Abstract
More than 50 % of women develop moderate anemia during pregnancy with about 5–10 % of women developing severe anemia in Sub-Saharan Africa. Severe anemia increases the risk of mortality and morbidity in mothers, but there is limited information on anemia during pregnancy and cognitive outcome in childhood despite the very high prevalence of anemia in Sub-Saharan Africa. The main goal of this research project is to study the relationship between anemia in pregnancy and cognitive function in childhood. This study takes advantage of a group of infants born following a randomized controlled trial of intermittent preventive treatment for malaria in women during pregnancy funded by the European Union. Mothers have been followed from the second trimester of pregnancy until delivery including at least three blood samples with infections (malaria) and micronutrient deficiencies analyses. Offspring are assessed with the Mullen Scales of Early Learning (MSEL) at 12 months of age. A blood draw is also performed assessing Hb concentration, infections (malaria), iron deficiency, and lead in blood. So far, preliminary results show significant associations between impaired development and both environmental and care giving quality risk factors.
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References
Ahmad, S. H., Amir, M., Ansari, Z., & Ahmed, K. N. (1983). Influence of maternal iron deficiency anemia on the fetal total body iron. Indian Pediatrics, 20, 643–646.
Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition, 71, 1280S–1284S.
Allen, L. H. (2001). Biological mechanisms that might underlie iron’s effects on fetal growth and preterm birth. The Journal of Nutrition, 131, 581S–589S.
Ballard, J. L., Khoury, J. C., Wedig, K., Wang, L., Eilerswalsman, B. L., & Lipp, R. (1991). New Ballard Score, expanded to include extremely premature-infants. The Journal of Pediatrics, 119, 417–423.
Berkowitz, G. S., & Papiernik, E. (1993). Epidemiology of preterm birth. Epidemiologic Reviews, 15, 414–443.
Bodeau-Livinec, F., Briand, V., Berger, J., Xiong, X., Massougbodji, A., Day, K. P., et al. (2011). Maternal anemia in Benin: Prevalence, risk factors and association with low birth weight. The American Journal of Tropical Medicine and Hygiene, 85(3), 414–420.
Bodnar, L. M., Ness, R. B., Harger, G. F., & Roberts, J. M. (2005). Inflammation and triglycerides partially mediate the effect of prepregnancy body mass index on the risk of preeclampsia. American Journal of Epidemiology, 162, 1198–1206.
Brabin, B. J., Kalanda, B. F., Verhoeff, F. H., Chimsuku, L. H., & Broadhead, R. L. (2004). Risk factors for fetal anaemia in a malarious area of Malawi. Annals of Tropical Paediatrics, 24, 311–321.
Caldwell, B. M. B. R. (2001). HOME inventory administration manual. Little Rock, AR: Center for Research on Teaching & Learning.
Calis, J. C. J., Phiri, K. S., Faragher, E. B., Brabin, B. J., Bates, I., Cuevas, L. E., et al. (2008). Severe anemia in Malawian children. The New England Journal of Medicine, 358, 888–899.
Christian, P., Murray-Kolb, L. E., Khatry, S. K., Katz, J., Schaefer, B. A., Cole, P. M., et al. (2010). Prenatal micronutrient supplementation and intellectual and motor function in early school-aged children in Nepal. JAMA: The Journal of the American Medical Association, 304, 2716–2723.
Colomer, J., Colomer, C., Gutierrez, D., Jubert, A., Nolasco, A., Donat, J., et al. (1990). Anaemia during pregnancy as a risk factor for infant iron deficiency: Report from the Valencia Infant Anaemia Cohort (VIAC) study. Paediatric and Perinatal Epidemiology, 4, 196–204.
Engle, P. L., Fernald, L. C. H., Alderman, H., Behrman, J., O’Gara, C., Yousafzai, A., et al. (2011). Child development 2 strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries. Lancet, 378, 1339–1353.
Geelhoed, D., Agadzi, F., Visser, L., Ablordeppey, E., Asare, K., O’Rourke, P., et al. (2006). Severe anemia in pregnancy in rural Ghana: A case-control study of causes and management. Acta Obstetricia Et Gynecologica Scandinavica, 85, 1165–1171.
Hernan, M. A., Hernandez-Diaz, S., Werler, M. M., & Mitchell, A. A. (2002). Causal knowledge as a prerequisite for confounding evaluation: An application to birth defects epidemiology. American Journal of Epidemiology, 155, 176–184.
Hernandez-Martinez, C., Canals, J., Aranda, N., Ribot, B., Escribano, J., & Arija, V. (2011). Effects of iron deficiency on neonatal behavior at different stages of pregnancy. Early Human Development, 87, 165–169.
Idjradinata, P., & Pollitt, E. (1993). Reversal of developmental delays in iron-deficient anemic infants treated with iron. Lancet, 341, 1–4.
Insel, B. J., Schaefer, C. A., McKeague, I. W., Susser, E. S., & Brown, A. S. (2008). Maternal iron deficiency and the risk of schizophrenia in offspring. Archives of General Psychiatry, 65, 1136–1144.
Kilbride, J., Baker, T. G., Parapia, L. A., Khoury, S. A., Shuqaidef, S. W., & Jerwood, D. (1999). Anaemia during pregnancy as a risk factor for iron-deficiency anaemia in infancy: A case-control study in Jordan. International Journal of Epidemiology, 28, 461–468.
Lao, T. T., Loong, E. P. L., Chin, R. K. H., Lam, C. W. K., & Lam, Y. M. (1991). Relationship between newborn and maternal iron status and hematological indexes. Biology of the Neonate, 60, 303–307.
Latoundji, S., Ablete, A. L., Zohoun, I. (1991). Morbidite et mortalite drepanocytaire au Benin. Médecine d'Afrique Noire 38 (8/9).
