findings suggest a potential role for maternal vitamin D in mitigating early behavioral risk factors for psychopathology.
- Further research is warranted to elucidate the mechanisms linking maternal vitamin D and offspring behavioral development.
Abstract:
Higher maternal vitamin D concentration during pregnancy is associated with better child mental health. Negative affectivity, an early-emerging temperamental trait, indicates an increased risk of psychopathology. We investigated if maternal early/mid-pregnancy 25-hydroxyvitamin D (25(OH)D) and neonatal cord blood 25(OH)D concentrations are associated with Negative affectivity in infancy. We studied term-born infants from the vitamin D Intervention in Infants study (VIDI, n = 777, follow-up rate 80%, Finland), and the Generation R Study (n = 1505, follow-up rate 40%, Netherlands). We measured maternal serum 25(OH)D at 6-27 weeks (VIDI) or 18-25 weeks (Generation R) of pregnancy, and cord blood 25(OH)D at birth (both cohorts). Caregivers rated infant Negative affectivity at 11.7 months (VIDI) or 6.5 months (Generation R) using the Revised Infant Behavior Questionnaire. Using linear regression, we tested associations between 25(OH)D and Negative affectivity adjusted for infant age, sex, season of 25(OH)D measurement, maternal age, education, smoking, and body-mass-index. Per 10 nmol/l increase in maternal early/mid-pregnancy 25(OH)D, infant Negative affectivity decreased by 0.02 standard deviations (95% confidence interval [CI] - 0.06, - 0.004) in VIDI, and 0.03 standard deviations (95% CI - 0.03, - 0.01) in Generation R. Cord blood 25(OH)D was associated with Negative affectivity in Generation R (- 0.03, 95% CI - 0.05, - 0.01), but not VIDI (0.00, 95% CI - 0.02, 0.02). Lower maternal 25(OH)D concentrations were consistently associated with higher infant Negative affectivity, while associations between cord blood 25(OH)D concentrations and Negative affectivity were less clear. Maternal vitamin D status during early- and mid-pregnancy may be linked with early-emerging differences in offspring behavior.
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