Paternal preconception folate intake in relation to gestational age at delivery and birthweight of newborns conceived through assisted reproduction

Research question Studies in rodents have shown that paternal folate intake prior to conception is associated with pregnancy and offspring outcomes. The aim of this study was to assess whether those associations might apply to humans as well. Design Between 2007 and 2017, the study prospectively ana...

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Autores: Martín-Calvo, N. (Nerea)|||/items/c07b9283-4100-4920-84e6-8640d715d701, Mínguez-Alarcón, L. (Lidia)|||/items/c9980b5f-5c45-4659-8f9f-58bed4fe5d2f, Gaskins, A.J. (Audrey J.)|||/items/be76107c-53c7-4097-869e-2cc55bb677a8, Nassan, F.L. (Feiby L.)|||/items/3a02f533-f92d-43a2-b476-387f089fd85f, Williams, P.L. (Paige L.)|||/items/4ddb97b8-6701-46d3-841e-8f3b5d6eda17, Souter, I. (Irene)|||/items/a45c88e9-b8e7-4df4-a8ef-4f66f097fe23, Hauser, R. (Russ)|||/items/c2f05f55-d9fc-4db6-91ea-bcb29c315fb2, Chavarro, J.E. (Jorge E.)|||/items/9f4d388e-f899-479f-b4e3-2dcaaad34622
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/69144
Acceso en línea:https://hdl.handle.net/10171/69144
Access Level:acceso abierto
Palabra clave:Gestational age
Maternal folate
Offspring birthweight
Paternal folate
Descripción
Sumario:Research question Studies in rodents have shown that paternal folate intake prior to conception is associated with pregnancy and offspring outcomes. The aim of this study was to assess whether those associations might apply to humans as well. Design Between 2007 and 2017, the study prospectively analysed data from 108 couples participating in a preconception cohort of couples undergoing fertility treatment using their own gametes, whose treatment resulted in 113 pregnancies during the course of the study. Paternal and maternal preconception folate intake was assessed using a validated food frequency questionnaire. Linear mixed models were used to assess whether paternal preconception folate intake was associated with gestational age at delivery and gestational age-specific birthweight, while accounting for correlated data and potential confounders. Results In a multivariable-adjusted model, a 400 μg/day increase in preconception paternal folate intake was associated with a 2.6-day longer gestation (95% confidence interval 0.8–4.3) after adjusting for potential confounders, including maternal folate intake. Similar associations were found for folate from food and supplements. Maternal folate intake was not associated with gestational age at delivery. Neither paternal nor maternal folate intake was associated with gestational-age-specific birthweight. Conclusions Higher paternal preconception folate intake was associated with slightly longer gestation among live births achieved through assisted reproduction. The results suggest that preconception exposures of the father may have an impact on the health of his offspring, and therefore that preconception care should shift from a woman-centric to a couple-based approach.