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Maternal folate status is an important predictor of infant birth weight, a prospective study has shown.
In a cohort of nearly 1,000 expectant mothers, those with lower levels of erythrocyte red blood cell (RBC) folate in early pregnancy were significantly more likely to have low-birth-weight babies, according to Caroline Relton, M.D., and her associates at the University of Newcastle upon Tyne (England).
The researchers investigated the relationship between maternal and newborn RBC folate status, vitamin [B.sub.12] status, maternal smoking, age, parity, and infant birth rate in 998 pregnant mothers receiving prenatal care at a hospital in northwest England and their newborns. Blood samples were collected from mothers during their first routine prenatal appointment and from the newborns' umbilical cords at birth (Br. J. Nutr. 2005;93:593-9).
In a multivariate analysis, maternal folate status was the only significant determinant of birth weight. Each standard deviation increase in maternal folic acid level was associated with a 14% weight increase in birth weight z score.
Univariate linear regression analysis associated smoking with a significant decrease in birth weight; however, multivariate analysis showed a dramatically reduced, nonsignificant influence, suggesting that smoking and ...