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Nolvi S, Merz EC, Kataja EL, Parsons CE. Prenatal Stress and the Developing Brain: Postnatal Environments Promoting Resilience. Biol Psychiatry 2022; 93:942-952. [PMID: 36870895 DOI: 10.1016/j.biopsych.2022.11.023] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 11/14/2022] [Accepted: 11/18/2022] [Indexed: 12/25/2022]
Abstract
Heightened maternal stress during pregnancy is associated with atypical brain development and an elevated risk for psychopathology in offspring. Supportive environments during early postnatal life may promote brain development and reverse atypical developmental trajectories induced by prenatal stress. We reviewed studies focused on the role of key early environmental factors in moderating associations between prenatal stress exposure and infant brain and neurocognitive outcomes. Specifically, we focused on the associations between parental caregiving quality, environmental enrichment, social support, and socioeconomic status with infant brain and neurocognitive outcomes. We examined the evidence that these factors may moderate the effects of prenatal stress on the developing brain. Complementing findings from translational models, human research suggests that high-quality early postnatal environments are associated with indices of infant neurodevelopment that have also been associated with prenatal stress, such as hippocampal volume and frontolimbic connectivity. Human studies also suggest that maternal sensitivity and higher socioeconomic status may attenuate the effects of prenatal stress on established neurocognitive and neuroendocrine mediators of risk for psychopathology, such as hypothalamic-pituitary-adrenal axis functioning. Biological pathways that may underlie the effects of positive early environments on the infant brain, including the epigenome, oxytocin, and inflammation, are also discussed. Future research in humans should examine resilience-promoting processes in relation to infant brain development using large sample sizes and longitudinal designs. The findings from this review could be incorporated into clinical models of risk and resilience during the perinatal period and used to design more effective early programs that reduce risk for psychopathology.
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Affiliation(s)
- Saara Nolvi
- Department of Psychology and Speech-Language Pathology, Turku Institute for Advanced Studies, University of Turku, Turku, Finland; Department of Clinical Medicine, FinnBrain Birth Cohort Study, Center for Population Health Research, University of Turku, Turku, Finland.
| | - Emily C Merz
- Department of Psychology, Colorado State University, Fort Collins, Colorado
| | - Eeva-Leena Kataja
- Department of Clinical Medicine, FinnBrain Birth Cohort Study, Center for Population Health Research, University of Turku, Turku, Finland
| | - Christine E Parsons
- Department of Clinical Medicine, Interacting Minds Center, Aarhus University, Aarhus, Denmark
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Guo T, Yang Y, Jia J, Deng Y, Wang Y, Zhang Y, Zhang H, He Y, Zhao J, Peng Z, Wang Q, Shen H, Zhang Y, Yan D, Ma X. Preconception paternal/maternal BMI and risk of small/large for gestational age infant in over 4·7 million Chinese women aged 20-49 years: a population-based cohort study in China. Br J Nutr 2022; 129:1-11. [PMID: 35184774 DOI: 10.1017/s000711452200054x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Evidence of couples' BMI and its influence on birth weight is limited and contradictory. Therefore, this study aims to assess the association between couple's preconception BMI and the risk of small for gestational age (SGA)/large for gestational age (LGA) infant, among over 4·7 million couples in a retrospective cohort study based on the National Free Pre-pregnancy Checkups Project between 1 December 2013 and 30 November 2016 in China. Among the live births, 256 718 (5·44 %) SGA events and 506 495 (10·73 %) LGA events were documented, respectively. After adjusting for confounders, underweight men had significantly higher risk (OR 1·17 (95 % CI 1·15, 1·19)) of SGA infants compared with men with normal BMI, while a significant and increased risk of LGA infants was obtained for overweight and obese men (OR 1·08 (95 % CI 1·06, 1·09); OR 1·19 (95 % CI 1·17, 1·20)), respectively. The restricted cubic spline result revealed a non-linear decreasing dose-response relationship of paternal BMI (less than 22·64) with SGA. Meanwhile, a non-linear increasing dose-response relationship of paternal BMI (more than 22·92) with LGA infants was observed. Moreover, similar results about the association between maternal preconception BMI and SGA/LGA infants were obtained. Abnormal preconception BMI in either women or men were associated with increased risk of SGA/LGA infants, respectively. Overall, couple's abnormal weight before pregnancy may be an important preventable risk factor for SGA/LGA infants.
