Cognitive Enhancement in Infants Associated with Increased Maternal Fruit Intake During Pregnancy: Results from a Birth Cohort Study with Validation in an Animal Model

• Gestational fruit intake positively correlates with infant cognitive performance.
• Similar findings in a birth cohort and in Drosophila learning and memory scores
• Cyclic adenylate monophosphate (cAMP) pathway may be a major regulator of this effect.
• Postnatal fruit intake did not enhance cognitive outcomes in humans or Drosophila.Fruits have been an important part of the human diet for thousands of years. We wanted to know if more fruit intake improves our ability to learn. Using data from the Canadian Healthy Infant Longitudinal Development (CHILD) study, we found that mothers who ate more fruit during pregnancy had children who did better on developmental testing at 1 year of age. Similarly, fruit flies had improved learning and memory if their parents had more fruit juice in their diet. In both humans and in the flies, there was no improvement in learning when only the babies were fed fruit.

In-utero nutrition is an under-studied aspect of cognitive development. Fruit has been an important dietary constituent for early hominins and humans. Among 808 eligible CHILD-Edmonton sub-cohort subjects, 688 (85%) had 1-year cognitive outcome data. We found that each maternal daily serving of fruit (sum of fruit plus 100% fruit juice) consumed during pregnancy was associated with a 2.38 point increase in 1-year cognitive development (95% CI 0.39, 4.37; p < 0.05). Consistent with this, we found 30% higher learning Performance index (PI) scores in Drosophila offspring from parents who consumed 30% fruit juice supplementation prenatally (PI: 85.7; SE 1.8; p < 0.05) compared to the offspring of standard diet parents (PI: 65.0 SE 3.4). Using the Drosophila model, we also show that the cyclic adenylate monophosphate (cAMP) pathway may be a major regulator of this effect, as prenatal fruit associated cognitive enhancement was blocked in Drosophila rutabaga mutants with reduced Ca2 +-Calmodulin-dependent adenylyl cyclase. Moreover, gestation is a critical time for this effect as postnatal fruit intake did not enhance cognitive performance in either humans or Drosophila. Our study supports increased fruit consumption during pregnancy with significant increases in infant cognitive performance. Validation in Drosophila helps control for potential participant bias or unmeasured confounders.

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