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Nutritional Neuroscience
An International Journal on Nutrition, Diet and Nervous System
Volume 25, 2022 - Issue 8
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Research Article

Maternal metal intake during pregnancy and childhood behavioral problems in Japan: the Kyushu Okinawa Maternal and Child Health Study

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Pages 1641-1649 | Published online: 11 Feb 2021
 

ABSTRACT

Objectives

Lower maternal metal intake during pregnancy might affect childhood development. The current prebirth cohort study investigated the relationship between maternal intake of zinc, magnesium, iron, copper, and manganese during pregnancy and behavioral problems in Japanese children aged five years.

Methods

Subjects were 1199 mother–child pairs. Dietary intake during the preceding month was assessed using a diet history questionnaire. Emotional, conduct, hyperactivity, and peer problems and low prosocial behavior were assessed using the Strengths and Difficulties Questionnaire. Maternal age, gestation at baseline, region of residence, number of children, maternal and paternal education, household income, maternal depressive symptoms during pregnancy, maternal alcohol intake during pregnancy, maternal smoking during pregnancy, child’s birth weight, child’s sex, breastfeeding duration, smoking in the household during the first year of life, and some dietary confounders that were associated with outcomes under study in this population were adjusted for.

Results

Compared with maternal magnesium intake during pregnancy in the first quartile, magnesium intake in the second, third, and fourth quartiles was independently inversely related to childhood hyperactivity problems, but not to emotional, conduct, or peer problems or low prosocial behavior: the adjusted odds ratio between extreme quartiles was 0.48 (95% confidence interval: 0.23−0.99, P for trend = 0.04). No evident associations were observed between maternal intake of zinc, iron, copper, or manganese during pregnancy and childhood emotional, conduct, hyperactivity, or peer problems or low prosocial behavior.

Conclusions

The present study suggests that higher maternal magnesium intake during pregnancy is inversely associated with hyperactivity problems in Japanese children.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Ethics approval

The ethics committees of Fukuoka University School of Medicine and Ehime University Graduate School of Medicine approved the Kyushu Okinawa Maternal and Child Health Study.

Additional information

Funding

This study was supported by JSPS KAKENHI grant numbers 19590606JP, 20791654JP, 21590673JP, 22592355JP, 22119507JP, 24390158JP, 25463275JP, 25670305JP, 17K12011JP, and 17H04135JP; by Health and Labour Sciences Research Grants for Research on Allergic Disease and Immunology and Health Research on Children, Youth and Families from the Ministry of Health, Labour and Welfare, Japan; by Meiji Co. Ltd.; and by the Food Science Institute Foundation; Japan Society for the Promotion of Science London.

Notes on contributors

Yoshihiro Miyake

Yoshihiro Miyake is a Professor in the Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan. He has a MD, PhD and an epidemiologist. He is a principal investigator of several projects such as the Kyushu Okinawa Maternal and Child Health Study, Aidai Cohort Study, and Japan Ulcerative Colitis Study.

Keiko Tanaka

Keiko Tanaka is a Associate Professor in the Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan. She has a DDS, PhD and an epidemiologist. She is a co-principal investigator of several projects such as the Kyushu Okinawa Maternal and Child Health Study, Aidai Cohort Study, and Japan Ulcerative Colitis Study.

Hitomi Okubo

Hitomi Okubo has a PhD and a nutritional epidemiologist. She has an interest in maternal and child health.

Satoshi Sasaki

Satoshi Sasaki is a Professor in the Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan. He has a MD, PhD and a nutritional epidemiologist. He developed the Diet History Questionnaire.

Akiko Tokinobu

Akiko Tokinobu has a Bachelor of Ayurvedic Medicine and Surgery and PhD and is a Research Associate in the Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan.

Masashi Arakawa

Masashi Arakawa is a Professor in the Wellness Research Fields, Faculty of Global and Regional Studies, University of the Ryukyus, Okinawa, Japan and has a PhD. He has an interest in health tourism.

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