﻿<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.1 20151215//EN" "JATS-journalpublishing1.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Explor Foods Foodomics</journal-id>
<journal-id journal-id-type="publisher-id">EFF</journal-id>
<journal-title-group>
<journal-title>Exploration of Foods and Foodomics</journal-title>
</journal-title-group>
<issn pub-type="epub">2837-9020</issn>
<publisher>
<publisher-name>Open Exploration Publishing</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.37349/eff.2026.1010177</article-id>
<article-id pub-id-type="manuscript">1010177</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Implications of maternal nutrient deficiency in rat offspring: a cognitive and behavioral study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6517-4536</contrib-id>
<name>
<surname>Jeelani</surname>
<given-names>Peerzada Gh</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role content-type="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<role content-type="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>A</surname>
<given-names>Gopinath</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Prakash</surname>
<given-names>P Arul</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role content-type="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8973-3507</contrib-id>
<name>
<surname>Parsanathan</surname>
<given-names>Rajesh</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role content-type="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-8128-3991</contrib-id>
<name>
<surname>Haseeb</surname>
<given-names>Mohd</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role content-type="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4880-9939</contrib-id>
<name>
<surname>Jaabir</surname>
<given-names>M.S. Mohamed</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role content-type="https://credit.niso.org/contributor-roles/resources/">Resources</role>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role content-type="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/">Project administration</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="editor">
<name>
<surname>Tsimidou</surname>
<given-names>Maria</given-names>
</name>
<role>Academic Editor</role>
<aff>Aristotle University of Thessaloniki, Greece</aff>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>Department of Emergency Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai 602105, Tamil Nadu, India</aff>
<aff id="I2">
<sup>2</sup>Post Graduate and Research Department of Biotechnology &amp; Microbiology, National College (Autonomous), Tiruchirapalli 620001, India</aff>
<aff id="I3">
<sup>3</sup>Department of Biotechnology, School of Integrative Biology, Central University of Tamil Nadu, Thiruvarur 610005, India</aff>
<aff id="I4">
<sup>4</sup>Department of Molecular Biology, Beykoz Institute of Life Sciences &amp; Biotechnology (BILSAB), Bezmialem Vakif University, Istanbul 34820, Türkiye</aff>
<author-notes>
<corresp id="cor1">
<bold>
<sup>*</sup>Correspondence:</bold> M.S. Mohamed Jaabir, Post Graduate and Research Department of Biotechnology &amp; Microbiology, National College (Autonomous), Tiruchirapalli 620001, India. <email>mohamedjaabir@nct.ac.in</email></corresp>
</author-notes>
<pub-date pub-type="collection">
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>07</month>
<year>2026</year>
</pub-date>
<volume>4</volume>
<elocation-id>1010177</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>06</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2026.</copyright-statement>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Aim:</title>
<p id="absp-1">Maternal nutritional insufficiency during pregnancy is a major public health concern associated with adverse neurodevelopmental outcomes in offspring. This study investigated the effects of global maternal nutrient restriction before and/or during gestation on cognitive and behavioral performance in rat offspring and evaluated the potential for recovery following postnatal dietary normalization.</p>
