Association of antenatal vitamin B complex supplementation with neonatal vitamin B12 status: evidence from a cluster randomized controlled trial

Purpose Evidence about the effect of maternal vitamin B 12 supplementation on offspring’s vitamin B 12 status is limited. The present interventional study sought to evaluate the association of antenatal vitamin B complex supplementation with neonatal vitamin B 12 status. Methods In an ongoing cluste...

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Veröffentlicht in:European journal of nutrition 2021-03, Vol.60 (2), p.1031-1039
Hauptverfasser: Li, Shanshan, Mi, Baibing, Qu, Pengfei, Liu, Danmeng, Lei, Fangliang, Wang, Duolao, Zeng, Lingxia, Kang, Yijun, Shen, Yuan, Pei, Leilei, Zhu, Zhonghai, Yan, Hong, Liu, Xin, Dang, Shaonong
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container_issue 2
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container_title European journal of nutrition
container_volume 60
creator Li, Shanshan
Mi, Baibing
Qu, Pengfei
Liu, Danmeng
Lei, Fangliang
Wang, Duolao
Zeng, Lingxia
Kang, Yijun
Shen, Yuan
Pei, Leilei
Zhu, Zhonghai
Yan, Hong
Liu, Xin
Dang, Shaonong
description Purpose Evidence about the effect of maternal vitamin B 12 supplementation on offspring’s vitamin B 12 status is limited. The present interventional study sought to evaluate the association of antenatal vitamin B complex supplementation with neonatal vitamin B 12 status. Methods In an ongoing cluster randomized controlled trial conducted in three rural counties in northwest China, pregnant women 
doi_str_mv 10.1007/s00394-020-02309-x
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The present interventional study sought to evaluate the association of antenatal vitamin B complex supplementation with neonatal vitamin B 12 status. Methods In an ongoing cluster randomized controlled trial conducted in three rural counties in northwest China, pregnant women &lt; 20 weeks of gestation were randomized to three treatment groups: blank control, iron supplements, or vitamin B complex supplements. All women were administered folic acid supplements during the periconceptional period. In a sub-study, we collected cord blood samples of 331 participants from the control or vitamin B complex groups in the Xunyi county from January 2017 to December 2017. Plasma concentrations of folate, vitamin B 12 , and homocysteine were measured. Linear mixed models with a random intercept for cluster were used to compare biochemical indexes between groups after controlling for covariates. Results Compared with newborns whose mothers were in the control group, newborns of the vitamin B complex-supplemented women had significantly higher cord plasma vitamin B 12 ( P  = 0.001) and lower homocysteine concentrations ( P  = 0.043). The association of antenatal vitamin B complex supplementation with cord blood vitamin B 12 concentrations appeared to be more pronounced among newborns with high folate status than those with low folate status ( P interaction  = 0.060). Conclusions Maternal vitamin B complex supplementation during pregnancy was associated with better neonatal vitamin B 12 status in rural northwest China.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-020-02309-x</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Chemistry ; Chemistry and Materials Science ; Clinical trials ; Cord blood ; Folic acid ; Gestation ; Homocysteine ; Neonates ; Newborn babies ; Nutrition ; Original Contribution ; Supplements ; Vitamin B ; Vitamin B12</subject><ispartof>European journal of nutrition, 2021-03, Vol.60 (2), p.1031-1039</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c267x-103d74a059b81bd27bdbf33ac74a1aa8d8de2467f4040f1800711c2a3b5ddde33</citedby><cites>FETCH-LOGICAL-c267x-103d74a059b81bd27bdbf33ac74a1aa8d8de2467f4040f1800711c2a3b5ddde33</cites><orcidid>0000-0001-5105-0532</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-020-02309-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-020-02309-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids></links><search><creatorcontrib>Li, Shanshan</creatorcontrib><creatorcontrib>Mi, Baibing</creatorcontrib><creatorcontrib>Qu, Pengfei</creatorcontrib><creatorcontrib>Liu, Danmeng</creatorcontrib><creatorcontrib>Lei, Fangliang</creatorcontrib><creatorcontrib>Wang, Duolao</creatorcontrib><creatorcontrib>Zeng, Lingxia</creatorcontrib><creatorcontrib>Kang, Yijun</creatorcontrib><creatorcontrib>Shen, Yuan</creatorcontrib><creatorcontrib>Pei, Leilei</creatorcontrib><creatorcontrib>Zhu, Zhonghai</creatorcontrib><creatorcontrib>Yan, Hong</creatorcontrib><creatorcontrib>Liu, Xin</creatorcontrib><creatorcontrib>Dang, Shaonong</creatorcontrib><title>Association of antenatal vitamin B complex supplementation with neonatal vitamin B12 status: evidence from a cluster randomized controlled trial</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><description>Purpose Evidence about the effect of maternal vitamin B 12 supplementation on offspring’s vitamin B 12 status is limited. The present interventional study sought to evaluate the association of antenatal vitamin B complex supplementation with neonatal vitamin B 12 status. Methods In an ongoing cluster randomized controlled trial conducted in three