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孕期的宏量营养素摄入与儿童认知和行为结果

Macronutrient Intake in Pregnancy and Child Cognitive and Behavioural Outcomes.

作者信息

Taylor Rachael M, Blumfield Michelle L, Ashton Lee M, Hure Alexis J, Smith Roger, Buckley Nick, Drysdale Karen, Collins Clare E

机构信息

Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia.

Faculty of Health and Medicine, School of Health Sciences, University of Newcastle, Callaghan, NSW 2308, Australia.

出版信息

Children (Basel). 2021 May 20;8(5):425. doi: 10.3390/children8050425.

Abstract

Prenatal nutrient exposures can impact on brain development and disease susceptibility across the lifespan. It is well established that maternal macronutrient intake during pregnancy influences foetal and infant development. Therefore, we hypothesise that macronutrient intakes during pregnancy are correlated with cognitive development during early childhood. The current study aimed to investigate the relationship between maternal macronutrient intake during pregnancy and child cognitive and behavioural outcomes at age 4 years. We analysed prospective data from a cohort of 64 Australian mother-child dyads. Maternal macronutrient intake was assessed using a validated 74-item food frequency questionnaire at 2 timepoints during pregnancy. Child cognition and behaviour were measured at age 4 years using the validated Wechsler Preschool and Primary Scale of Intelligence, 3rd version (WPPSI-III) and the Child Behaviour Checklist (CBC). Linear regression models were used to quantify statistical relationships and were adjusted for maternal age, education, pre-pregnancy BMI, breastfeeding duration and birthweight. Child Performance IQ was inversely associated with maternal starch intake (b = -11.02, = 0.03). However, no other associations were found. Further research is needed to explore the association between different types of starch consumed during pregnancy and child cognitive development.

摘要

产前营养暴露会影响整个生命周期的大脑发育和疾病易感性。众所周知,孕期母亲的常量营养素摄入量会影响胎儿和婴儿的发育。因此,我们假设孕期常量营养素摄入量与幼儿期的认知发育相关。本研究旨在调查孕期母亲常量营养素摄入量与4岁儿童认知及行为结果之间的关系。我们分析了来自64对澳大利亚母婴二元组队列的前瞻性数据。孕期母亲的常量营养素摄入量通过一份经过验证的包含74个项目的食物频率问卷在孕期的两个时间点进行评估。儿童认知和行为在4岁时使用经过验证的韦氏学前及初小儿童智力测验第三版(WPPSI-III)和儿童行为量表(CBC)进行测量。线性回归模型用于量化统计关系,并对母亲年龄、教育程度、孕前体重指数、母乳喂养持续时间和出生体重进行了调整。儿童操作智商与母亲淀粉摄入量呈负相关(b = -11.02, = 0.03)。然而,未发现其他关联。需要进一步研究来探讨孕期摄入不同类型淀粉与儿童认知发育之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8549/8161020/1922326bda59/children-08-00425-g001.jpg

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