</sec>
<sec>
<title>Methods:</title>
<p id="absp-2">Female Wistar rats were assigned to either a control diet (AIN-93G) or a 50% global nutrient-restricted diet. Nutrient-restricted groups received dietary restriction before pregnancy alone (RD-P) or before and throughout gestation (RD-W), followed by a standard diet after birth or weaning. Offspring were assessed at postnatal days 35–40 using the Y-maze spontaneous alternation test for working memory, the Open Field Test for locomotor activity, and the Elevated Plus Maze (EPM) for anxiety-like behavior. Data were analyzed using one-way ANOVA with Dunnett’s post hoc test (<italic>p</italic> &lt; 0.05).</p>
</sec>
<sec>
<title>Results:</title>
<p id="absp-3">Maternal nutrient restriction did not significantly affect Y-maze spontaneous alternation performance (<italic>p</italic> &gt; 0.05), indicating preserved working memory. However, offspring from restricted groups exhibited significantly greater time spent in EPM open arms (<italic>p</italic> &lt; 0.001), suggesting reduced anxiety-like behavior, with the strongest effect observed in the RD-W group. Increased locomotor activity was also detected in nutrient-restricted offspring during the Open Field Test (<italic>p</italic> = 0.0118). Gestational maternal food intake showed weak negative correlations with EPM open-arm duration (<italic>r</italic> = −0.34, <italic>p</italic> = 0.06) and locomotor activity (<italic>r</italic> = −0.28, <italic>p</italic> = 0.12).</p>
</sec>
<sec>
<title>Conclusions:</title>
<p id="absp-4">Maternal global nutrient restriction induces persistent, domain-specific behavioral alterations in offspring. While postnatal dietary normalization may partially ameliorate deficits in activity-related behaviors, reduced anxiety-like behavior persists into adolescence. These findings emphasize the critical role of adequate maternal nutrition in shaping offspring neurodevelopment and behavioral health, highlighting the importance of nutritional interventions during the preconceptional and gestational periods.</p>
</sec>
</abstract>
<abstract abstract-type="graphical">
<p>
<fig id="F0">
<label>Graphical abstract.</label>
<caption>
<p>
<bold> Control Diet (CD) with a 100% micronutrient requirement to a 50% micronutrient-deficient Restricted Diet (RD) during gestation.</bold> Four rat groups were examined: CD, RD, RD-P, and RD-W, with RD-P and RD-W receiving the Control Diet postpartum and during weaning. Behavioural assessments included inattentiveness, hyperactivity, and impulsivity.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="eff-04-1010177-g000.tif" />
</fig>
</p>
</abstract>
<kwd-group>
<kwd>maternal nutrition</kwd>
<kwd>nutrient restriction</kwd>
<kwd>rat offspring</kwd>
<kwd>cognitive behavior</kwd>
<kwd>anxiety-like behavior</kwd>
<kwd>Y-maze</kwd>
<kwd>Elevated Plus Maze</kwd>
<kwd>Open Field Test</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p id="p-1">Cognitive management, impulse control, learning ability, and emotional modulation are all critical cognitive and behavioral processes for normal neurodevelopment. Changes in these processes throughout early childhood can cause long-term changes in brain function and behavior, altering academic success, social relationships, and overall quality of life across the lifetime [<xref ref-type="bibr" rid="B1">1</xref>]. Attention deficits are frequently characterized by poor sustained concentration and executive organization, whereas hyperactivity shows excessive motor drive and difficulties maintaining behavioral constraint. Impaired impulse control is also seen as fast, poorly controlled reactions and less executive monitoring [<xref ref-type="bibr" rid="B2">2</xref>]. Neurodevelopmental outcomes are the result of a complex interaction between genetic predisposition and environmental effects, particularly during the prenatal and early postnatal periods, when the brain grows rapidly and circuits emerge [<xref ref-type="bibr" rid="B3">3</xref>]. The integrity of dopaminergic and noradrenergic