4.5 Article

Higher maternal plasma β-cryptoxanthin concentration is associated with better cognitive and motor development in offspring at 2 years of age

Journal

EUROPEAN JOURNAL OF NUTRITION
Volume 60, Issue 2, Pages 703-714

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00394-020-02277-2

Keywords

Carotenoids; Pregnancy; Cognition; Motor; Children

Funding

  1. Singapore National Research Foundation under its Translational and Clinical Research (TCR) Flagship Programme
  2. Singapore Ministry of Health's National Medical Research Council (NMRC), Singapore [NMRC/TCR/004-NUS/2008, NMRC/TCR/012-NUHS/2014]
  3. Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (A*STAR)
  4. Ministry of Education's Academic Research Fund Tier 1
  5. National Institute for Health Research (NIHR) through the NIHR Southampton Biomedical Research Centre
  6. European Union's Seventh Framework Programme (FP7/2007-2013), project EarlyNutrition [289346]

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Current study found that higher maternal plasma carotenoids concentrations, especially beta-cryptoxanthin, were positively associated with early offspring cognitive and motor development at 2 years old, but not at 4.5 years old. Further investigations are needed to explore if the prenatal influences sustain beyond early childhood.
Purpose Current literature on the roles of alpha-, beta-carotene and beta-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. Methods Maternal plasma alpha-, beta-carotene and beta-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. Results Median and interquartile range of maternal plasma concentrations (mg/L) were: alpha-carotene 0.052 (0.032, 0.081), beta-carotene 0.189 (0.134, 0.286), and beta-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: beta-cryptoxanthin with higher scores in cognitive [beta = 0.18, (0.08, 0.28) SD], receptive language [beta = 0.17 (0.07, 0.27) SD], fine motor [beta = 0.16 (0.05, 0.26) SD], and gross motor [beta = 0.16 (0.06, 0.27) SD] scales; beta-carotene with higher cognitive score [beta = 0.17 (0.05, 0.29) SD]. No significant associations were observed with neurocognitive functions at age 4.5 years. Conclusion Our study provides novel data suggesting a potential role of prenatal carotenoids, particularly beta-cryptoxanthin, on early offspring cognitive and motor development. Whether the prenatal influences sustain beyond early childhood requires further investigation in longer term studies.

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