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Association between Maternal Vitamin D Intake and Infant Allergies: The Japan Environment and Children's Study
Muneyuki Shimizu1, Taisuke Kato1, Yuichi Adachi1
1Department of Pediatrics, Faculty of Medicine, University of Toyama.
Insights
Maternal vitamin D intake during pregnancy did not show a clear association with allergic diseases in offspring. Further research is needed to understand vitamin D
Area of Science:
- Perinatal nutrition and immunology
- Pediatric allergy and immunology
- Public health and epidemiology
Background:
- Maternal nutrition influences offspring health.
- Conflicting evidence exists regarding maternal vitamin D and offspring allergies.
- Optimal maternal vitamin D levels for preventing childhood allergies are unclear.
Purpose of the Study:
- To investigate the association between maternal vitamin D intake during pregnancy and the development of allergic diseases in offspring at one year of age.
- To analyze data from a large-scale nationwide birth cohort study in Japan.
- To clarify the role of maternal vitamin D in the etiology of childhood allergic conditions.
Main Methods:
- Utilized data from the Japan Environment and Children's Study (JECS) cohort.
- Analyzed dietary information on maternal vitamin D intake via food frequency questionnaires.
- Assessed parent-reported physician-diagnosed allergic diseases (asthma, food allergy, atopic dermatitis) in offspring at age one.
- Included 82,592 mother-offspring pairs in the final analysis after data cleaning.
Main Results:
- The mean maternal vitamin D intake (4.7 μg/d) was below the Japanese recommendation (7 μg/d).
- While some quintiles showed increased odds for asthma and food allergies, overall associations were not clear.
- No definitive link was established between maternal vitamin D intake and the development of common allergic diseases in one-year-old children.
Conclusions:
- This large nationwide study found no clear association between maternal vitamin D intake and offspring allergic diseases at age one.
- The potential protective effects of vitamin D supplementation in pregnancy for preventing childhood allergies require further investigation.
- Current findings suggest that maternal vitamin D intake alone may not be a significant determinant of early-onset allergic diseases in offspring.
Abstract:
Maternal nutrition during pregnancy is one of the factors affecting the health of offspring. There are conflicting findings about the association between maternal vitamin D status and the development of allergic diseases in offspring. The purpose of this study is to evaluate the association between maternal vitamin D intake and the development of allergic diseases in offspring at 1 y of age. From an ongoing nationwide birth cohort study (the Japan Environment and Children's Study), we obtained information on maternal vitamin D intake, determined by a food frequency questionnaire, and parent-reported physician-diagnosed allergic diseases in offspring at 1 y of age. From the full dataset of 103,062 pregnancies, we analyzed complete data for 82,592 mother-offspring pairs. The prevalence of physician-diagnosed asthma, food allergy, and atopic dermatitis in the children was 2.5%, 6.6%, and 4.3%, respectively. The mean (± standard deviation) maternal vitamin D intake was 4.7±4.7 μg/d, which is much lower than the recommended amount in Japan (7 μg/d). After adjustment for various covariates, the odds ratios were significantly higher for asthma in the 2nd quintile and for food allergies in the 3rd and 4th quintiles compared with the 1st quintile. However, there were no clear associations between maternal vitamin D intake and the development of allergic diseases in offspring at 1 y of age, even in a large nation-wide cohort study. Protective effects of vitamin D supplementation remain unclear.
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