signaling pathways, which are essential for executive function, emotional control, and adaptive behavior, is a major determinant of cognitive and behavioral regulation at the neurobiological level [<xref ref-type="bibr" rid="B4">4</xref>]. Cognitive and behavioral vulnerabilities can remain if these neurotransmitter systems are disturbed throughout development [<xref ref-type="bibr" rid="B5">5</xref>]. Maternal nutrition throughout pregnancy has become one of the most important environmental factors influencing the development of the offspring’s brain. Adequate micronutrient availability is required for neuronal proliferation, myelination, synaptogenesis, and neurotransmitter production [<xref ref-type="bibr" rid="B6">6</xref>]. Micronutrients including iron, zinc, iodine, folate, vitamin B12, and omega-3 fatty acids are especially vital during critical stages of fetal brain development, when deficiencies can permanently affect neuronal architecture and plasticity [<xref ref-type="bibr" rid="B7">7</xref>]. For instance, a lack of iron during pregnancy has been linked to long-term cognitive and attention problems, altered dopamine metabolism, and decreased myelination [<xref ref-type="bibr" rid="B8">8</xref>]. Similarly, it has been demonstrated that shortages in omega-3 polyunsaturated fatty acids affect cortical development, synaptic transmission, and neuronal membrane integrity, which results in deficits in cognition and emotional control [<xref ref-type="bibr" rid="B9">9</xref>]. Deficits in zinc and iodine are also associated with decreased neurogenesis, altered neurotransmission, and worse cognitive function in children [<xref ref-type="bibr" rid="B10">10</xref>].</p>
<p id="p-2">Approximately 30 to 40 percent of pregnant women worldwide suffer from many micronutrient deficiencies. In low-resource contexts, macronutrient undernutrition affects around 20% of pregnancies, whereas anemia affects approximately 45–50% of women in India who are of reproductive age [<xref ref-type="bibr" rid="B11">11</xref>–<xref ref-type="bibr" rid="B13">13</xref>]. Even though the significance of prenatal nutrition is becoming more widely acknowledged, the majority of the literature to date has concentrated on postnatal dietary interventions and childhood nutrition, with relatively few studies looking at the long-term cognitive effects of maternal nutrient deficiencies during pregnancy [<xref ref-type="bibr" rid="B14">14</xref>]. This is a major knowledge gap on how early dietary settings affect later-life behavioral regulation and cognitive pathways. Nutritional deficiencies can have long-lasting consequences on brain structure and function throughout the perinatal period, which is a particularly sensitive window [<xref ref-type="bibr" rid="B15">15</xref>]. These developmental processes may be studied in controlled experimental settings using preclinical animal models. Maternal nutritional changes and their neurobehavioral effects on offspring may be systematically evaluated thanks to rodent models, which in particular accurately mimic important features of human neurodevelopment and cognitive circuitry [<xref ref-type="bibr" rid="B16">16</xref>]. Mechanistic insights into the effects of prenatal nutritional stress on cognitive control, activity levels, emotional response, and executive function are made possible by these models, which enable in-depth examination of molecular, cellular, and behavioral endpoints [<xref ref-type="bibr" rid="B17">17</xref>]. The current study examines the long-term behavioral and cognitive effects of maternal nutritional deprivation using a rat model. This work attempts to clarify the mechanisms via which inadequate maternal nutrition affects child brain development and cognitive function by evaluating neurobehavioral outcomes in addition to developmental indices [<xref ref-type="bibr" rid="B18">18</xref>]. In order to promote normal neurodevelopment and lessen the burden of cognitive and behavioral deficits across communities, evidence-based dietary regimens, public health policies, and early interventions may be informed by an understanding of these pathways [<xref ref-type="bibr" rid="B19">19</xref>].</p>
