Singapore Institute for Clinical Sciences, Agency for Science and Technology Research, Singapore, Singapore.
Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Eur J Nutr. 2021 Mar;60(2):703-714. doi: 10.1007/s00394-020-02277-2. Epub 2020 May 20.
Current literature on the roles of α-, β-carotene and β-cryptoxanthin in neurocognitive function has largely focused on preventing cognitive decline in older people, and less on neuro-development in children. We examined the relations of maternal plasma carotenoids concentrations with offspring cognitive development up to age 4.5 years in the Growing Up in Singapore Towards healthy Outcomes mother-offspring cohort study.
Maternal plasma α-, β-carotene and β-cryptoxanthin concentrations at delivery were determined by ultra-performance liquid chromatography. Children's cognition was assessed at ages 2 (Bayley Scales of Infant and Toddler Development) and 4.5 (Kaufman Brief Intelligence Test) years. Associations were examined in 419 mother-offspring pairs using linear regressions adjusting for key confounders.
Median and interquartile range of maternal plasma concentrations (mg/L) were: α-carotene 0.052 (0.032, 0.081), β-carotene 0.189 (0.134, 0.286), and β-cryptoxanthin 0.199 (0.123, 0.304). In 2 years old children, higher maternal carotenoids [per standard deviation (SD) log-concentration] were positively associated with neurocognitive functions: β-cryptoxanthin with higher scores in cognitive [β = 0.18, (0.08, 0.28) SD], receptive language [β = 0.17 (0.07, 0.27) SD], fine motor [β = 0.16 (0.05, 0.26) SD], and gross motor [β = 0.16 (0.06, 0.27) SD] scales; β-carotene with higher cognitive score [β = 0.17 (0.05, 0.29) SD]. No significant associations were observed with neurocognitive functions at age 4.5 years.
Our study provides novel data suggesting a potential role of prenatal carotenoids, particularly β-cryptoxanthin, on early offspring cognitive and motor development. Whether the prenatal influences sustain beyond early childhood requires further investigation in longer term studies.
目前关于α-、β-胡萝卜素和β-隐黄质在神经认知功能中的作用的文献主要集中在预防老年人认知能力下降上,而对儿童的神经发育关注较少。我们在新加坡母婴健康结局研究(Growing Up in Singapore Towards healthy Outcomes mother-offspring cohort study)中,研究了产妇血浆类胡萝卜素浓度与子女认知发育的关系,直至他们 4.5 岁。
通过超高效液相色谱法测定产妇分娩时的血浆α-、β-胡萝卜素和β-隐黄质浓度。在 2 岁(贝利婴幼儿发育量表)和 4.5 岁(考夫曼简明智力测验)时评估儿童的认知能力。采用线性回归,在调整了关键混杂因素后,在 419 对母婴对中检验了这些关联。
产妇血浆浓度(mg/L)的中位数和四分位数范围为:α-胡萝卜素 0.052(0.032,0.081),β-胡萝卜素 0.189(0.134,0.286),β-隐黄质 0.199(0.123,0.304)。在 2 岁的儿童中,较高的母体类胡萝卜素[每标准偏差(SD)对数浓度]与神经认知功能呈正相关:β-隐黄质与认知[β=0.18(0.08,0.28)SD]、接受性语言[β=0.17(0.07,0.27)SD]、精细运动[β=0.16(0.05,0.26)SD]和粗大运动[β=0.16(0.06,0.27)SD]评分较高有关;β-胡萝卜素与认知评分较高有关[β=0.17(0.05,0.29)SD]。在 4.5 岁时,未观察到与神经认知功能有显著关联。
我们的研究提供了新的数据,表明产前类胡萝卜素,特别是β-隐黄质,可能对早期后代的认知和运动发育有潜在作用。这种产前影响是否能持续到幼儿期以后,还需要在长期研究中进一步调查。