孕期咖啡因暴露对儿童生长发育影响的研究进展

魏雨萌, 杨凡

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (3) : 303-307.

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中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (3) : 303-307. DOI: 10.11852/zgetbjzz2024-0148
综述

孕期咖啡因暴露对儿童生长发育影响的研究进展

  • 魏雨萌, 杨凡
作者信息 +

Research progress on the effects of prenatal caffeine exposure on children's growth and development

  • WEI Yumeng, YANG Fan
Author information +
文章历史 +

摘要

孕期咖啡因暴露是指孕母在妊娠期间摄入富含咖啡因的物质,如茶、咖啡、可乐、能量饮料和巧克力等食品,或者使用一些含有咖啡因的感冒药、镇痛药。目前流行病学及动物研究揭示了孕妇在妊娠期间即使摄入安全剂量咖啡因也可能会对后代产生不良影响。不当的孕期咖啡因暴露作为生命早期的不良环境因素,可能与儿童期及成年时期多种疾病发生的风险增加有关。有研究显示妊娠期间母亲摄入咖啡因与儿童超重肥胖、认知与行为发育障碍之间存在相关性,但尚存在一定争议。该文综述了孕期咖啡因暴露对儿童长期生长发育的影响,并总结了潜在机制,为儿童超重肥胖及认知与行为发育障碍的病因研究提供了更多的临床思路。

Abstract

Prenatal caffeine exposure (PCE) refers to the consumption of caffeine-rich substances including tea, coffee, cola, energy drinks, and chocolate, and certain caffeine-containing cold and pain medications during pregnancy. Current epidemiological and animal studies have revealed that even a safe dose of caffeine during pregnancy might lead to adverse effects on offspring. Improper PCE, considered an adverse environmental factor during early development, might correlate with an elevated risk of various diseases in both childhood and adulthood. Studies suggest an association between maternal caffeine intake during pregnancy and an increased likelihood of offspring overweight/obesity, as well as cognitive and behavioral developmental disorders, although this association remains debated. This article reviews the impact of PCE on the long-term growth and development of children, and summarizes the potential mechanisms, offering clinical insights into the etiology of childhood overweight, obesity, and cognitive and behavioral developmental disorders.

关键词

孕期咖啡因暴露 / 超重肥胖 / 认知与行为发育 / 儿童

Key words

prenatal caffeine exposure / overweight and obesity / cognitive and behavioral development / children

引用本文

导出引用
魏雨萌, 杨凡. 孕期咖啡因暴露对儿童生长发育影响的研究进展[J]. 中国儿童保健杂志. 2025, 33(3): 303-307 https://doi.org/10.11852/zgetbjzz2024-0148
WEI Yumeng, YANG Fan. Research progress on the effects of prenatal caffeine exposure on children's growth and development[J]. Chinese Journal of Child Health Care. 2025, 33(3): 303-307 https://doi.org/10.11852/zgetbjzz2024-0148
中图分类号: R179   

