Effect of Early‐Life Lipid‐Based Nutrient Supplement and Home Environment on Autonomic Nervous System Regulation at 9–11 Years: A Follow‐Up of a Randomized Controlled Trial Article Swipe
YOU?
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· 2024
· Open Access
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· DOI: https://doi.org/10.1111/mcn.13789
Nutrition and the home environment contribute to the development of the autonomic nervous system (ANS). However, no study has examined the long‐term effects of prenatal and postnatal small‐quantity lipid‐based nutrient supplements (SQ‐LNS) and home environment on ANS regulation. We investigated the effect of early‐life SQ‐LNS and home environment on ANS regulation at 9–11 years. Participants were children born to women who participated in a randomized controlled trial in Ghana from 2009 to 2014. Women were randomized to receive daily, from pregnancy until delivery, either SQ‐LNS, multiple micronutrients (MMN) or iron and folic acid (IFA) followed by SQ‐LNS, MMN or placebo, respectively, until 6 months postpartum. Infants in the SQ‐LNS group received SQ‐LNS from 6 to 18 months. Quality of home environment was observed at 4–6 and 9–11 years. At 9–11 years, 965 children had their respiratory sinus arrhythmia (RSA) and pre‐ejection period (PEP) measured at baseline and during two inhibitory control tasks, the RACER Simon and Emotion Go/No‐Go (EGNG) tasks. PEP reactivity to the RACER Simon task was greater in the MMN (−2.54 ± 4.45, p = 0.016) and SQ‐LNS (−2.31 ± 4.94, p = 0.093) groups than in the IFA group (−1.57 ± 3.51). A better home environment at 4–6 predicted longer baseline PEP ( β = 0.13, 95% CI: 0.02, 0.23, p = 0.016) and more PEP reactivity during the EGNG task ( β = −0.06, 95% CI: −0.00, −0.02, p = 0.001). Prenatal micronutrient supplementation appears to increase SNS reactivity. Children raised in disadvantaged early home environments had more tonic SNS activation and less SNS reactivity, suggesting a predisposition for stronger fight‐or‐flight activation and less likelihood to modulate arousal in response to acute situations. Trial Registration: ClinicalTrials.gov identifier: NCT00970866
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/mcn.13789
- OA Status
- gold
- Cited By
- 1
- References
- 55
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4405448857
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4405448857Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/mcn.13789Digital Object Identifier
- Title
-
Effect of Early‐Life Lipid‐Based Nutrient Supplement and Home Environment on Autonomic Nervous System Regulation at 9–11 Years: A Follow‐Up of a Randomized Controlled TrialWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-12-16Full publication date if available
- Authors
-
Lois Maame Donkor Aryee, Seth Adu‐Afarwuah, Elizabeth L. Prado, Amanda E. Guyer, Charles D. Arnold, Kathryn G. Dewey, Benjamin Amponsah, Adom Manu, Brietta M. Oaks, Helena Bentil, Helena Nti, Fatimah Bintu Ayete Labi, Mavis Mensah, Ebenezer Adjetey, Paul D. HastingsList of authors in order
- Landing page
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https://doi.org/10.1111/mcn.13789Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1111/mcn.13789Direct OA link when available
- Concepts
-
Medicine, Randomized controlled trial, Placebo, Micronutrient, Autonomic nervous system, Pregnancy, Maternal sensitivity, Pediatrics, Vagal tone, Physiology, Internal medicine, Heart rate, Developmental psychology, Psychology, Alternative medicine, Biology, Genetics, Pathology, Blood pressureTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1Per-year citation counts (last 5 years)
- References (count)
-
55Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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