</sec>
<sec id="s2">
<title>Materials and methods</title>
<sec id="t2-1">
<title>Animal ethical compliance</title>
<p id="p-3">The Institutional Animal Ethical Committee (IAEC), National College, Tiruchirappalli, India, and the European Communities Council Directive for the care and use of laboratory animals were strictly followed during all animal operations and were authorized prior to the start of the study under CPCSEA registration number 1941/GO/RE/S/17/CPCSEA. We purchased adult Wistar rats from the Indian Institute of Science in Bangalore. The focus of this study was only behavior. No animals were slaughtered or intrusive treatments carried out. Following behavioral evaluations, all rats were treated humanely and kept in the institutional animal facility under normal living circumstances in compliance with the Guide for the Care and Use of Laboratory Animals and CPCSEA.</p>
</sec>
<sec id="t2-2">
<title>Experimental groups</title>
<p id="p-4">Virgin female Wistar rats (12–14 weeks old, no siblings) were kept under standard circumstances (temperature 22 ± 2°C, humidity 55 ± 5%, 12 h light/dark cycle) with unrestricted access to tap water and standard rat food. After 7 days of acclimatization, males were paired with females periodically until mating was verified by the presence of a vaginal copulation plug (1–4 days later). Females were randomly allocated to four groups (initial <italic>n</italic> = 14 each):</p>
<p id="p-5">
<list list-type="bullet">
<list-item>
<p>The CD (Control Diet) followed the usual AIN-93G diet throughout.</p>
</list-item>
<list-item>
<p>RD (Restricted Diet): 50% global nutrition restriction throughout gestation.</p>
<p>
<list list-type="bullet">
<list-item>
<p>RD-P (Limited Diet – Pre-pregnancy): limited diet prior to pregnancy, transitioning to CD postpartum.</p>
</list-item>
<list-item>
<p>RD-W (Limited Diet – Weaning): limited diet prior to and throughout pregnancy, transitioning to CD after weaning (postnatal day 21).</p>
</list-item>
</list>
</p>
</list-item>
</list>
</p>
<p id="p-6">The purpose of the RD-P and RD-W groups was to differentiate between the effects of gestational restriction and preconception on children. Non-pregnant females were eliminated after mating (RD-P: 6 excluded → 8 pregnant; RD-W: 4 excluded → 10 pregnant). For behavioral testing, offspring from pregnant mothers (<italic>n</italic> = 8–10 pups/group, balanced sex ratio) were utilized.</p>
</sec>
<sec id="t2-3">
<title>Diets</title>
<p id="p-7">From gestation day 0 to postnatal day 21 (weaning), pregnant rats were placed on either the restricted diet (RD; 50% of all nutrients, both macro and micronutrients) or the control diet (CD; AIN-93G standard, 100% nutritional needs; Reeves et al., 1993) [<xref ref-type="bibr" rid="B20">20</xref>]. Diets were obtained from a certified commercial supplier. The RD-P and RD-W groups were transferred to CD during weaning and after giving birth, respectively. Every week, body weight and food intake were recorded (refer to <xref ref-type="sec" rid="s3">Results</xref>, <xref ref-type="table" rid="t1">Table 1</xref>).</p>
<table-wrap id="t1">
<label>Table 1</label>
<caption>
<p id="t1-p-1">
<bold>Maternal food intake (g/day, mean ± SD) and body weight (g, mean ± SD) during gestation and lactation.</bold>
</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th>
<bold>Parameter</bold>
</th>
<th>
<bold>CD</bold>
</th>
<th>
<bold>RD</bold>
</th>
<th>
<bold>RD-P</bold>
</th>
<th>
<bold>RD-W</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="5">
<bold>Food intake (g/day)</bold>
</td>
</tr>
<tr>
<td>Gestation Week 1</td>
<td>18.4 ± 1.2</td>
<td>9.2 ± 0.8</td>
<td>9.0 ± 0.9</td>
<td>9.1 ± 0.7</td>
</tr>
<tr>
<td>Gestation Week 2</td>
<td>19.1 ± 1.4</td>
<td>9.6 ± 0.9</td>
<td>9.4 ± 1.0</td>
<td>9.5 ± 0.8</td>
</tr>
<tr>
<td>Gestation Week 3</td>
<td>20.3 ± 1.5</td>
<td>10.1 ± 1.0</td>
<td>19.8 ± 1.3†</td>
<td>10.0 ± 0.9</td>
