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Maternal folic acid supplement use in early pregnancy and child behavioural problems: The Generation R Study.
Br J Nutr. 2010 Feb; 103(3):445-52.BJ

Abstract

Folate deficiency during embryogenesis is an established risk factor for neural tube defects in the fetus. An adequate folate nutritional status is also important for normal fetal growth and brain development. The aim of the present research was to study the association between folic acid use of the mother during pregnancy and child behavioural development. Within a population-based cohort, we prospectively assessed folic acid supplement use during the first trimester by questionnaire. Child behavioural and emotional problems were assessed with the Child Behaviour Checklist at the age of 18 months in 4214 toddlers. Results showed that children of mothers who did not use folic acid supplements in the first trimester had a higher risk of total problems (OR 1.44; 95 % CI 1.12, 1.86). Folic acid supplement use protected both from internalising (OR of no supplement use 1.65; 95 % CI 1.24, 2.19) and externalising problems (OR 1.45; 95 % CI 1.17, 1.80), even when adjusted for maternal characteristics. Birth weight and size of the fetal head did not mediate the association between folic acid use and child behaviour. In conclusion, inadequate use of folic acid supplements during early pregnancy may be associated with a higher risk of behavioural problems in the offspring. Folic acid supplementation in early pregnancy, aimed to prevent neural tube defects, may also reduce mental health problems in children.

Authors+Show Affiliations

The Generation R Study Group, Erasmus MC University Medical Center Rotterdam, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19772683

Citation

Roza, Sabine J., et al. "Maternal Folic Acid Supplement Use in Early Pregnancy and Child Behavioural Problems: the Generation R Study." The British Journal of Nutrition, vol. 103, no. 3, 2010, pp. 445-52.
Roza SJ, van Batenburg-Eddes T, Steegers EA, et al. Maternal folic acid supplement use in early pregnancy and child behavioural problems: The Generation R Study. Br J Nutr. 2010;103(3):445-52.
Roza, S. J., van Batenburg-Eddes, T., Steegers, E. A., Jaddoe, V. W., Mackenbach, J. P., Hofman, A., Verhulst, F. C., & Tiemeier, H. (2010). Maternal folic acid supplement use in early pregnancy and child behavioural problems: The Generation R Study. The British Journal of Nutrition, 103(3), 445-52. https://doi.org/10.1017/S0007114509991954
Roza SJ, et al. Maternal Folic Acid Supplement Use in Early Pregnancy and Child Behavioural Problems: the Generation R Study. Br J Nutr. 2010;103(3):445-52. PubMed PMID: 19772683.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal folic acid supplement use in early pregnancy and child behavioural problems: The Generation R Study. AU - Roza,Sabine J, AU - van Batenburg-Eddes,Tamara, AU - Steegers,Eric A P, AU - Jaddoe,Vincent W V, AU - Mackenbach,Johan P, AU - Hofman,Albert, AU - Verhulst,Frank C, AU - Tiemeier,Henning, Y1 - 2009/09/22/ PY - 2009/9/24/entrez PY - 2009/9/24/pubmed PY - 2010/2/18/medline SP - 445 EP - 52 JF - The British journal of nutrition JO - Br J Nutr VL - 103 IS - 3 N2 - Folate deficiency during embryogenesis is an established risk factor for neural tube defects in the fetus. An adequate folate nutritional status is also important for normal fetal growth and brain development. The aim of the present research was to study the association between folic acid use of the mother during pregnancy and child behavioural development. Within a population-based cohort, we prospectively assessed folic acid supplement use during the first trimester by questionnaire. Child behavioural and emotional problems were assessed with the Child Behaviour Checklist at the age of 18 months in 4214 toddlers. Results showed that children of mothers who did not use folic acid supplements in the first trimester had a higher risk of total problems (OR 1.44; 95 % CI 1.12, 1.86). Folic acid supplement use protected both from internalising (OR of no supplement use 1.65; 95 % CI 1.24, 2.19) and externalising problems (OR 1.45; 95 % CI 1.17, 1.80), even when adjusted for maternal characteristics. Birth weight and size of the fetal head did not mediate the association between folic acid use and child behaviour. In conclusion, inadequate use of folic acid supplements during early pregnancy may be associated with a higher risk of behavioural problems in the offspring. Folic acid supplementation in early pregnancy, aimed to prevent neural tube defects, may also reduce mental health problems in children. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/19772683/Maternal_folic_acid_supplement_use_in_early_pregnancy_and_child_behavioural_problems:_The_Generation_R_Study_ L2 - https://www.cambridge.org/core/product/identifier/S0007114509991954/type/journal_article DB - PRIME DP - Unbound Medicine ER -