Li, S. C. (2003). Biocultural orchestration of developmental plasticity across levels: The interplay of biology and culture in shaping the mind and behavior across the life span. Psychological Bulletin, 129, 171–194.
Looker, A. C., Dallman, P. R., Carroll, M. D., Gunter, E. W., & Johnson, C. L. (1997). Prevalence of iron deficiency in the United States. JAMA: The Journal of the American Medical Association, 277, 973–976.
Lozoff, B., & Georgieff, M. K. (2006). Iron deficiency and brain development. Seminars in Pediatric Neurology, 13, 158–165.
Mihaila, C., Schramm, J., Strathmann, F. G., Lee, D. L., Gelein, R. M., Luebke, A. E., et al. (2011). Identifying a window of vulnerability during fetal development in a maternal iron restriction model. PloS One, 6(3), e17483.
MMWR PiCD. (1990, February 9). Prevention anemia during pregnancy in low-income women. United States, 1987. MMWR PiCD, 39(5), 73–76, 81.
Morton, R. E., Nysenbaum, A., & Price, K. (1988). Iron status in the 1st year of life. Journal of Pediatric Gastroenterology and Nutrition, 7, 707–712.
Ouédraogo, S. K. G., Accrombessi, M., Massougbodji, A., Bodeau-Livinec, F., & Cot, M. (2012). Maternal anaemia at first antenatal visit: Prevalence and aetiologies in a West African malaria endemic area. The American Journal of Tropical Medicine and Hygiene, 87(3), 418–424.
Perez, E. M., Hendricks, M. K., Beard, J. L., Murray-Kolb, L. E., Berg, A., Tomlinson, M., et al. (2005). Mother-infant interactions and infant development are altered by maternal iron deficiency anemia. The Journal of Nutrition, 135, 850–855.
Pollitt, E. (1993). Iron-deficiency and cognitive function. Annual Review of Nutrition, 13, 521–537.
Preziosi, P., Prual, A., Galan, P., Daouda, H., Boureima, H., & Hercberg, S. (1997). Effect of iron supplementation on the iron status of pregnant women: Consequences for newborns. The American Journal of Clinical Nutrition, 66, 1178–1182.
Sazawal, S., Black, R. E., Ramsan, M., Chwaya, H. M., Stoltzfus, R. J., Dutta, A., et al. (2006). Effects of routine prophylactic supplementation with iron and folic acid on admission to hospital and mortality in preschool children in a high malaria transmission setting: Community-based, randomised, placebo-controlled trial. Lancet, 367, 133–143.
Scanlon, K. S., Yip, R., Schieve, L. A., & Cogswell, M. E. (2000). High and low hemoglobin levels during pregnancy: Differential risks for preterm birth and small for gestational age. Obstetrics and Gynecology, 96, 741–748.
Siza, J. E. (2008). Risk factors associated with low birth weight of neonates among pregnant women attending a referral hospital in northern Tanzania. Tanzania Journal of Health Research, 10, 1–8.
Strauss, M. B. (1933). Anemia of infancy from maternal iron deficiency in pregnancy. The Journal of Clinical Investigation, 12, 345–353.
Tamura, T., Goldenberg, R. L., Hou, J. R., Johnston, K. E., Cliver, S. P., Ramey, S. L., et al. (2002). Cord serum ferritin concentrations and mental and psychomotor development of children at five years of age. The Journal of Pediatrics, 140, 165–170.
van den Broek, N. (2003). Anaemia and micronutrient deficiencies. British Medical Bulletin, 67, 149–160.
Vaughn, J., Brown, J., & Carter, J. P. (1986). The effects of maternal anemia on infant behavior. Journal of the National Medical Association, 78, 963–968.
Walker, S. P., Wachs, T. D., Gardner, J. M., Lozoff, B., Wasserman, G. A., Pollitt, E., et al. (2007). Child development in developing countries 2 – Child development: Risk factors for adverse outcomes in developing countries. Lancet, 369, 145–157.
Walker, S. P., Wachs, T. D., Grantham-McGregor, S., Black, M. M., Nelson, C. A., Huffman, S. L., et al. (2011). Child development 1 inequality in early childhood: Risk and protective factors for early child development. Lancet, 378, 1325–1338.
WHO. (1998). Global database on child growth and malnutrition. Geneva: WHO.
WHO. (2001). Iron deficiency anaemia: Assessment, prevention and control. Geneva: World Health Organization.
WHO/UNICEF/UNU. (1997). Indicators for assessing iron deficiency and strategies for its prevention. Geneva: WHO.
Xiong, X., Buekens, P., Alexander, S., Demianczuk, N., & Wollast, E. (2000). Anemia during pregnancy and birth outcome: A meta-analysis. American Journal of Perinatology, 17, 137–146.
Yip, R. (2000). Significance of an abnormally low or high hemoglobin concentration during pregnancy: Special consideration of iron nutrition. The American Journal of Clinical Nutrition, 72, 272S–278S.
Acknowledgments
We are grateful to Pr Karen Day from New York University School of Medicine, Pr Leslie Davidson from the Mailman School of Public Health from Columbia University in the USA, and Pr Achille Massougbodji from the Faculté des Sciences de la Santé in Benin for their support and advices for this study and Anne B. Giordani, Ph.D. ELS, for editorial assistance.
Financial Support
This study is supported through EDCTP and through a grant (R21-HD060524) from the National Institutes of Health.
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Bodeau-Livinec, F., Cot, M., Koura, G.K., Boivin, M.J. (2013). Assessing the Effects of Maternal Anemia on Child Development in Benin. In: Boivin, M., Giordani, B. (eds) Neuropsychology of Children in Africa. Specialty Topics in Pediatric Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6834-9_10
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