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产前母婴及脐带血维生素 D 浓度与婴儿期负性情绪的关系。

Prenatal maternal and cord blood vitamin D concentrations and negative affectivity in infancy.

机构信息

Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC, Sophia Children's Hospital, Rotterdam, The Netherlands.

Department of Social and Behavioral Science, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

出版信息

Eur Child Adolesc Psychiatry. 2023 Apr;32(4):601-609. doi: 10.1007/s00787-021-01894-4. Epub 2021 Oct 18.

Abstract

Higher maternal vitamin D concentration during pregnancy is associated with better child mental health. Negative affectivity, an early-emerging temperamental trait, indicates an increased risk of psychopathology. We investigated if maternal early/mid-pregnancy 25-hydroxyvitamin D (25(OH)D) and neonatal cord blood 25(OH)D concentrations are associated with Negative affectivity in infancy. We studied term-born infants from the vitamin D Intervention in Infants study (VIDI, n = 777, follow-up rate 80%, Finland), and the Generation R Study (n = 1505, follow-up rate 40%, Netherlands). We measured maternal serum 25(OH)D at 6-27 weeks (VIDI) or 18-25 weeks (Generation R) of pregnancy, and cord blood 25(OH)D at birth (both cohorts). Caregivers rated infant Negative affectivity at 11.7 months (VIDI) or 6.5 months (Generation R) using the Revised Infant Behavior Questionnaire. Using linear regression, we tested associations between 25(OH)D and Negative affectivity adjusted for infant age, sex, season of 25(OH)D measurement, maternal age, education, smoking, and body-mass-index. Per 10 nmol/l increase in maternal early/mid-pregnancy 25(OH)D, infant Negative affectivity decreased by 0.02 standard deviations (95% confidence interval [CI] - 0.06, - 0.004) in VIDI, and 0.03 standard deviations (95% CI - 0.03, - 0.01) in Generation R. Cord blood 25(OH)D was associated with Negative affectivity in Generation R (- 0.03, 95% CI - 0.05, - 0.01), but not VIDI (0.00, 95% CI - 0.02, 0.02). Lower maternal 25(OH)D concentrations were consistently associated with higher infant Negative affectivity, while associations between cord blood 25(OH)D concentrations and Negative affectivity were less clear. Maternal vitamin D status during early- and mid-pregnancy may be linked with early-emerging differences in offspring behavior.

摘要

孕期母体维生素 D 浓度较高与儿童心理健康状况较好有关。负性情绪是一种早期出现的气质特征,表明患精神病理学的风险增加。我们研究了母体妊娠早期/中期 25-羟维生素 D(25(OH)D)和新生儿脐带血 25(OH)D 浓度是否与婴儿期的负性情绪有关。我们研究了来自维生素 D 干预婴儿研究(VIDI,n=777,随访率 80%,芬兰)和世代研究(n=1505,随访率 40%,荷兰)的足月出生婴儿。我们在妊娠 6-27 周(VIDI)或 18-25 周(世代研究)测量了母体血清 25(OH)D,并在出生时测量了脐带血 25(OH)D(两个队列)。照料者在婴儿 11.7 个月(VIDI)或 6.5 个月(世代研究)时使用修订婴儿行为问卷评估婴儿的负性情绪。我们使用线性回归,在校正了婴儿年龄、性别、25(OH)D 测量季节、母亲年龄、教育程度、吸烟和体重指数后,检验了 25(OH)D 与负性情绪之间的关联。在 VIDI 中,母体妊娠早期/中期 25(OH)D 每增加 10nmol/L,婴儿负性情绪降低 0.02 个标准差(95%置信区间[CI] -0.06,-0.004),在世代研究中降低 0.03 个标准差(95% CI -0.03,-0.01)。脐带血 25(OH)D 与世代研究中的负性情绪相关(-0.03,95% CI -0.05,-0.01),但与 VIDI 无关(0.00,95% CI -0.02,0.02)。母体 25(OH)D 浓度较低与婴儿负性情绪升高一致相关,而脐带血 25(OH)D 浓度与负性情绪之间的关联则不太明确。妊娠早期和中期母体维生素 D 状态可能与后代行为早期出现的差异有关。

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