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Eur Child Adolesc Psychiatry. 2021 Oct 18; doi: 10.1007/s00787-021-01894-4. Epub 2021 Oct 18.

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

European child & adolescent psychiatry

Sara Sammallahti, Elisa Holmlund-Suila, Runyu Zou, Saara Valkama, Jenni Rosendahl, Maria Enlund-Cerullo, Helena Hauta-Alus, Marius Lahti-Pulkkinen, Hanan El Marroun, Henning Tiemeier, Outi Mäkitie, Sture Andersson, Katri Räikkönen, Kati Heinonen

Affiliations

  1. Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC, Sophia Children's Hospital, Rotterdam, The Netherlands.
  2. Department of Social and Behavioral Science, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
  3. Pediatric Research Center, Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
  4. Research Program for Clinical and Molecular Metabolism, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
  5. Folkhälsan Research Center, Helsinki, Finland.
  6. National Institute for Health and Welfare (THL), Helsinki, Finland.
  7. PEDEGO Research Unit, MRC Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
  8. Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
  9. Department of Psychology, Education and Child Studies, Erasmus School of Social and Behavioural Sciences, Erasmus University Rotterdam, Rotterdam, The Netherlands.
  10. Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland. [email protected].
  11. Psychology/Welfare Sciences, Faculty of Social Sciences, Tampere University, 33014, Tampere, Finland. [email protected].

PMID: 34657965 DOI: 10.1007/s00787-021-01894-4

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.

© 2021. The Author(s).

Keywords: Infant mental health; Negative affectivity; Nutrition; Prenatal; Temperament; Vitamin D

