Abstract | Aim: To estimate the associations of cord meta-inflammatory markers with neurodevelopment, including the potential impact of cord blood vitamin D levels. Method: Results: After adjusting potential confounders, per quartile increase in cord blood 25( OH)D concentrations was associated with a decreased risk of neurodevelopmental delay [hazard ratios (HR) 0.65 (95% CI 0.57, 0.74)]. Conversely, significant positive associations with cord blood serum C-peptide levels above the 90th percentile [HR 2.38 (95% CI 1.81, 3.13)] and higher levels of cord hsCRP (per quartile increase) [HR 1.18 (95% CI 1.01, 1.37)] with neurodevelopmental delay were observed. These associations could vary by quartiles of cord blood 25( OH)D levels: the adjusted HRs in neurodevelopmental delay comparing children with vs without hyperinsulinemia were 1.28 (95% CI: 1.03, 1.59) for quartiles 1 (lowest), and 1.06 (95% CI: 0.78, 1.44) for quartile 4 (highest). Conclusions: Immune activation and metabolic abnormalities in fetal circulation were associated with neurodevelopmental delay in offspring, which could be attenuated by higher cord blood 25( OH)D levels in a dose-response manner.
|
Authors | Peng Wang, Lin Wu, Wan-Jun Yin, Rui-Xue Tao, Ying Zhang, Pei-Pei Li, Xiao-Min Jiang, Zi-Yu Shao, Peng Zhu |
Journal | Frontiers in immunology
(Front Immunol)
Vol. 13
Pg. 1078340
( 2022)
ISSN: 1664-3224 [Electronic] Switzerland |
PMID | 36685522
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
|
Copyright | Copyright © 2023 Wang, Wu, Yin, Tao, Zhang, Li, Jiang, Shao and Zhu. |
Chemical References |
- Vitamin D
- C-Reactive Protein
- C-Peptide
- Vitamins
- Cholesterol
|
Topics |
- Infant
- Child
- Humans
- Vitamin D
- Cohort Studies
- Prospective Studies
- Fetal Blood
- Vitamin D Deficiency
(complications)
- C-Reactive Protein
- C-Peptide
- Vitamins
- Inflammation
(complications)
- Cholesterol
|