As You Eat It: Effects of Prenatal Nutrition on Asthma
Overview
Affiliations
Asthma most frequently develops early in life, and increased recognition of the role of lifestyle and environmental factors in asthma susceptibility raises the possibility that dietary exposures during pregnancy may influence the risk of asthma in offspring. This review discusses the latest evidence with regard to the effect of diet during pregnancy on childhood asthma risk, including potential mechanisms, outcomes of randomized clinical trials, and results from observational studies. Vitamin D and polyunsaturated fatty acid intake during pregnancy are highlighted as areas with large and growing bodies of literature to support a potential role in prenatal modulation of subsequent asthma risk. Several other nutritional interventions are under active investigation, and recommendations regarding dietary modifications during pregnancy will likely need to be personalized based on factors such as maternal smoking and genetic variants. Although nutrition during pregnancy is uniquely challenging to investigate, and definitive recommendations cannot be made without additional high-quality evidence and knowledge regarding long-term effects of interventions, the modifiable nature of the diet and sizeable potential reduction of morbidity supports ongoing research to determine how to optimize nutrition during pregnancy to prevent asthma in offspring.
Association of prenatal vitamin E levels with child asthma and wheeze.
Hartman T, Gebretsadik T, Adgent M, Nickelberry M, Moore P, Carlson H Pediatr Allergy Immunol. 2024; 35(8):e14208.
PMID: 39087502 PMC: 11785393. DOI: 10.1111/pai.14208.
A Comprehensive Look at the Development of Asthma in Children.
Diaconu I, Gheorman V, Grigorie G, Gheonea C, Tenea-Cojan T, Mahler B Children (Basel). 2024; 11(5).
PMID: 38790577 PMC: 11120211. DOI: 10.3390/children11050581.
Mediterranean-Type Diets as a Protective Factor for Asthma and Atopy.
Vassilopoulou E, Guibas G, Papadopoulos N Nutrients. 2022; 14(9).
PMID: 35565792 PMC: 9105881. DOI: 10.3390/nu14091825.
Chiu Y, Carroll K, Coull B, Kannan S, Wilson A, Wright R Antioxidants (Basel). 2022; 11(2).
PMID: 35204249 PMC: 8868511. DOI: 10.3390/antiox11020366.
Genetic Architectures of Childhood- and Adult-Onset Asthma Are Partly Distinct.
Ferreira M, Mathur R, Vonk J, Szwajda A, Brumpton B, Granell R Am J Hum Genet. 2019; 104(4):665-684.
PMID: 30929738 PMC: 6451732. DOI: 10.1016/j.ajhg.2019.02.022.