References

  1. Saraf R, Morton SMB, Camargo CA, Grant CC (2016) Global summary of maternal and newborn vitamin D status—a systematic review. Matern Child Nutr 12:647–668 - PubMed
  2. Cui X, Gooch H, Petty A et al (2017) Vitamin D and the brain: genomic and non-genomic actions. Mol Cell Endocrinol 453:131–143 - PubMed
  3. Bendik I, Friedel A, Roos FF et al (2014) Vitamin D: a critical and essential micronutrient for human health. Front Physiol 5:248 - PubMed
  4. Jacquemyn Y, Ajaji M, Karepouan N (2013) Vitamin D levels in maternal serum and umbilical cord blood in a multi-ethnic population in Antwerp, Belgium. Facts, Views Vis ObGyn 5:3–5 - PubMed
  5. Liu NQ, Hewison M (2012) Vitamin D, the placenta and pregnancy. Arch Biochem Biophys 523:37–47 - PubMed
  6. Mutua AM, Mogire RM, Elliott AM et al (2020) Effects of vitamin D deficiency on neurobehavioural outcomes in children: a systematic review. Wellcome Open Res 5:28 - PubMed
  7. Gale CR, Robinson SM, Harvey NC et al (2008) Maternal vitamin D status during pregnancy and child outcomes. Eur J Clin Nutr 62:68–77 - PubMed
  8. Keim S, Bodnar LM, Klebanoff MA (2014) Maternal and cord blood 25(OH)-vitamin D concentrations in relation to child development and behaviour. Paediatr Perinat Epidemiol 25:434–444 - PubMed
  9. Daraki V, Roumeliotaki T, Koutra K et al (2018) High maternal vitamin D levels in early pregnancy may protect against behavioral difficulties at preschool age: the Rhea mother–child cohort, Crete, Greece. Eur Child Adolesc Psychiatry 27:79–88 - PubMed
  10. Morales E, Julvez J, Torrent M et al (2015) Vitamin D in pregnancy and attention deficit hyperactivity disorder-like symptoms in childhood. Epidemiology 26:458–563 - PubMed
  11. García-Serna AM, Morales E (2020) Neurodevelopmental effects of prenatal vitamin D in humans: systematic review and meta-analysis. Mol Psychiatry 25:2468–2481 - PubMed
  12. Sucksdorff M, Brown AS, Chudal R et al (2021) Maternal vitamin D levels and the risk of offspring attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 60:142-151.e2 - PubMed
  13. Lee BK, Eyles DW, Magnusson C et al (2021) Developmental vitamin D and autism spectrum disorders: findings from the Stockholm Youth Cohort. Mol Psychiatry 26:1578–1588 - PubMed
  14. Strøm M, Halldorsson TI, Hansen S et al (2014) Vitamin D measured in maternal serum and offspring neurodevelopmental outcomes: a prospective study with long-term follow-up. Ann Nutr Metab 64:254–261 - PubMed
  15. Francis EC, Charron E, Li M et al (2021) Third trimester maternal vitamin D and early childhood socioemotional development. Paediatr Perinat Epidemiol 35:350–358 - PubMed
  16. Eyles DW, Trzaskowski M, Vinkhuyzen AAE et al (2018) The association between neonatal vitamin D status and risk of schizophrenia. Sci Rep 8:17692 - PubMed
  17. Mossin MH, Aaby JB, Dalgård C et al (2017) Inverse associations between cord Vitamin D and attention deficit hyperactivity disorder symptoms: a child cohort study. Aust N Z J Psychiatry 51:703–710 - PubMed
  18. Schmidt RJ, Niu Q, Eyles DW et al (2019) Neonatal vitamin D status in relation to autism spectrum disorder and developmental delay in the CHARGE case–control study. Autism Res 12:976–988 - PubMed
  19. Kostyrka-Allchorne K, Wass SV, Sonuga-Barke EJS (2020) Research review: do parent ratings of infant negative emotionality and self-regulation predict psychopathology in childhood and adolescence? A systematic review and meta-analysis of prospective longitudinal studies. J Child Psychol Psychiatry Allied Discip 61:401–416 - PubMed
  20. Rothbart MK, Ahadi SA, Evans DE (2000) Temperament and personality: origins and outcomes. J Pers Soc Psychol 78:122–135 - PubMed
  21. Rosendahl J, Valkama S, Holmlund-Suila E et al (2018) Effect of higher vs standard dosage of vitamin D3 supplementation on bone strength and infection in healthy infants. JAMA Pediatr 172:646 - PubMed
  22. Helve O, Viljakainen H, Holmlund-Suila E et al (2017) Towards evidence-based vitamin D supplementation in infants: vitamin D intervention in infants (VIDI)—study design and methods of a randomised controlled double-blinded intervention study. BMC Pediatr 17:91 - PubMed
  23. Jaddoe VWV, Mackenbach JP, Moll HA et al (2006) The Generation R Study: design and cohort profile. Eur J Epidemiol 21:475–484 - PubMed
  24. Gartstein MA, Rothbart MK (2003) Studying infant temperament via the Revised Infant Behavior Questionnaire. Infant Behav Dev 26:64–86 - PubMed
  25. Pearce SHS, Cheetham TD (2010) Diagnosis and management of vitamin D deficiency. BMJ 340:142–147 - PubMed
  26. Munns CF, Shaw N, Kiely M et al (2016) Global consensus recommendations on prevention and management of nutritional rickets. Horm Res Paediatr 85:83–106 - PubMed
  27. Ross AC, Manson JAE, Abrams SA et al (2011) The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 96:53–58 - PubMed
  28. Institute of Medicine (2011) Dietary reference intakes for calcium and vitamin D. The National Academic Press, Washington - PubMed
  29. Aghajafari F, Nagulesapillai T, Ronksley PE et al (2013) Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational Studies. BMJ 346:f1169 - PubMed
  30. McGrath J, Eyles DW, Pedersen CB et al (2010) Neonatal vitamin D status and risk of schizophrenia. Arch Gen Psychiatry 67:889–894 - PubMed
  31. van Buuren S, Groothuis-Oudshoorn K (2011) Mice: multivariate imputation by chained equations in R. J Stat Softw 45:1–67 - PubMed
  32. Rice D, Barone S (2000) Critical periods of vulnerability for the developing nervous system: Evidence from humans and animal models. Environ Health Perspect 108:511–533 - PubMed
  33. Keunen K, Counsell SJ, Benders MJNL (2017) The emergence of functional architecture during early brain development. Neuroimage 160:2–14 - PubMed
  34. Janbek J, Specht IO, Heitmann BL (2019) Associations between vitamin D status in pregnancy and offspring neurodevelopment: a systematic literature review. Nutr Rev 77:330–349 - PubMed
  35. Weggemans R, Schaafsma G, Kromhout D (2009) Naar een toereikende inname van vitamine D. Huisarts Wet 52:73–75 (Article in Dutch) - PubMed
  36. Itkonen ST, Andersen R, Björk AK et al (2020) Vitamin D status and current policies to achieve adequate vitamin D intake in the Nordic countries. Scand J Public Health 1–12 - PubMed
  37. Chawla D, Fuemmeler B, Benjamin-Neelon SE et al (2019) Early prenatal vitamin D concentrations and social-emotional development in infants. J Matern Neonatal Med 32:1441–1448 - PubMed
  38. Health Council of the Netherlands (2000) Dietary reference intakes: Calcium, vitamin D, thiamin, riboflavin, niacin, pantothenic acid, and biotin. Health Council of the Netherlands, The Hague - PubMed

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