</tr>
<tr>
<td>Lactation Week 1</td>
<td>32.5 ± 2.8</td>
<td>16.8 ± 1.7</td>
<td>31.9 ± 2.6</td>
<td>17.2 ± 1.6</td>
</tr>
<tr>
<td>Lactation Week 2</td>
<td>38.2 ± 3.1</td>
<td>19.4 ± 2.0</td>
<td>37.8 ± 3.0</td>
<td>19.1 ± 1.9</td>
</tr>
<tr>
<td>Lactation Week 3</td>
<td>35.6 ± 2.9</td>
<td>18.2 ± 1.8</td>
<td>35.1 ± 2.7</td>
<td>18.0 ± 1.7</td>
</tr>
<tr>
<td colspan="5">
<bold>Body weight (g)</bold>
</td>
</tr>
<tr>
<td>Gestation week 0</td>
<td>248 ± 12</td>
<td>245 ± 11</td>
<td>247 ± 10</td>
<td>246 ± 12</td>
</tr>
<tr>
<td>Gestation week 1</td>
<td>262 ± 14</td>
<td>252 ± 12</td>
<td>254 ± 11</td>
<td>253 ± 13</td>
</tr>
<tr>
<td>Gestation week 2</td>
<td>285 ± 16</td>
<td>258 ± 13</td>
<td>260 ± 12</td>
<td>259 ± 14</td>
</tr>
<tr>
<td>Gestation week 3</td>
<td>318 ± 18</td>
<td>265 ± 14</td>
<td>268 ± 13</td>
<td>266 ± 15</td>
</tr>
<tr>
<td>Lactation week 1</td>
<td>302 ± 15</td>
<td>258 ± 13</td>
<td>295 ± 14</td>
<td>260 ± 14</td>
</tr>
<tr>
<td>Lactation week 2</td>
<td>288 ± 14</td>
<td>252 ± 12</td>
<td>282 ± 13</td>
<td>254 ± 13</td>
</tr>
<tr>
<td>Lactation week 3</td>
<td>275 ± 13</td>
<td>248 ± 11</td>
<td>270 ± 12</td>
<td>250 ± 12</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p id="t1-fn-1">†: Indicates a statistically significant difference compared to the control group (<italic>p</italic> &lt; 0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="t2-4">
<title>Behavior tests</title>
<p id="p-8">The offspring were evaluated for attention, hyperactivity, and behaviors associated with anxiety or impulsivity between postnatal days 35 and 40 (adolescence/young adulthood) [<xref ref-type="bibr" rid="B19">19</xref>–<xref ref-type="bibr" rid="B22">22</xref>]. After acclimating to the testing room for one hour, all tests were carried out during the light phase. In order to prevent olfactory signals, the apparatus was cleaned between experiments.</p>
</sec>
<sec id="t2-5">
<title>Y-maze test (inattentiveness/working memory)</title>
<p id="p-9">The arms of the Y-maze measured 40 cm in length, 3 cm in bottom width, 13 cm in upper width, and 15 cm in wall height. Rats were positioned in the middle, and video tracking was used to capture their spontaneous alternation for ten minutes.</p>
<p id="p-10">
<disp-formula id="eq1">
<label></label>
<mml:math id="m8936e">
<mml:mi mathvariant="normal">A</mml:mi>
<mml:mi mathvariant="normal">l</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">r</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal">a</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">i</mml:mi>
<mml:mi mathvariant="normal">o</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal"> </mml:mi>
<mml:mi mathvariant="normal">p</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">r</mml:mi>
<mml:mi mathvariant="normal">c</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">a</mml:mi>
<mml:mi mathvariant="normal">g</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi mathvariant="normal">c</mml:mi>
<mml:mi mathvariant="normal">o</mml:mi>
<mml:mi mathvariant="normal">r</mml:mi>
<mml:mi mathvariant="normal">r</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">c</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal"> </mml:mi>
<mml:mi mathvariant="normal">a</mml:mi>
<mml:mi mathvariant="normal">l</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">r</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal">a</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">i</mml:mi>
<mml:mi mathvariant="normal">o</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal">s</mml:mi>
<mml:mi mathvariant="normal"> </mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">o</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">a</mml:mi>
<mml:mi mathvariant="normal">l</mml:mi>
<mml:mi mathvariant="normal"> </mml:mi>
<mml:mi mathvariant="normal">a</mml:mi>
<mml:mi mathvariant="normal">r</mml:mi>
<mml:mi mathvariant="normal">m</mml:mi>
<mml:mi mathvariant="normal"> </mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">n</mml:mi>
<mml:mi mathvariant="normal">t</mml:mi>
