Maternal Folate and Vitamin B 12 Concentrations During Pregnancy Influence Neonatal Nutritional Status and Adiposity: Results from the OBESO Cohort

Background/Objectives: Folate and B12, among other B vitamins, are methyl donors and contribute to multiple DNA methylation processes. Maternal deficiency of these nutrients may be associated with impaired fetal growth, affecting the nutritional status and adiposity of the newborn. This study aimed...

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Veröffentlicht in:Nutrients 2025-01, Vol.17 (3), p.372
Hauptverfasser: González-Ludlow, Isabel, Rodríguez-Cano, Ameyalli M., Mendoza-Ortega, Jonatan A., Rodríguez-Hernández, Carolina, Suárez-Rico, Blanca V., Estrada-Gutierrez, Guadalupe, Tolentino-Dolores, Maricruz, Parra-Hernández, Sandra B., Sánchez-Martínez, Maribel, Acevedo-Gallegos, Sandra, Perichart-Perera, Otilia
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container_title Nutrients
container_volume 17
creator González-Ludlow, Isabel
Rodríguez-Cano, Ameyalli M.
Mendoza-Ortega, Jonatan A.
Rodríguez-Hernández, Carolina
Suárez-Rico, Blanca V.
Estrada-Gutierrez, Guadalupe
Tolentino-Dolores, Maricruz
Parra-Hernández, Sandra B.
Sánchez-Martínez, Maribel
Acevedo-Gallegos, Sandra
Perichart-Perera, Otilia
description Background/Objectives: Folate and B12, among other B vitamins, are methyl donors and contribute to multiple DNA methylation processes. Maternal deficiency of these nutrients may be associated with impaired fetal growth, affecting the nutritional status and adiposity of the newborn. This study aimed to describe maternal folate and B12 status throughout pregnancy and evaluate its association with neonatal nutritional status. Methods: We studied 90 healthy pregnant women and their babies from the prospective OBESO cohort (Mexico City). Serum folate and B12 concentrations were measured (ELISA) in the first and third trimesters of pregnancy. Deficiency was considered if serum folate was
doi_str_mv 10.3390/nu17030372
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Maternal deficiency of these nutrients may be associated with impaired fetal growth, affecting the nutritional status and adiposity of the newborn. This study aimed to describe maternal folate and B12 status throughout pregnancy and evaluate its association with neonatal nutritional status. Methods: We studied 90 healthy pregnant women and their babies from the prospective OBESO cohort (Mexico City). Serum folate and B12 concentrations were measured (ELISA) in the first and third trimesters of pregnancy. Deficiency was considered if serum folate was &lt;4 ng/mL, red blood cell folate (RBC) &lt; 151 ng/mL, active B12 &lt; 40 pmol/L, and total B12 &lt; 203 pg/mL). Maternal supplementation of these nutrients was recorded. Newborn assessment (24–72 h) included weight (BW), length (L), waist circumference (WC), and fat mass percentage (%FM; air-displacement plethysmography). Newborn nutritional status indexes were computed and interpreted (BMI/age and length/age) (term-WHO, preterm-Intergrowth). Mean differences, correlations, and multiple linear and logistic regressions were performed (SPSS v. 29). Results: One-third of women had total vitamin B12 deficiency at the end of pregnancy; no folate deficiency was observed. High doses for both folic acid and B12 supplementation were identified in the third trimester (2057.04 ± 2100.74 μg/d and 7.35 ± 4.56 μg/d). Higher first- and third-trimester maternal active B12 concentrations predicted higher WC and reduced the risk of LBW. Higher first-trimester Thcy levels increased the risk of stunting. Higher third-trimester total B12 and folate concentrations predicted higher WC; the latter was associated with higher FM% at birth. Conclusions: Maternal folate, B12, and Thcy levels influence newborn nutritional status alterations, including adiposity markers. It is vital to guarantee an optimal and balanced maternal B-complex status throughout pregnancy.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu17030372</identifier><language>eng</language><ispartof>Nutrients, 2025-01, Vol.17 (3), p.372</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c712-c1eafd9a5aacfe73bbd319f75df008f4ad315570a6e67ca65e0797fa9c3001773</cites><orcidid>0000-0002-6229-0360 ; 0000-0003-4477-0317 ; 0000-0002-1631-0244 ; 0000-0003-1492-5293 ; 0000-0003-0902-4351 ; 0000-0001-9551-9021</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>González-Ludlow, Isabel</creatorcontrib><creatorcontrib>Rodríguez-Cano, Ameyalli M.</creatorcontrib><creatorcontrib>Mendoza-Ortega, Jonatan A.</creatorcontrib><creatorcontrib>Rodríguez-Hernández, Carolina</creatorcontrib><creatorcontrib>Suárez-Rico, Blanca V.