参考文献

[1] Kim Y, Je Y, Giovannucci E. Coffee consumption and all-cause and cause-specific mortality: A Meta-analysis by potential modifiers[J]. Eur J Epidemiol, 2019, 34(8): 731-752.
[2] Zhao LG, Li ZY, Feng GS, et al. Coffee drinking and cancer risk: An umbrella review of Meta-analyses of observational studies[J]. BMC Cancer, 2020, 20(1): 101.
[3] van Dam RM, Hu FB, Willett WC. Coffee, caffeine, and health[J]. N Engl J Med, 2020, 383(4): 369-378.
[4] Goyan JE. Food and drug administration news release number P80-36[R]. Washington DC: Food and Drug Administration,1980.
[5] James JE. Maternal caffeine consumption and pregnancy outcomes: A narrative review with implications for advice to mothers and mothers-to-be[J]. BMJ Evid Based Med, 2021, 26(3): 114-115.
[6] Doepker C, Franke K, Myers E, et al. Key findings and implications of a recent systematic review of the potential adverse effects of caffeine consumption in healthy adults, pregnant women, adolescents, and children[J]. Nutrients, 2018, 10(10):1536.
[7] Jafari A, Naghshi S, Shahinfar H, et al. Relationship between maternal caffeine and coffee intake and pregnancy loss: A grading of recommendations assessment, development, and evaluation-assessed, dose-response meta-analysis of observational studies[J]. Front Nutr, 2022, 9: 886224.
[8] Soltani S, Salari-Moghaddam A, Saneei P, et al. Maternal caffeine consumption during pregnancy and risk of low birth weight: A dose-response meta-analysis of cohort studies[J]. Crit Rev Food Sci Nutr, 2023, 63(2): 224-233.
[9] Christensen ZP, Freedman EG, Foxe JJ. Caffeine exposure in utero is associated with structural brain alterations and deleterious neurocognitive outcomes in 9-10 year old children[J]. Neuropharmacology, 2021, 186: 108479.
[10] Jin F, Qiao C. Association of maternal caffeine intake during pregnancy with low birth weight, childhood overweight, and obesity:A Meta-analysis of cohort studies[J]. Int J Obes (Lond), 2021, 45(2): 279-287.
[11] Chen LW, Aubert AM, Shivappa N, et al. Maternal dietary quality, inflammatory potential and childhood adiposity: An individual participant data pooled analysis of seven European cohorts in the ALPHABET consortium[J]. BMC Med, 2021, 19(1): 33.
[12] Xu D, Zhang B, Liang G, et al. Caffeine-induced activated glucocorticoid metabolism in the hippocampus causes hypothalamic-pituitary-adrenal axis inhibition in fetal rats[J]. PLoS One, 2012, 7(9): e44497.
[13] Xu D, Luo HW, Hu W, et al. Intrauterine programming mechanism for hypercholesterolemia in prenatal caffeine-exposed female adult rat offspring[J]. Faseb J, 2018, 32(10): 5563-5576.
[14] Liu Y, Xu D, Feng J, et al. Fetal rat metabonome alteration by prenatal caffeine ingestion probably due to the increased circulatory glucocorticoid level and altered peripheral glucose and lipid metabolic pathways[J].Toxicol Appl Pharmacol, 2012, 262(2): 205-216.
[15] Voerman E, Jaddoe VW, Hulst ME, et al. Associations of maternal caffeine intake during pregnancy with abdominal and liver fat deposition in childhood[J]. Pediatr Obes, 2020, 15(5): e12607.
[16] Li DK, Ferber JR, Odouli R. Maternal caffeine intake during pregnancy and risk of obesity in offspring: A prospective cohort study[J]. Int J Obes (Lond), 2015, 39(4): 658-664.
[17] Papadopoulou E, Botton J, Brantsæter AL, et al. Maternal caffeine intake during pregnancy and childhood growth and overweight:Results from a large Norwegian prospective observational cohort study[J]. BMJ Open, 2018, 8(3): e018895.
[18] Chen LW, Murrin CM, Mehegan J, et al. Maternal, but not paternal or grandparental, caffeine intake is associated with childhood obesity and adiposity: The lifeways cross-generation cohort study[J]. Am J Clin Nutr, 2019, 109(6): 1648-1655.
[19] Klebanoff MA, Keim SA. Maternal serum paraxanthine during pregnancy and offspring body mass index at ages 4 and 7 years[J]. Epidemiology, 2015, 26(2): 185-191.
[20] Rorabaugh BR. Does prenatal exposure to CNS stimulants increase the risk of cardiovascular disease in adult offspring?[J].Front Cardiovasc Med,2021,8: 652634.
[21] Korekar G, Kumar A, Ugale C. Occurrence, fate, persistence and remediation of caffeine: A review[J]. Environ Sci Pollut Res Int, 2020, 27(28): 34715-34733.
[22] Lekchaoum T, Buddawong A, Ahi S, et al. Effect of caffeine on genes expressions of developing retinas in the chick model[J]. Anat Cell Biol, 2022, 55(3): 311-319.
[23] Basnet RM, Zizioli D, Muscò A, et al. Caffeine inhibits direct and indirect angiogenesis in zebrafish embryos[J]. Int J Mol Sci, 2021, 22(9):4856.
