孕期服用叶酸补充剂和儿童严重语言延迟
Christine Roth1, Per Magnus, Synnve Schjølberg
1Division of Mental Health, Norwegian Institute of Public Health, PO Box 4404, Nydalen, 0403 Oslo, Norway. christine.roth@fhi.no
JAMA
|October 13, 2011
概括
孕妇在怀孕早期使用叶酸补充剂与儿童严重语言延迟的风险较低有关. 这一发现支持产前叶酸对儿童神经发育的益处.
科学领域:
- 神经发育研究的神经发育研究.
- 孕产妇和儿童的健康
- 营养科学 营养科学
背景情况:
- 已知产前叶酸可以降低神经管缺陷风险.
- 叶酸可能对其他神经发育结果产生积极影响.
- 了解影响语言发展的早期生活因素至关重要.
研究的目的:
- 调查母亲产前使用叶酸补充剂与3岁儿童严重语言延迟之间的关联.
- 根据产前补充剂摄入的不同模式来量化语言延迟的风险.
主要方法:
- 挪威母亲和儿童队列的前性观察研究.
- 包括来自2008年以前出生的母亲和儿童的数据,随访时间为3岁.
- 逻辑回归分析根据叶酸暴露时间估计了严重语言延迟的概率比率.
主要成果:
- 在38954名儿童中,0.5%的儿童经历了严重的语言延迟.
- 母亲仅服用叶酸补充剂的风险降低 (OR,0.55;95% CI,0.35-0.86).
- 组合叶酸和其他补充剂也显示了降低风险 (OR,0.55;95% CI,0.39-0.78).
结论:
- 孕妇在怀孕早期服用叶酸补充剂与严重语言延迟的风险降低有关.
- 这些发现凸显了产前叶酸对儿童语言发展的重要性.
- 这项研究提供了证据支持叶酸的作用超出神经管缺陷预防.
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