Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort study

Abstract Evidence suggests that iron status may be linked to symptoms of childhood attention deficit/hyperactivity disorder (ADHD), but there is little data available on the relationship between iron status in pregnancy and the risk of developing ADHD. And the data that does exist is inconsistent. O...

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Main Authors: Andrés Díaz-López, Josefa Canals Sans, Jordi Julvez, Silvia Fernandez-Bares, Sabrina Llop, Marisa Rebagliato, Nerea Lertxundi, Loreto Santa-Marina, Mònica Guxens, Jordi Sunyer, Victoria Arija
Format: Article
Language:English
Published: Nature Portfolio 2022-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-23432-1
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author Andrés Díaz-López
Josefa Canals Sans
Jordi Julvez
Silvia Fernandez-Bares
Sabrina Llop
Marisa Rebagliato
Nerea Lertxundi
Loreto Santa-Marina
Mònica Guxens
Jordi Sunyer
Victoria Arija
author_facet Andrés Díaz-López
Josefa Canals Sans
Jordi Julvez
Silvia Fernandez-Bares
Sabrina Llop
Marisa Rebagliato
Nerea Lertxundi
Loreto Santa-Marina
Mònica Guxens
Jordi Sunyer
Victoria Arija
author_sort Andrés Díaz-López
collection DOAJ
description Abstract Evidence suggests that iron status may be linked to symptoms of childhood attention deficit/hyperactivity disorder (ADHD), but there is little data available on the relationship between iron status in pregnancy and the risk of developing ADHD. And the data that does exist is inconsistent. Our aim here is to assess the effect of maternal serum ferritin (SF) and haemoglobin (Hb) levels during pregnancy on manifestations of ADHD in children at 7 years of age. This prospective study analysed data from 1204 mother–child pairs from three Spanish cohorts participating in the INMA project. Maternal SF and Hb levels during pregnancy and other mother and child characteristics were collected. The children’s ADHD behaviours were reported by their parents using Conners’ Parent Rating Scale-Revised Short Form (CPRS-R:S). In the unadjusted regression analysis, maternal SF was positively associated with children’s T-scores on the subscales Cognitive problems/Inattention (β: 0.63, 95%CI 0.06–1.19; p = 0.029) and ADHD index (β: 0.72, 95%CI 0.20–1.24; p = 0.007). These associations were not present after multivariate adjustment or stratification by first and second trimester of pregnancy. The Hb levels were not related to any of the CPRS-R:S subscales in unadjusted or multivariate-adjusted models. We observed no association between maternal SF or Hb levels and the risk of ADHD symptomatology (T-score ≥ 65 for CPRS-R:S subscales). Our results suggest that neither maternal SF nor Hb levels during pregnancy are related to ADHD symptoms in 7-year-old children.
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spelling doaj.art-d0e0c8b5e1df44a9a0e922b32b31659e2022-12-22T02:48:35ZengNature PortfolioScientific Reports2045-23222022-12-0112111110.1038/s41598-022-23432-1Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort studyAndrés Díaz-López0Josefa Canals Sans1Jordi Julvez2Silvia Fernandez-Bares3Sabrina Llop4Marisa Rebagliato5Nerea Lertxundi6Loreto Santa-Marina7Mònica Guxens8Jordi Sunyer9Victoria Arija10Department of Basic Medical Sciences, Nutrition and Mental Health Research Group (NUTRISAM), Rovira I Virgili University (URV)Department of Basic Medical Sciences, Nutrition and Mental Health Research Group (NUTRISAM), Rovira I Virgili University (URV)Institut d’Investigació Sanitària Pere Virgili (IISPV)Barcelona Institute for Global Health (ISGlobal)Epidemiology and Environmental Health Joint Research Unit, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de ValènciaEpidemiology and Environmental Health Joint Research Unit, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de ValènciaSpanish Consortium for Research On Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos IIISpanish Consortium for Research On Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos IIIBarcelona Institute for Global Health (ISGlobal)Barcelona Institute for Global Health (ISGlobal)Department of Basic Medical Sciences, Nutrition and Mental Health Research Group (NUTRISAM), Rovira I Virgili University (URV)Abstract Evidence suggests that iron status may be linked to symptoms of childhood attention deficit/hyperactivity disorder (ADHD), but there is little data available on the relationship between iron status in pregnancy and the risk of developing ADHD. And the data that does exist is inconsistent. Our aim here is to assess the effect of maternal serum ferritin (SF) and haemoglobin (Hb) levels during pregnancy on manifestations of ADHD in children at 7 years of age. This prospective study analysed data from 1204 mother–child pairs from three Spanish cohorts participating in the INMA project. Maternal SF and Hb levels during pregnancy and other mother and child characteristics were collected. The children’s ADHD behaviours were reported by their parents using Conners’ Parent Rating Scale-Revised Short Form (CPRS-R:S). In the unadjusted regression analysis, maternal SF was positively associated with children’s T-scores on the subscales Cognitive problems/Inattention (β: 0.63, 95%CI 0.06–1.19; p = 0.029) and ADHD index (β: 0.72, 95%CI 0.20–1.24; p = 0.007). These associations were not present after multivariate adjustment or stratification by first and second trimester of pregnancy. The Hb levels were not related to any of the CPRS-R:S subscales in unadjusted or multivariate-adjusted models. We observed no association between maternal SF or Hb levels and the risk of ADHD symptomatology (T-score ≥ 65 for CPRS-R:S subscales). Our results suggest that neither maternal SF nor Hb levels during pregnancy are related to ADHD symptoms in 7-year-old children.https://doi.org/10.1038/s41598-022-23432-1
spellingShingle Andrés Díaz-López
Josefa Canals Sans
Jordi Julvez
Silvia Fernandez-Bares
Sabrina Llop
Marisa Rebagliato
Nerea Lertxundi
Loreto Santa-Marina
Mònica Guxens
Jordi Sunyer
Victoria Arija
Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort study
Scientific Reports
title Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort study
title_full Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort study
title_fullStr Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort study
title_full_unstemmed Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort study
title_short Maternal iron status during pregnancy and attention deficit/hyperactivity disorder symptoms in 7-year-old children: a prospective cohort study
title_sort maternal iron status during pregnancy and attention deficit hyperactivity disorder symptoms in 7 year old children a prospective cohort study
url https://doi.org/10.1038/s41598-022-23432-1
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