Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative Review

Women’s nutritional status during pregnancy can have long-term effects on children’s brains and cognitive development. Folate and choline are methyl-donor nutrients and are important for closure of the neural tube during fetal development. They have also been associated with brain and cognitive deve...

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Main Authors: Nathalie Irvine, Gillian England-Mason, Catherine J. Field, Deborah Dewey, Fariba Aghajafari
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/2/364
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author Nathalie Irvine
Gillian England-Mason
Catherine J. Field
Deborah Dewey
Fariba Aghajafari
author_facet Nathalie Irvine
Gillian England-Mason
Catherine J. Field
Deborah Dewey
Fariba Aghajafari
author_sort Nathalie Irvine
collection DOAJ
description Women’s nutritional status during pregnancy can have long-term effects on children’s brains and cognitive development. Folate and choline are methyl-donor nutrients and are important for closure of the neural tube during fetal development. They have also been associated with brain and cognitive development in children. Animal studies have observed that prenatal folate and choline supplementation is associated with better cognitive outcomes in offspring and that these nutrients may have interactive effects on brain development. Although some human studies have reported associations between maternal folate and choline levels and child cognitive outcomes, results are not consistent, and no human studies have investigated the potential interactive effects of folate and choline. This lack of consistency could be due to differences in the methods used to assess folate and choline levels, the gestational trimester at which they were measured, and lack of consideration of potential confounding variables. This narrative review discusses and critically reviews current research examining the associations between maternal levels of folate and choline during pregnancy and brain and cognitive development in children. Directions for future research that will increase our understanding of the effects of these nutrients on children’s neurodevelopment are discussed.
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spelling doaj.art-8b642fedd7f34ffba930132aa22538b32023-11-23T14:58:15ZengMDPI AGNutrients2072-66432022-01-0114236410.3390/nu14020364Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative ReviewNathalie Irvine0Gillian England-Mason1Catherine J. Field2Deborah Dewey3Fariba Aghajafari4O’Brien Centre for the Bachelor of Health Sciences, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, CanadaOwerko Centre, Alberta Children’s Hospital Research Institute, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, CanadaDepartment of Agricultural, Food and Nutritional Science, University of Alberta, 4-126C Li Ka Shing Centre for Research, 11203-87th Ave NW, Edmonton, AB T6G 2H5, CanadaOwerko Centre, Alberta Children’s Hospital Research Institute, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, CanadaDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3D10, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, CanadaWomen’s nutritional status during pregnancy can have long-term effects on children’s brains and cognitive development. Folate and choline are methyl-donor nutrients and are important for closure of the neural tube during fetal development. They have also been associated with brain and cognitive development in children. Animal studies have observed that prenatal folate and choline supplementation is associated with better cognitive outcomes in offspring and that these nutrients may have interactive effects on brain development. Although some human studies have reported associations between maternal folate and choline levels and child cognitive outcomes, results are not consistent, and no human studies have investigated the potential interactive effects of folate and choline. This lack of consistency could be due to differences in the methods used to assess folate and choline levels, the gestational trimester at which they were measured, and lack of consideration of potential confounding variables. This narrative review discusses and critically reviews current research examining the associations between maternal levels of folate and choline during pregnancy and brain and cognitive development in children. Directions for future research that will increase our understanding of the effects of these nutrients on children’s neurodevelopment are discussed.https://www.mdpi.com/2072-6643/14/2/364pregnancycholinefolatechildrenneurodevelopmentbrain development
spellingShingle Nathalie Irvine
Gillian England-Mason
Catherine J. Field
Deborah Dewey
Fariba Aghajafari
Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative Review
Nutrients
pregnancy
choline
folate
children
neurodevelopment
brain development
title Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative Review
title_full Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative Review
title_fullStr Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative Review
title_full_unstemmed Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative Review
title_short Prenatal Folate and Choline Levels and Brain and Cognitive Development in Children: A Critical Narrative Review
title_sort prenatal folate and choline levels and brain and cognitive development in children a critical narrative review
topic pregnancy
choline
folate
children
neurodevelopment
brain development
url https://www.mdpi.com/2072-6643/14/2/364
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AT catherinejfield prenatalfolateandcholinelevelsandbrainandcognitivedevelopmentinchildrenacriticalnarrativereview
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