|
1
|
Kim M, Nørrisgaard PE, Vahman N, Cexus ONF, Townsend PA, Stokholm J, Bønnelykke K, Chawes B, Brustad N. Maternal Diet Associates with Offspring Bone Mineralization, Fracture Risk and Enamel Defects in Childhood and Influences the Prenatal Effect of High-Dose Vitamin D Supplementation. Nutrients 2024; 16:405. [PMID: 38337692 PMCID: PMC10856831 DOI: 10.3390/nu16030405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 01/22/2024] [Accepted: 01/26/2024] [Indexed: 02/12/2024] Open
Abstract
We previously demonstrated a beneficial effect of high-dose vitamin D in pregnancy on offspring bone and dental health. Here, we investigated the effect of maternal dietary patterns during pregnancy on the risk of bone fractures, bone mineralization and enamel defects until age 6 years in the offspring. Further, the influence of diet on the effect of high-dose vitamin D was analyzed in the COPSAC2010 mother-child cohort including 623 mother-child pairs. A weighted network analysis on FFQs revealed three specific maternal dietary patterns that associated (Bonferroni p < 0.05) with both offspring bone and dental health. The effect of prenatal high-dose (2800 IU/day) vs. standard-dose (400 IU/day) vitamin D on offspring bone mineral content (adjusted mean difference (aMD): 33.29 g, 95% CI: 14.48-52.09, p < 0.001), bone mineral density (aMD: 0.02 g/cm2 (0.01-0.04), p < 0.001), fracture risk (adjusted incidence rate ratio: 0.36 (0.16-0.84), p = 0.02), and enamel defects in primary (adjusted odds ratio (aOR): 0.13 (0.03-0.58), p < 0.01) and permanent molars (aOR: 0.25; (0.10-0.63), p < 0.01) was most pronounced when mothers had lower intake of fruit, vegetables, meat, eggs, sweets, whole grain, offal and fish. This study suggests that prenatal dietary patterns influence offspring bone and dental development, and should be considered in order to obtain the full benefits of vitamin D to enhance personalized supplementation strategy.
Collapse
Affiliation(s)
- Min Kim
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, 2820 Copenhagen, Denmark; (M.K.); (P.E.N.); (N.V.); (J.S.); (K.B.); (B.C.)
- Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7XH, UK; (O.N.F.C.); (P.A.T.)
| | - Pia E. Nørrisgaard
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, 2820 Copenhagen, Denmark; (M.K.); (P.E.N.); (N.V.); (J.S.); (K.B.); (B.C.)
| | - Nilo Vahman
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, 2820 Copenhagen, Denmark; (M.K.); (P.E.N.); (N.V.); (J.S.); (K.B.); (B.C.)
| | - Olivier N. F. Cexus
- Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7XH, UK; (O.N.F.C.); (P.A.T.)
| | - Paul A. Townsend
- Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7XH, UK; (O.N.F.C.); (P.A.T.)
| | - Jakob Stokholm
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, 2820 Copenhagen, Denmark; (M.K.); (P.E.N.); (N.V.); (J.S.); (K.B.); (B.C.)
- Department of Food Science, University of Copenhagen, 1958 Copenhagen, Denmark
| | - Klaus Bønnelykke
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, 2820 Copenhagen, Denmark; (M.K.); (P.E.N.); (N.V.); (J.S.); (K.B.); (B.C.)
| | - Bo Chawes
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, 2820 Copenhagen, Denmark; (M.K.); (P.E.N.); (N.V.); (J.S.); (K.B.); (B.C.)
| | - Nicklas Brustad
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, 2820 Copenhagen, Denmark; (M.K.); (P.E.N.); (N.V.); (J.S.); (K.B.); (B.C.)
| |
Collapse
|