[24] Li M, Francis E, Hinkle SN, et al. Preconception and prenatal nutrition and neurodevelopmental disorders:A systematic review and Meta-analysis[J]. Nutrients, 2019, 11(7):1628.
[25] Li Y, Zhang W, Shi R, et al. Prenatal caffeine damaged learning and memory in rat offspring mediated by ARs/PKA/CREB/BDNF pathway[J]. Physiol Res, 2018, 67(6): 975-983.
[26] Galéra C, Bernard JY, van der Waerden J, et al. Prenatal caffeine exposure and child IQ at age 5.5 years: The EDEN mother-child cohort[J]. Biol Psychiatry, 2016, 80(9):720-726.
[27] Zhang R, Manza P, Volkow ND. Prenatal caffeine exposure: Association with neurodevelopmental outcomes in 9- to 11-year-old children[J]. J Child Psychol Psychiatry, 2022, 63(5): 563-578.
[28] Hvolgaard Mikkelsen S, Obel C, Olsen J, et al. Maternal caffeine consumption during pregnancy and behavioral disorders in 11-year-old offspring: A Danish national birth cohort study[J]. J Pediatr, 2017, 189: 120-127.e121.
[29] Silva Bdel P, Anselmi L, Schmidt V, et al. Caffeine consumption during pregnancy and attention deficit hyperactivity disorder (ADHD): A systematic literature review[J]. Cad Saude Publica, 2015, 31(4): 682-690.
[30] Barr HM, Streissguth AP. Caffeine use during pregnancy and child outcome: A 7-year prospective study[J]. Neurotoxicol Teratol, 1991, 13(4): 441-448.
[31] Loomans EM, Hofland L, van der Stelt O, et al. Caffeine intake during pregnancy and risk of problem behavior in 5- to 6-year-old children[J]. Pediatrics, 2012, 130(2): e305-313.
[32] Chen G, Zhang Q, Ai C, et al. Serum metabolic profile characteristics of offspring rats before and after birth caused by prenatal caffeine exposure[J]. Toxicology, 2019, 427: 152302.
[33] Gwon LW, Park SG, Lin C, et al. The effects of caffeine and bisphenol A singularly or in combination on cultured mouse embryos and yolk sac placenta[J]. Reprod Toxicol, 2020, 91: 92-100.
[34] 汪晖, 焦哲潇. 孕期不良环境所致的子代多种疾病易感及其宫内编程机制[J]. 中国药理学与毒理学杂志, 2017, 31(1): 12-27.
Wang H, Jiao ZX. Prenatal adverse environment increased offspring susceptibility to multiplchronic diseases and int trauterine programming mechanisms[J]. Chin J Pharmacol Toxicol, 2017, 31(1): 12-27.(in Chinese)
[35] Matthews SG, McGowan PO. Developmental programming of the HPA axis and related behaviours: Epigenetic mechanisms[J].J Endocrinol,2019,242(1): 69-79.
[36] Liu L, Wen Y, Ni Q, et al. Prenatal ethanol exposure and changes in fetal neuroendocrine metabolic programming[J]. Biol Res, 2023, 56(1): 61.
[37] Batchelor V, Pang TY. HPA axis regulation and stress response is subject to intergenerational modification by paternal trauma and stress[J].Gen Comp Endocrinol, 2019, 280: 47-53.
[38] Zheng X, Cheng Y, Chen Y, et al. Ferulic acid improves depressive-like behavior in prenatally-stressed offspring rats via anti-inflammatory activity and HPA axis[J]. Int J Mol Sci, 2019, 20(3):493.
[39] He B, Wen Y, Hu S, et al. Prenatal caffeine exposure induces liver developmental dysfunction in offspring rats[J].J Endocrinol, 2019, 242(3): 211-226.
[40] Xu D, Wu Y, Liu F, et al. A hypothalamic-pituitary-adrenal axis-associated neuroendocrine metabolic programmed alteration in offspring rats of IUGR induced by prenatal caffeine ingestion[J]. Toxicol Appl Pharmacol, 2012, 264(3): 395-403.
[41] He Z, Zhang J, Huang H, et al. Glucocorticoid-activation system mediated glucocorticoid-insulin-like growth factor 1(GC-IGF1) axis programming alteration of adrenal dysfunction induced by prenatal caffeine exposure[J]. Toxicol Lett, 2019, 302: 7-17.
[42] Hu S, Xia L, Luo H, et al. Prenatal caffeine exposure increases the susceptibility to non-alcoholic fatty liver disease in female offspring rats via activation of GR-C/EBPα-SIRT1 pathway[J]. Toxicology, 2019, 417: 23-34.
[43] He Z, Zhu C, Huang H, et al. Prenatal caffeine exposure-induced adrenal developmental abnormality in male offspring rats and its possible intrauterine programming mechanisms[J]. Toxicol Res (Camb), 2016, 5(2): 388-398.
[44] Fowden AL, Giussani DA, Forhead AJ. Endocrine and metabolic programming during intrauterine development[J]. Early Hum Dev, 2005, 81(9): 723-734.
[45] De Alcubierre D, Ferrari D, Mauro G, et al. Glucocorticoids and cognitive function: A walkthrough in endogenous and exogenous alterations[J]. J Endocrinol Invest, 2023, 46(10): 1961-1982.
[46] Lu M, He X, Jiao Z, et al. The upregulation of glutamate decarboxylase 67 against hippocampal excitability damage in male fetal rats by prenatal caffeine exposure[J]. Environ Toxicol, 2022, 37(11): 2703-2717.

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