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The Association Between Prenatal Maternal Selenium Concentration and Neurodevelopment in Early Childhood, Results
Suman Ranjitkar1, Ingrid Kvestad2, Ram K Chandyo3
1Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway; Department of Pediatrics, Child Health Research Project, Maharajgunj, Kathmandu, Nepal.
Insights
Maternal selenium levels in Nepal were often low, but did not impact child neurodevelopment. This study found no link between selenium status during pregnancy and early childhood development outcomes.
Area of Science:
- Nutritional Science
- Neurodevelopmental Biology
- Maternal and Child Health
Background:
- Selenium (Se) is a vital micronutrient for human health, particularly brain development.
- Existing research suggests a potential link between maternal selenium levels and child neurodevelopmental outcomes.
- Understanding selenium status in pregnant populations is crucial for public health initiatives.
Purpose of the Study:
- To assess selenium status among pregnant women in Nepal.
- To investigate the association between maternal plasma selenium concentration during early pregnancy and neurodevelopment in Nepalese children.
- To provide data on selenium deficiency prevalence and its potential impact on child development in this region.
Main Methods:
- A cohort study involving 800 mother-infant dyads in Bhaktapur, Nepal.
- Maternal plasma selenium concentration was measured using inductively coupled plasma mass spectrometry.
- Child neurodevelopment was assessed at 6, 12, and 24 months using the Bayley Scales of Infant and Toddler Development, 3rd edition (Bayley-3).
Main Results:
- The average maternal plasma selenium concentration was 74.8 μg/L, with 36.3% of participants exhibiting selenium deficiency (<71.1 μg/L).
- No significant association was found between maternal selenium concentration and the overall Bayley-3 total z-score.
- Maternal selenium levels showed no correlation with any specific Bayley-3 composite or subscale scores.
Conclusions:
- A significant portion of pregnant Nepalese women in the study demonstrated selenium deficiency.
- Despite the high prevalence of selenium deficiency, maternal selenium concentration was not associated with early childhood neurodevelopment in this cohort.
- Further research may be needed to explore other factors influencing neurodevelopment in selenium-deficient populations.
Background:
Selenium (Se) is a micronutrient essential for human health and the developing brain. A few studies have demonstrated associations between maternal Se concentration and child neurodevelopment.
Objectives:
We aimed to describe Se status in pregnant Nepalese females and explore the association between maternal Se plasma concentration in early pregnancy and child neurodevelopment measured during early childhood in Nepalese children.
Methods:
The cohort study included 800 mother-infant dyads from Bhaktapur, Nepal. Blood samples from pregnant females were drawn within 15 wk of gestation and Se concentration was analyzed by inductively coupled plasma mass spectrometry. Child neurodevelopment was assessed at 6, 12, and 24 mo with the Bayley Scales of Infant and Toddler Development, 3rd edition (Bayley-3). We used linear mixed models to examine the association between maternal plasma Se concentration and Bayley-3 scores, adjusted for maternal age and socioeconomic status.
Results:
The mean (standard deviation) maternal plasma Se concentration was 74.8 μg/L (10.4 μg/L), and 290 (36.3%) pregnant females had Se concentration indicating deficiency (<71.1 μg/L). We found no significant association between maternal Se concentration and the Bayley-3 total z-score [Coeff. 0.002 (95% confidence interval: -0.007, 0.011)], and no associations between Se concentration and any of the Bayley-3 composite and subscale scores.
Conclusions:
Despite a substantial proportion of pregnant females with Se deficiency, maternal Se concentration was not associated with early childhood neurodevelopment in our study cohort of healthy pregnant Nepalese females.
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