The relationship between maternal and neonatal vitamin B12 and folate levels, anthropometric measurements, and metabolic indicators

Emel Ünsür; Burçin Kınaş; Fatma Kutlusoy; Ülkü Aksoy; Kıvanç Şahin; Tolga Ünsür; Huseyin Aksoy; Nilgün Tekkeşin

doi:10.28982/josam.669066

Authors

Emel Ünsür https://orcid.org/0000-0002-5816-7554
Burçin Kınaş https://orcid.org/0000-0002-5816-7554
Fatma Kutlusoy Department of Obstetrics and Gynaecology, Acıbadem Hospital, Kayseri, Turkey https://orcid.org/0000-0001-7008-4973
Ülkü Aksoy https://orcid.org/0000-0003-1010-9248
Kıvanç Şahin https://orcid.org/0000-0002-9402-5887
Tolga Ünsür Department of Pediatrics, Erkilet Maternity and Children Hospital, Kayseri, Turkey https://orcid.org/0000-0001-6032-462X
Huseyin Aksoy Department of Obstetrics and Gynaecology, Kayseri City Hospital, Kayseri, Turkey https://orcid.org/0000-0003-3467-3783
Nilgün Tekkeşin Department of Biochemistry, Memorial Hospital, Istanbul, Turkey https://orcid.org/0000-0001-8115-9643

DOI:

https://doi.org/10.28982/josam.669066

Keywords:

Pregnancy, Vitamin B12, Folate, Neonates, Insulin resistance, Metabolic indicators

Abstract

Aim: The nutritional imbalances in pregnancy may lead to metabolic problems in newborns, which may cause obesity during childhood and later in life. It is aimed to determine the maternal levels of folate, vitamin B12 at birth and to investigate the correlation between neonatal anthropometric measurements, and metabolic indicators such as serum lipid profile and insulin resistance.

Methods: A total of 102 mothers and newborns were enrolled in this prospective cohort study. The demographic, obstetric features, serum levels of vitamin B12, folate, glucose, high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglycerides, cholesterol, insulin, homocysteine, and homeostatic model assessment (HOMA-IR) were noted. For vitamin B12, levels, ≥191 ng/L were accepted as normal. The correlation between maternal levels of vitamin B12, folate, anthropometric measurements, and metabolic indicators of newborns were evaluated.

Results: Body mass index (P=0.004), serum insulin levels (P=0.012), HOMA-IR (P=0.001), and homocysteine (P=0.001) were increased in neonates born from mothers with lower serum levels of vitamin B12. The maternal vitamin B12 levels were positively, strongly correlated with neonatal vitamin B12 levels (r=0.719, P<0.001). There was an inverse, weak correlation between maternal vitamin B12 levels and neonatal serum insulin levels (r=-0.221, P=0.025), HOMA-IR (r=-0.249, P=0.011), and homocysteine (r=-0.394, P<0.001). Maternal folate levels were strongly, positively correlated with neonatal folate (r=0.735, P<0.001); weakly, positively correlated with neonatal vitamin B12 (r=0.327, P=0.001); moderately, inversely correlated with neonatal homocysteine (r=-0.505, P<0.001).

Conclusion: Optimizing intake of these vitamins levels during pregnancy is important to reduce the neonatal metabolic abnormalities, which may lead to obesity later in life.

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