<mml:mi mathvariant="normal">r</mml:mi>
<mml:mi mathvariant="normal">i</mml:mi>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mi mathvariant="normal">s</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>×</mml:mo>
<mml:mn>100</mml:mn>
</mml:math>
</disp-formula>
</p>
</sec>
<sec id="t2-6">
<title>Open Field Test (locomotor activity/anxiety-like behavior)</title>
<p id="p-11">An arena of 50 cm × 50 cm × 50 cm with a center zone 10 cm from walls was utilized for the Open Field Test (locomotor activity/anxiety-like behavior). Ten minutes of time spent in the center and the total distance travelled were noted.</p>
</sec>
<sec id="t2-7">
<title>Elevated plus maze test (anxiety-like behavior)</title>
<p id="p-12">A plus-shaped maze was employed, with closed arms and 20 cm black walls. The arms were 40 cm long, 10 cm wide, and 50 cm high. Rats began by standing in the middle with their arms spread wide; their time there was noted for five minutes, which is the typical amount of time needed to measure anxiety.</p>
</sec>
<sec id="t2-8">
<title>Statistical analysis</title>
<p id="p-13">All statistical analyses were performed using GraphPad Prism software (Version 10.2.0; GraphPad Software Inc., San Diego, CA, USA). Data are presented as mean ± standard deviation (SD). Comparisons among experimental groups were conducted using One-way ANOVA and Dunnett’s post-hoc test (control vs. each RD group) to examine the data. The mean ± SD is used to show the results. The threshold for significance was <italic>p</italic> &lt; 0.05. There are 8–10 pups per batch. Every test is carried out as indicated in the <xref ref-type="sec" rid="s-suppl">Supplementary materials</xref>.</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="t3-1">
<title>Maternal food intake and body weight</title>
<p id="p-14">Throughout gestation and lactation, maternal food consumption and body weight were recorded weekly (<xref ref-type="table" rid="t1">Table 1</xref>). The RD and RD-W groups consumed 50% less food than the CD group during restriction periods (<italic>p</italic> &lt; 0.001). Following the transfer to a control diet, food intake in RD-P normalized after parturition, and in RD-W after weaning. Compared to CD, restricted groups (RD and RD-W) saw substantially lower body weight growth throughout gestation (<italic>p</italic> &lt; 0.01), indicating decreased calorie and nutrient consumption. After diet normalization, postnatal weight trajectories in the RD-P and RD-W groups improved to some extent. Pearson correlation studies revealed a modest negative relationship between gestational food intake and offspring Elevated Plus Maze (EPM) open-arm time (<italic>r</italic> = –0.34, <italic>p</italic> = 0.06), indicating that decreased maternal nutrition intake during pregnancy may lead to less anxiety-like behavior in children. There were no significant relationships between maternal food/body weight and Y-maze alternation or Open Field distance (<italic>p</italic> &gt; 0.05) (<xref ref-type="table" rid="t2">Table 2</xref>).</p>
<table-wrap id="t2">
<label>Table 2</label>
<caption>
<p id="t2-p-1">
<bold>Pearson correlation coefficients (<italic>r</italic>) between maternal parameters and offspring behavioral outcomes.</bold>
</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th>
<bold>Maternal parameter</bold>
</th>
<th>
<bold>Y-maze alternation (%) (working memory)</bold>
</th>
<th>
<bold>EPM open-arm time (s) (anxiety-like behavior)</bold>
</th>
<th>
<bold>Open Field distance traveled (cm) (locomotor activity)</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>Gestational food intake (g/day, avg)</td>
<td>
<italic>r</italic> = 0.12 (<italic>p</italic> = 0.48)</td>
<td>
<italic>r</italic> = –0.34 (<italic>p</italic> = 0.06)</td>
<td>
<italic>r</italic> = –0.28 (<italic>p</italic> = 0.12)</td>
</tr>
<tr>
<td>Gestational body weight gain (g)</td>
<td>
<italic>r</italic> = 0.09 (<italic>p</italic> = 0.61)</td>
<td>
<italic>r</italic> = –0.31 (<italic>p</italic> = 0.08)</td>
<td>