rural counties in northwest China, pregnant women &lt; 20 weeks of gestation were randomized to three treatment groups: blank control, iron supplements, or vitamin B complex supplements. All women were administered folic acid supplements during the periconceptional period. In a sub-study, we collected cord blood samples of 331 participants from the control or vitamin B complex groups in the Xunyi county from January 2017 to December 2017. Plasma concentrations of folate, vitamin B 12 , and homocysteine were measured. Linear mixed models with a random intercept for cluster were used to compare biochemical indexes between groups after controlling for covariates. Results Compared with newborns whose mothers were in the control group, newborns of the vitamin B complex-supplemented women had significantly higher cord plasma vitamin B 12 ( P  = 0.001) and lower homocysteine concentrations ( P  = 0.043). The association of antenatal vitamin B complex supplementation with cord blood vitamin B 12 concentrations appeared to be more pronounced among newborns with high folate status than those with low folate status ( P interaction  = 0.060). Conclusions Maternal vitamin B complex supplementation during pregnancy was associated with better neonatal vitamin B 12 status in rural northwest China.</description><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Clinical trials</subject><subject>Cord blood</subject><subject>Folic acid</subject><subject>Gestation</subject><subject>Homocysteine</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Nutrition</subject><subject>Original Contribution</subject><subject>Supplements</subject><subject>Vitamin B</subject><subject>Vitamin B12</subject><issn>1436-6207</issn><issn>1436-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kctOBCEQRYnRRB39AVckbty0FtCPaXdqfCUmbnRNaKCVCQ0j0Dr6FX6yaBtNXLioVIWce1PURWiPwCEBaI4iAGvLAijkYtAWqzW0RUpWFzUl1frPDM0m2o5xAZCxmmyh95MYvTQiGe-w77FwSTuRhMXPJonBOHyKpR-WVq9wHJe5D9qlCX8x6RE77f_whOKYiTEeY_1slHZS4z74AQss7RiTDjgIp_xg3rTK5i4Fb20eUzDC7qCNXtiod7_7DN1fnN-dXRU3t5fXZyc3haR1syoIMNWUAqq2m5NO0aZTXc-YkPmRCDFXc6VpWTd9CSX0ZJ6PRIikgnWVUkozNkMHk-8y-KdRx8QHE6W2VuQfjZHTktQtI9BUGd3_gy78GFzeLlMtJbSiGZ0hOlEy-BiD7vkymEGEV06Af4bEp5B4Dol_hcRXWcQmUcywe9Dh1_of1QctH5gP</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Li, Shanshan</creator><creator>Mi, Baibing</creator><creator>Qu, Pengfei</creator><creator>Liu, Danmeng</creator><creator>Lei, Fangliang</creator><creator>Wang, Duolao</creator><creator>Zeng, Lingxia</creator><creator>Kang, Yijun</creator><creator>Shen, Yuan</creator><creator>Pei, Leilei</creator><creator>Zhu, Zhonghai</creator><creator>Yan, Hong</creator><creator>Liu, Xin</creator><creator>Dang, Shaonong</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5105-0532</orcidid></search><sort><creationdate>20210301</creationdate><title>Association of antenatal vitamin B complex supplementation with neonatal vitamin B12 status: evidence from a cluster randomized controlled trial</title><author>Li, Shanshan ; 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The present interventional study sought to evaluate the association of antenatal vitamin B complex supplementation with neonatal vitamin B 12 status. Methods In an ongoing cluster randomized controlled trial conducted in three rural counties in northwest China, pregnant women &lt; 20 weeks of gestation were randomized to three treatment groups: blank control, iron supplements, or vitamin B complex supplements. All women were administered folic acid supplements during the periconceptional period. In a sub-study, we collected cord blood samples of 331 participants from the control or vitamin B complex groups in the Xunyi county from January 2017 to December 2017. Plasma concentrations of folate, vitamin B 12 , and homocysteine were measured. Linear mixed models with a random intercept for cluster were used to compare biochemical indexes between groups after controlling for covariates. Results Compared with newborns whose mothers were in the control group, newborns of the vitamin B complex-supplemented women had significantly higher cord plasma vitamin B 12 ( P  = 0.001) and lower homocysteine concentrations ( P  = 0.043). The association of antenatal vitamin B complex supplementation with cord blood vitamin B 12 concentrations appeared to be more pronounced among newborns with high folate status than those with low folate status ( P interaction  = 0.060). Conclusions Maternal vitamin B complex supplementation during pregnancy was associated with better neonatal vitamin B 12 status in rural northwest China.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00394-020-02309-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5105-0532</orcidid></addata></record>
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source Springer Nature - Complete Springer Journals
subjects Chemistry
Chemistry and Materials Science
Clinical trials
Cord blood
Folic acid
Gestation
Homocysteine
Neonates
Newborn babies
Nutrition
Original Contribution
Supplements
Vitamin B
Vitamin B12
title Association of antenatal vitamin B complex supplementation with neonatal vitamin B12 status: evidence from a cluster randomized controlled trial
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