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Affiliation(s)
- Tonglei Guo
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
| | - Ying Yang
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- Graduate School of Peking Union Medical College, Building 18, No. 9, Dongdan Santiao, Dongcheng District, 100730Beijing, People's Republic of China
| | - Jiajing Jia
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- Graduate School of Peking Union Medical College, Building 18, No. 9, Dongdan Santiao, Dongcheng District, 100730Beijing, People's Republic of China
| | - Yuzhi Deng
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- Graduate School of Peking Union Medical College, Building 18, No. 9, Dongdan Santiao, Dongcheng District, 100730Beijing, People's Republic of China
| | - Yuanyuan Wang
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
| | - Ya Zhang
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
| | - Hongguang Zhang
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
| | - Yuan He
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- Graduate School of Peking Union Medical College, Building 18, No. 9, Dongdan Santiao, Dongcheng District, 100730Beijing, People's Republic of China
| | - Jun Zhao
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
| | - Zuoqi Peng
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
| | - Qiaomei Wang
- Department of Maternal and Child Health, National Health Commission of the PRC, No. 1, Xizhimenwai South Road, Xicheng District, 100044Beijing, People's Republic of China
| | - Haiping Shen
- Department of Maternal and Child Health, National Health Commission of the PRC, No. 1, Xizhimenwai South Road, Xicheng District, 100044Beijing, People's Republic of China
| | - Yiping Zhang
- Department of Maternal and Child Health, National Health Commission of the PRC, No. 1, Xizhimenwai South Road, Xicheng District, 100044Beijing, People's Republic of China
| | - Donghai Yan
- Department of Maternal and Child Health, National Health Commission of the PRC, No. 1, Xizhimenwai South Road, Xicheng District, 100044Beijing, People's Republic of China
| | - Xu Ma
- National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- National Human Genetic Resource Center, No. 12, Dahuisi Road, Haidian District, 100081Beijing, People's Republic of China
- Graduate School of Peking Union Medical College, Building 18, No. 9, Dongdan Santiao, Dongcheng District, 100730Beijing, People's Republic of China
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Koshy B, Srinivasan M, Bose A, John S, Mohan VR, Roshan R, Ramanujam K, Kang G. Developmental trends in early childhood and their predictors from an Indian birth cohort. BMC Public Health 2021; 21:1083. [PMID: 34090391 PMCID: PMC8180095 DOI: 10.1186/s12889-021-11147-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 05/26/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Early childhood developmental pattern analyses not only project future cognition potential, but also identify potential risks for possible intervention. The current study evaluates developmental trends in the first 3 years of life and their predictors in a low and middle income country setting. METHODS Trends of early childhood development at 6, 15, 24 and 36 months of age and their predictors were explored in a longitudinal community-based birth cohort study in an urban slum in Vellore, South India. Development was assessed using the Bayley Scales of Infant and Toddler Development-III (BSID-III). RESULTS The birth cohort enrolled 251 children with 94, 91, 91 and 87% follow-up at 6, 15, 24 and 36 months respectively. Child development domains of cognition, language, motor and social skills showed a significant decline in scores between 6 and 36 months of age. Higher socioeconomic position (SEP) and nurturing home environment contributed to increase in cognition scores by 1.9 and 0.9 units respectively. However, stunting caused a decline in cognition scores by 1.7 units. Higher maternal cognition, higher SEP, and caregiver responsivity positively contributed to language change over time, while higher maternal depression contributed negatively. An enriching home environment, growth parameters and blood iron status had positive association with change in motor skills. CONCLUSIONS A triple intervention plan to enhance home environment and nurturance, early childhood nutrient supplementation, and maternal education and well-being might prevent child developmental decline in high risk settings.
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Affiliation(s)
- Beena Koshy
- Developmental Paediatrics Unit, Christian Medical College, Vellore, 632004, India.
| | | | - Anuradha Bose
- Community Health, Christian Medical College, Vellore, 632004, India
| | - Sushil John
- Low Cost Effective Care Unit, Christian Medical College, Vellore, 632004, India
| | | | - Reeba Roshan
- Developmental Paediatrics Unit, Christian Medical College, Vellore, 632004, India
| | | | - Gagandeep Kang
- Wellcome research Unit, Christian Medical College, Vellore, 632004, India
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