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Published on: June 28, 2024
Impact of a Nutrient Formulation on Longitudinal Myelination, Cognition, and Behavior from Birth to 2 Years: A
Nora Schneider1, Mickaël Hartweg2, Jonathan O'Regan3
1Brain Health, Nestlé Institute of Health Sciences, Nestlé Research, Société des Produits Nestlé S.A., 1010 Lausanne, Switzerland.
Insights
Early nutrition significantly impacts infant brain development. A 12-month nutritional intervention improved myelination, cognition, and behavior in healthy infants, suggesting modifiable brain development through targeted nutrition.
Area of Science:
- Neuroscience
- Developmental Biology
- Nutritional Science
Background:
- Early life nutrition is linked to brain myelination.
- Longitudinal studies are needed to confirm nutritional impacts on infant brain development.
Purpose of the Study:
- To investigate the effect of a 12-month nutritional intervention on infant myelination, cognition, and behavior.
- To assess if targeted nutrition can modify brain development in healthy infants.
Main Methods:
- A two-center randomized controlled trial involving 81 neurotypical infants.
- Intervention group received higher nutrient levels; control group received lower levels.
- Outcomes measured via MRI for myelination, neurodevelopmental scales, and behavioral/sleep questionnaires.
Main Results:
- Significantly higher myelination in the intervention group at multiple time points (6-24 months).
- Improved gray matter volume, reduced night awakenings, increased day sleep, and reduced social fearfulness observed.
- Breastfed infants served as a reference group.
Conclusions:
- Brain development in healthy infants is modifiable through targeted nutritional interventions.
- Specific nutrient blends may support myelination and cognitive/behavioral outcomes.
- Nutritional strategies may be foundational for later learning.
Abstract:
Observation studies suggest differences in myelination in relation to differences in early life nutrition. This two-center randomized controlled trial investigates the effect of a 12-month nutritional intervention on longitudinal changes in myelination, cognition, and behavior. Eighty-one full-term, neurotypical infants were randomized into an investigational (N = 42) or a control group (N = 39), receiving higher versus lower levels of a blend of nutrients. Non-randomized breastfed infants (N = 108) served as a reference group. Main outcomes were myelination (MRI), neurodevelopment (Bayley-III), social-emotional development (ASQ:SE-2), infant and toddler behavior (IBQ-R and TBAQ), and infant sleep (BISQ) during the first 2 years of life. The full analysis set comprised N = 67 infants from the randomized groups, with 81 myelin-sensitive MRI sequences. Significantly higher myelination was observed in the investigational compared to the control group at 6, 12, 18, and 24 months of life, as well as significantly higher gray matter volume at 24 months, a reduced number of night awakenings at 6 months, increased day sleep at 12 months, and reduced social fearfulness at 24 months. The results suggest that brain development may be modifiable with brain- and age-relevant nutritional approaches in healthy infants and young children, which may be foundational for later learning outcomes.
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