</creatorcontrib><creatorcontrib>Estrada-Gutierrez, Guadalupe</creatorcontrib><creatorcontrib>Tolentino-Dolores, Maricruz</creatorcontrib><creatorcontrib>Parra-Hernández, Sandra B.</creatorcontrib><creatorcontrib>Sánchez-Martínez, Maribel</creatorcontrib><creatorcontrib>Acevedo-Gallegos, Sandra</creatorcontrib><creatorcontrib>Perichart-Perera, Otilia</creatorcontrib><title>Maternal Folate and Vitamin B 12 Concentrations During Pregnancy Influence Neonatal Nutritional Status and Adiposity: Results from the OBESO Cohort</title><title>Nutrients</title><description>Background/Objectives: Folate and B12, among other B vitamins, are methyl donors and contribute to multiple DNA methylation processes. Maternal deficiency of these nutrients may be associated with impaired fetal growth, affecting the nutritional status and adiposity of the newborn. This study aimed to describe maternal folate and B12 status throughout pregnancy and evaluate its association with neonatal nutritional status. Methods: We studied 90 healthy pregnant women and their babies from the prospective OBESO cohort (Mexico City). Serum folate and B12 concentrations were measured (ELISA) in the first and third trimesters of pregnancy. Deficiency was considered if serum folate was &lt;4 ng/mL, red blood cell folate (RBC) &lt; 151 ng/mL, active B12 &lt; 40 pmol/L, and total B12 &lt; 203 pg/mL). Maternal supplementation of these nutrients was recorded. Newborn assessment (24–72 h) included weight (BW), length (L), waist circumference (WC), and fat mass percentage (%FM; air-displacement plethysmography). Newborn nutritional status indexes were computed and interpreted (BMI/age and length/age) (term-WHO, preterm-Intergrowth). Mean differences, correlations, and multiple linear and logistic regressions were performed (SPSS v. 29). Results: One-third of women had total vitamin B12 deficiency at the end of pregnancy; no folate deficiency was observed. High doses for both folic acid and B12 supplementation were identified in the third trimester (2057.04 ± 2100.74 μg/d and 7.35 ± 4.56 μg/d). Higher first- and third-trimester maternal active B12 concentrations predicted higher WC and reduced the risk of LBW. Higher first-trimester Thcy levels increased the risk of stunting. Higher third-trimester total B12 and folate concentrations predicted higher WC; the latter was associated with higher FM% at birth. Conclusions: Maternal folate, B12, and Thcy levels influence newborn nutritional status alterations, including adiposity markers. 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Maternal deficiency of these nutrients may be associated with impaired fetal growth, affecting the nutritional status and adiposity of the newborn. This study aimed to describe maternal folate and B12 status throughout pregnancy and evaluate its association with neonatal nutritional status. Methods: We studied 90 healthy pregnant women and their babies from the prospective OBESO cohort (Mexico City). Serum folate and B12 concentrations were measured (ELISA) in the first and third trimesters of pregnancy. Deficiency was considered if serum folate was &lt;4 ng/mL, red blood cell folate (RBC) &lt; 151 ng/mL, active B12 &lt; 40 pmol/L, and total B12 &lt; 203 pg/mL). Maternal supplementation of these nutrients was recorded. Newborn assessment (24–72 h) included weight (BW), length (L), waist circumference (WC), and fat mass percentage (%FM; air-displacement plethysmography). Newborn nutritional status indexes were computed and interpreted (BMI/age and length/age) (term-WHO, preterm-Intergrowth). Mean differences, correlations, and multiple linear and logistic regressions were performed (SPSS v. 29). Results: One-third of women had total vitamin B12 deficiency at the end of pregnancy; no folate deficiency was observed. High doses for both folic acid and B12 supplementation were identified in the third trimester (2057.04 ± 2100.74 μg/d and 7.35 ± 4.56 μg/d). Higher first- and third-trimester maternal active B12 concentrations predicted higher WC and reduced the risk of LBW. Higher first-trimester Thcy levels increased the risk of stunting. Higher third-trimester total B12 and folate concentrations predicted higher WC; the latter was associated with higher FM% at birth. Conclusions: Maternal folate, B12, and Thcy levels influence newborn nutritional status alterations, including adiposity markers. 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title Maternal Folate and Vitamin B 12 Concentrations During Pregnancy Influence Neonatal Nutritional Status and Adiposity: Results from the OBESO Cohort
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