Maternal dietary intake of fish and PUFAs and child neurodevelopment at 6 months and 1 year of age: a nationwide birth cohort—the Japan Environment and Children's Study (JECS)

Author:

Hamazaki Kei12,Matsumura Kenta2,Tsuchida Akiko12,Kasamatsu Haruka2,Tanaka Tomomi23,Ito Mika4,Inadera Hidekuni12,Kamijima Michihiro5,Yamazaki Shin6,Ohya Yukihiro7,Kishi Reiko8,Yaegashi Nobuo9,Hashimoto Koichi10,Mori Chisato11,Ito Shuichi12,Yamagata Zentaro13,Inadera Hidekuni14,Nakayama Takeo15,Iso Hiroyasu16,Shima Masayuki17,Kurozawa Youichi18,Suganuma Narufumi19,Kusuhara Koichi20,Katoh Takahiko21,Kamijima Michihiro5,Yamazaki Shin6,Ohya Yukihiro7,Kishi Reiko8,Yaegashi Nobuo9,Hashimoto Koichi10,Mori Chisato11,Ito Shuichi12,Yamagata Zentaro13,Inadera Hidekuni14,Nakayama Takeo15,Iso Hiroyasu16,Shima Masayuki17,Kurozawa Youichi18,Suganuma Narufumi19,Kusuhara Koichi20,Katoh Takahiko21,

Affiliation:

1. Department of Public Health, Faculty of Medicine, University of Toyama, Toyama, Japan

2. Toyama Regional Center for JECS, University of Toyama, Toyama, Japan

3. Department of Pediatrics, Faculty of Medicine, University of Toyama, Toyama, Japan

4. Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toyama, Toyama, Japan

5. Nagoya City University, Nagoya, Japan

6. National Institute for Environmental Studies, Tsukuba, Japan

7. National Center for Child Health and Development, Tokyo, Japan

8. Hokkaido University, Sapporo, Japan

9. Tohoku University, Sendai, Japan

10. Fukushima Medical University, Fukushima, Japan

11. Chiba University, Chiba, Japan

12. Yokohama City University, Yokohama, Japan

13. University of Yamanashi, Chuo, Japan

14. University of Toyama, Toyama, Japan

15. Kyoto University, Kyoto, Japan

16. Osaka University, Suita, Japan

17. Hyogo College of Medicine, Nishinomiya, Japan

18. Tottori University, Yonago, Japan

19. Kochi University, Nankoku, Japan

20. University of Occupational and Environmental Health, Kitakyushu, Japan

21. Kumamoto University, Kumamoto, Japan

Abstract

ABSTRACT Background Although emerging evidence indicates a relation between maternal intake of fish and improved child neurodevelopment, the results are inconsistent. Objectives This study investigated whether dietary consumption of fish during pregnancy is associated with offspring neurodevelopment at age 6 mo and 1 y. As exploratory research, we also examined the association between consumption of PUFAs and neurodevelopment at the same time points. Methods After exclusion and multiple imputation from a dataset comprising 104,065 records from the Japan Environment and Children's Study, we evaluated 81,697 and 77,751 mother-child pairs at age 6 mo and 1 y, respectively. Results Maternal fish intake during pregnancy was independently associated with reduced risk of delay in problem-solving at age 6 mo (lowest compared with highest quintile OR = 0.88; 95% CI: 0.79, 0.99; P-trend = 0.01) and in fine motor skills (highest quintile OR = 0.90; 95% CI: 0.81, 0.99; P-trend = 0.02) and problem-solving (fourth quintile OR = 0.89; 95% CI: 0.81, 0.98; and highest quintile OR = 0.90; 95% CI: 0.81, 0.99; P-trend = 0.005) at age 1 y. Dietary intake of total n–3 PUFAs was associated with reduced risk of delay in fine motor skills at 6 mo, and in fine motor skills and problem-solving at 1 y. Dietary intake of total n–6 PUFAs was associated with reduced risk of delay in communication and fine motor skills at 6 mo, and in gross motor skills, fine motor skills, and problem-solving at 1 y. In contrast, the dietary n–6/n–3 ratio was positively associated with increased risk of delay in problem-solving at 1 y. Conclusions The results of this study suggest there might be beneficial effects of fish intake during pregnancy on some domains of child psychomotor development and this effect might be partially explained by PUFA intake from fish. Trial registration: UMIN000030786.

Funder

Ministry of the Environment

Publisher

Oxford University Press (OUP)

Subject

Nutrition and Dietetics,Medicine (miscellaneous)

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