Effect of women dietary patterns during pregnancy on infants' cognitive development in rural Yunnan

doi:10.11852/zgetbjzz2021-0992

Abstract

Abstract: Objectives To investigate the association between pregnant women's dietary patterns (DP) and cognitive development of infants, in order to provide reference for facilitating cognitive development of rural infants. Methods An ambispective cohort study on the effects of women's dietary patterns during pregnancy on infants' cognitive development was established based on a birth cohort study of rural areas in Yunnan, and maternal dietary information during pregnancy was collected.A total of 228 mother-child pairs were enrolled and followed in the study from January 2018 to December 2019.A self-designed questionnaire survey was conducted among infant's mother or primary caregivers, including infants' health status, supplementary foods, main caregivers and so on.Meanwhile, children's cognitive development at 12 months old was assessed by the Bayley Scales of Infant Development-Third Edition (BSID-Ⅲ).Women's dietary patterns during pregnancy were obtained through principal component analysis (PCA).Multiple linear regression was used to analyze the effects of dietary patterns during pregnancy on infants' cognitive development. Results Three dietary patterns were extracted in three trimesters as well as in the combined second and third trimester of pregnancy, including pickled food(ham, Chinese sauerkraut), animal protein (animal organs, livestock meat, poultry meat, fish and shrimp) and traditional food (potato/sweet potato, rice, flour and related products, vegetables).The average score of cognitive development in 228 infants was 98.84±16.66, and 20 (8.8%) infants were detected with developmental delay.Multiple linear regression analysis indicated that traditional dietary pattern was negatively associated with cognitive development of 12-month-old infants (β=-12.272, P=0.002), while primary caregivers with high school degree or above was positively associated with cognitive development of 12-month-old infants (β=12.476, P=0.035). Conclusions The cognitive development level of infants in rural Yunnan is slightly lower than other areas and needs to be improved.Traditional dietary pattern during pregnancy may delay the cognitive development of infants.

Key words: pregnant women, dietary patterns, rural area, infants, cognitive development

摘要： 目的探讨云南农村妇女孕期膳食模式(DP)对婴儿认知发育的影响,为促进婴儿认知发育提供科学依据。方法依托云南农村出生队列,建立双向性队列,收集孕期膳食资料,自2018年1月-2019年12月共追踪获得228对母子对。随访婴儿既往健康状况、辅食添加种类和主要照护者学历等信息。运用BSID-Ⅲ对婴儿满1岁时进行认知发育评估。采用主成分分析提取孕期DP,运用多元线性回归分析孕期DP对婴儿认知发育的影响。结果孕早中晚期及合并孕中晚期均得到3种DP:腌制型、动物蛋白型、传统型。腌制型包括腌菜/酸菜、火腿/腌肉;动物蛋白型包括动物内脏、畜肉、禽肉、鱼虾;传统型包括土豆/红薯、米面及制品、蔬菜。228名婴儿认知发育平均得分为98.84±16.66,发育落后20人(8.8%)。多元线性回归分析显示,妇女孕期越偏向选择传统型DP,婴儿认知得分越低(β=-12.272,P=0.002)。主要照护者学历越高,婴儿认知得分越高(β=12.476,P=0.035)。结论云南农村地区婴儿认知发育水平略低于其他地区,有待提高,孕期传统型DP会延缓婴儿认知发育。

关键词: 孕妇, 膳食模式, 农村地区, 婴儿, 认知发育

CLC Number:

R153.1

LI Yu-ping, CHEN Ying, CHEN Shu-qi, XIAO Xia, QI Zhi-ye, LI Yan. Effect of women dietary patterns during pregnancy on infants' cognitive development in rural Yunnan[J]. Chinese Journal of Child Health Care, 2022, 30(3): 244-248.

李玉萍, 陈颖, 陈舒旗, 肖霞, 齐志业, 李燕. 农村妇女孕期膳食模式对婴儿认知发育的影响[J]. 中国儿童保健杂志, 2022, 30(3): 244-248.

References

[1] McKerracher L, Moffat T, Barker M, et al.Knowledge about the developmental origins of health and disease is independently associated with variation in diet quality during pregnancy[J].Matern Child Nutr, 2020,16(2): e12891.
[2] 李艳玮, 李燕芳.儿童青少年认知能力发展与脑发育[J].心理科学进展, 2010,18(11): 1700-1706.
[3] 胡蕊, 朱文丽, 冯翠玲, 等.孕妇膳食模式建立及其相关因素[J].中国公共卫生, 2015,31(11): 1457-1459.
[4] 徐姗姗, 黄红, 张劲松, 等.贝莉婴幼儿发育量表-第三版评价上海市婴幼儿发育水平的应用初探[J].中国儿童保健杂志, 2011,19(1): 30-32.
[5] Viezel K, Zibulsky J, Dumont R, et al.Bayley Scales of Infant and Toddler Development[M]. 3rd ed. New York:American Cancer Society, 2014: 113-114.
[6] 李玉萍, 肖霞, 蹇秀桂, 等.云南农村妇女不同孕期膳食模式及影响因素[J].中国妇幼健康研究, 2021,32(6): 878-882.
[7] 唐晓武, 宋玉梅, 陈龙江, 等.孕期膳食对新生儿血压的影响[J].中华疾病控制杂志, 2012,16(11): 930-932.
[8] Yang J, Dang S, Cheng Y, et al.Dietary intakes and dietary patterns among pregnant women in Northwest China[J].Public Health Nutr, 2016,20(02): 282-293.
[9] Zhang H, Xia Y, Chang Q, et al.Dietary patterns and associations between air pollution and gestational diabetes mellitus[J].Environ Int, 2021,147: 106347.
[10] 吴散散, 段燕萍, 马帅, 等.孕早期饮食模式及其影响因素分析[J].现代预防医学, 2019,46(19): 3514-3517.
[11] Freitas V, Pearson R, Emmett P,et al.Maternal dietary patterns during pregnancy and intelligence quotients in the offspring at 8 years of age: Findings from the ALSPAC cohort[J].Matern Child Nutr, 2018,14(1): e12431.
[12] 吴利, 王淮燕, 李玖玲, 等.贝利婴幼儿发展量表(第3版)在筛查测试婴幼儿认知发育中的应用[J].实用临床医药杂志, 2021,25(3): 33-35.
[13] 单文婕, 张云婷, 林青敏, 等.中国八省市城乡婴幼儿早期发展现状研究[J].中国儿童保健杂志, 2019,27(4): 362-365.
[14] 蒋新液, 马玉杰, 陈雅芬, 等.480名正常婴幼儿认知发育影响因素调查[J].中国儿童保健杂志, 2013,21(12): 1321-1323.
[15] 杨玉凤.重视早期营养对婴幼儿认知发展及行为疾病的重要性[J].中国儿童保健杂志, 2021,29(2): 117-119.
[16] Vasiliki L, Theano R, Katerina S, et al.Dietary patterns in early childhood and child cognitive and psychomotor development: the Rhea mother-child cohort study in Crete[J].Brit J Nutr, 2016,115(8): 1431-1437.
[17] Black M, Walker S, Fernald L, et al.Early childhood development coming of age: science through the life course[J].Lancet, 2017,389(10064): 77-90.
[18] 李英, 贾米琪, 郑文廷, 等.中国农村贫困地区儿童早期认知发展现状及影响因素研究[J].华东师范大学学报(教育科学版), 2019,37(3): 17-32.
[19] 王海莲, 王艳娟, 施文银.婴儿神经心理发育特点分析[J].中国农村卫生事业管理, 2014,34(8): 987-989.