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Updated: Jul 11, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
Prenatal vitamin B12 status and cognitive functioning in children at 4 years of age: The ECLIPSES Study
Josué Cruz-Rodríguez1, Josefa Canals-Sans1,2,3, Carmen Hernández-Martínez1,2,3
1Nutrition and Mental Health Research Group (NUTRISAM), Universitat Rovira i Virgili (URV), Tarragona, Spain.
Insights
Maternal vitamin B12 levels in early pregnancy are linked to better working memory in 4-year-olds. Adequate B12 during the first trimester supports cognitive development, impacting preschooler working memory performance.
Area of Science:
- Neuroscience
- Nutritional Science
- Developmental Psychology
Background:
- Maternal vitamin B12 deficiency is linked to cognitive deficits in children.
- The association between maternal vitamin B12 and cognitive function in preschoolers remains under-explored.
Purpose of the Study:
- To investigate the relationship between maternal vitamin B12 levels during pregnancy and cognitive function in 4-year-old children.
- To determine if vitamin B12 levels in the first versus third trimester differentially impact child cognition.
Main Methods:
- A longitudinal prospective study of 249 mother-child pairs in Spain (2013-2017).
- Maternal vitamin B12 levels measured in the first and third trimesters.
- Child cognitive function assessed at age 4 using the Wechsler Preschool and Primary Scale of Intelligence (WPPSI-IV) and NEPSY-II.
Main Results:
- A significant association was found between first-trimester maternal vitamin B12 and children's working memory index.
- Children of mothers with higher vitamin B12 levels (second and third tertiles) in early pregnancy scored significantly higher on the working memory index.
- No significant association was observed between third-trimester vitamin B12 levels and children's working memory.
Conclusions:
- Maintaining adequate maternal vitamin B12 during early pregnancy is crucial for optimal working memory development in preschool-aged children.
- First-trimester vitamin B12 status appears more critical than third-trimester status for this specific cognitive outcome.
- These findings highlight the importance of prenatal nutrition for long-term child cognitive outcomes.
Abstract:
Maternal vitamin B12 deficiency has been associated with disturbed cognitive functioning in offspring at different ages during childhood. However, this association has not been explored in pre-school-age children. The objective of this study was to examine the association between maternal vitamin B12 levels at the beginning and end of pregnancy and cognitive functioning in their children at 4 years of age. This longitudinal prospective study included a subsample of pregnant women and their children aged 4 years (n = 249) who participated in the ECLIPSES Study conducted in the province of Tarragona, Spain, from 2013 to 2017. Maternal vitamin B12 concentrations were determined in the first and third trimesters, and sociodemographic, nutritional and psychological data were collected. The children's cognitive functioning was assessed using the Wechsler Preschool and Primary Scale of Intelligence (WPPSI-IV) and subtests of the Neuropsychological Assessment of Development (NEPSY-II). The multivariable models showed a significant relationship between vitamin B12 and the working memory index in the first trimester of the pregnancy but not in the third trimester. Children of mothers in the second vitamin B12 level tertile (314-413 pg/mL) (β = 6.468, 95% confidence interval [CI]: = 2.054, 10.882, p = 0.004) and third vitamin B12 level tertile (≥414 pg/mL) (β = 4.703, 95% CI: = 0.292, 9.114, p = 0.037) scored higher in the working memory index of the WPPSI-IV than the children of mothers with vitamin B12 levels in the first tertile (<314 pg/mL). Maintaining an adequate level of maternal vitamin B12 during early pregnancy contributes to improved performance in childhood working memory at 4 years of age.
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