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Updated: Jun 4, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
The Prevention of Maternal Phenylketonuria (PKU) Syndrome: The Development and Evaluation of a Specific Training
Carmen Rohde1, Alena Gerlinde Thiele1, Anne Tomm1
1Department of Women and Child Health, Hospital for Children and Adolescents, University Hospitals, University of Leipzig, Liebigstraße 20 a, 04103 Leipzig, Germany.
Insights
Maternal phenylketonuria (PKU) can harm unborn children. A group training program significantly improved knowledge of PKU therapy and pregnancy for young women with PKU and their partners, leading to healthier outcomes.
Area of Science:
- Metabolic disorders
- Genetics
- Maternal-fetal medicine
Background:
- Maternal phenylketonuria (PKU) syndrome poses significant risks to unborn children, including psychomotor retardation, microcephaly, and cardiac defects, due to insufficient metabolic control during pregnancy.
- A specific prevention program was developed to mitigate these risks and improve long-term outcomes for affected offspring.
Purpose of the Study:
- To evaluate the effectiveness of a group training program designed for young women with PKU and their partners.
- To assess improvements in knowledge regarding PKU therapy and pregnancy, as well as changes in anxiety and depression scores.
Main Methods:
- A group training program was implemented for young women with PKU (age >14 years) and their partners.
- Knowledge was assessed using a multiple-choice questionnaire, and anxiety and depression scores were evaluated before and after the program.
Main Results:
- Significant improvements in knowledge were observed in both patients (86% to 90%) and partners (78% to 89%).
- Female patients showed significant gains in understanding diet and metabolism but not gynecological aspects.
- Anxiety and depression scores remained stable and within normative ranges, with four pregnancies resulting in healthy offspring among trained mothers.
Conclusions:
- The study suggests incorporating specific training programs into the standard care for young adult women with PKU and their partners.
- These programs can enhance knowledge and potentially improve pregnancy outcomes in maternal PKU cases.
Background:
Maternal phenylketonuria (PKU) syndrome, leading to severe psychomotor retardation, microcephaly, cardiac defects and undergrowth, affects the unborn children of mothers with PKU with insufficient metabolic control during pregnancy. To improve long-term outcomes, a specific prevention program was developed.
Methods:
We designed a group training program for young women with PKU (>14 years) and their partners. Knowledge regarding PKU therapy and pregnancy was evaluated by a specifically developed multiple-choice questionnaire. In addition, scores of anxiety and depression were evaluated.
Results:
Patients (n = 20) and their partners (n = 13) significantly improved their knowledge after participation (correct answers: patients-86% vs. 90%, p = 0.003; partners-78% vs. 89%, p = 0.012). Females significantly improved their knowledge about diet (90% vs. 100%, p = 0.035) and metabolism (91% vs. 100%, p = 0.016), but not concerning gynecological topics. Patients' median depression scores were within the normative range, with a slight decrease over time (6 points vs. 4 points, p = 0.836). Patients' anxiety score remained stable over time (5.5 vs. 5, p = 0.247). Of trained mothers with PKU, four pregnancies with ideal metabolic control and healthy offspring could be observed.
Conclusion:
We suggest the inclusion of specific training programs in the standard care of female young adults with PKU, including for their partners.
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