Vitamin and homocysteine status of mothers and infants and the risk of nonsyndromic orofacial clefts.

Abstract:

OBJECTIVE:This study was undertaken to investigate the involvement of maternal and infant B vitamins and homocysteine as risk factors for orofacial clefting. STUDY DESIGN:Venous blood samples were taken from 96 infants with nonsyndromic orofacial clefts and 88 infants without a congenital malformation and from their mothers at approximately 14 months after the index pregnancy. Red blood cell and serum folate, serum vitamin B(12), whole blood vitamin B(6) as pyridoxal-5'-phosphate (PLP), and plasma homocysteine concentrations were measured. RESULTS:A vitamin B(12) concentration of 185 pmol/L or less and a PLP concentration of 44 nmol/L or less in mothers increased the risk of having a child with an orofacial cleft (odds ratio [OR]=3.1; 95% CI: 1.3-7.4, OR=2.9; 95% CI: 1.2-7.1, respectively). Infants with orofacial clefts had a 15% lower serum folate concentration compared with controls (P=.06). CONCLUSION:A low vitamin B(12) and PLP concentration in mothers increased the risk of orofacial clefts in the offspring. A possible role of the infant's folate status is suggested.

journal_name

Am J Obstet Gynecol

authors

van Rooij IA,Swinkels DW,Blom HJ,Merkus HM,Steegers-Theunissen RP

doi

10.1067/s0002-9378(03)00592-1

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

1155-60

issue

4

eissn

0002-9378

issn

1097-6868

pii

S0002937803005921

journal_volume

189

pub_type

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