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Does folic acid after the first trimester help kids’ brains later?

Caffrey A, McNulty H, Rollins M, et al. · BMC medicine · 2021

Open access · cc by · source: Europe PMC

At age 11, children whose mothers continued 400 μg/day folic acid from week 14 scored higher on processing-speed tests and showed stronger MEG language-related Beta/High Gamma responses.

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Does folic acid after the first trimester help kids’ brains later?

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68 of 119 pairs assessed at 11-year follow-up.

Of 119 mother-child pairs in the FASSTT trial, 68 children were assessed for neurocognitive performance at 11-year follow-up (Dec 2017 to Nov 2018).

Symbol search +2.9 points (p=0.03); cancellation +11.3 (p=0.04).

Children of mothers randomised to FA compared with placebo scored significantly higher in two Processing Speed tests, i.e. symbol search (mean difference 2.9 points, 95% CI 0.3 to 5.5, p = 0.03) and cancellation (11.3 points, 2.5 to 20.1, p = 0.04), whereas the positive effect on Verbal Comprehension was significant in girls only (6.5 points, 1.2 to 11.8, p = 0.03).
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Key findings

FA arm did better on symbol search (+2.9) and cancellation (+11.3); verbal comprehension gain was significant in girls; MEG Beta and High Gamma power increased, consistent with more efficient semantic processing.

Methodology

They followed FASSTT trial offspring in Northern Ireland with WISC cognitive testing and MEG during a language task, comparing continued FA vs placebo arms.

Limitations

Only 68/119 pairs were assessed; results may not generalize beyond this trial cohort or prove lifelong academic benefit.

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