<italic>r</italic> = –0.25 (<italic>p</italic> = 0.18)</td>
</tr>
<tr>
<td>Lactational food intake (g/day, avg)</td>
<td>
<italic>r</italic> = 0.08 (<italic>p</italic> = 0.65)</td>
<td>
<italic>r</italic> = –0.19 (<italic>p</italic> = 0.32)</td>
<td>
<italic>r</italic> = –0.15 (<italic>p</italic> = 0.44)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p id="t2-fn-1">Correlations calculated across all groups (n ≈ 36–40 pups with maternal data). Negative <italic>r</italic> values indicate that lower maternal intake/weight gain was associated with more open-arm time (reduced anxiety-like behavior) and increased locomotor activity. No correlations reached statistical significance (all <italic>p</italic> &gt; 0.05), but trends were observed for gestational parameters and EPM/Open Field outcomes.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="t3-2">
<title>Spontaneous alternation test (Y-maze)</title>
<p id="p-15">No significant differences in alternation scores across groups (one-way ANOVA, <italic>F</italic>(3,36) = 1.45, <italic>p</italic> = 0.24). The RD group showed numerically higher scores compared to CD (mean difference = 18.00, 95% CI: –9.47 to 45.47, <italic>p</italic> = 0.21). RD-P and RD-W groups did not differ from CD (<italic>p</italic> = 0.61 and <italic>p</italic> = 0.95, respectively) (<xref ref-type="fig" rid="fig1">Figure 1</xref>).</p>
<fig id="fig1" position="float">
<label>Figure 1</label>
<caption>
<p id="fig1-p-1">
<bold>Spontaneous alternation test results comparing control diet (CD), restricted diet (RD), postnatal restricted diet (RD-P), and weaning restricted diet (RD-W) groups.</bold> No significant differences in alternation scores were observed between the diet groups, indicating that dietary restriction did not significantly impact cognitive flexibility or inattentiveness. The RD group showed a slightly higher alternation score compared to the CD group, but the differences were not statistically significant (<italic>p</italic> &gt; 0.05). Statistical notation: ns = not significant (<italic>p</italic> ≥ 0.05); * = <italic>p</italic> &lt; 0.05; ** = <italic>p</italic> &lt; 0.01; *** = <italic>p</italic> &lt; 0.001; **** = <italic>p</italic> &lt; 0.0001 vs. CD group according to Dunnett’s multiple-comparison test.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="eff-04-1010177-g001.tif" />
</fig>
</sec>
<sec id="t3-3">
<title>Elevated plus maze test</title>
<p id="p-16">Significant group effect on open-arm time (one-way ANOVA, <italic>F</italic>(3,36) = 12.34, <italic>p</italic> &lt; 0.0001). All restricted groups spent more time in open arms compared to CD, indicating reduced anxiety-like behavior: RD (mean difference = 28.5 s, 95% CI: 17.55–39.45, <italic>p</italic> = 0.0002), RD-P (mean difference = 25.5 s, 95% CI: 14.55–36.45, <italic>p</italic> = 0.0004), RD-W (mean difference = 51.5 s, 95% CI: 40.55–62.45, <italic>p</italic> &lt; 0.0001) (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p>
<fig id="fig2" position="float">
<label>Figure 2</label>
<caption>
<p id="fig2-p-1">
<bold>Elevated plus maze (EPM) performance of offspring from different maternal diet groups.</bold> Time spent in the open arms was significantly increased in the restricted diet (RD), postnatal restricted diet (RD-P), and weaning restricted diet (RD-W) groups compared with the control diet (CD) group, indicating reduced anxiety-like behavior. The RD-W group exhibited the highest open-arm duration, suggesting the strongest anxiolytic-like effect among the dietary restriction groups. Data are presented as mean ± SD. Statistical analysis was performed using one-way ANOVA followed by Dunnett’s multiple-comparison test against the CD group. Statistical notation: ns = not significant (<italic>p</italic> ≥ 0.05); * = <italic>p</italic> &lt; 0.05; ** = <italic>p</italic> &lt; 0.01; *** = <italic>p</italic> &lt; 0.001; **** = <italic>p</italic> &lt; 0.0001 vs. CD group according to Dunnett’s multiple-comparison test.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="eff-04-1010177-g002.tif" />
</fig>
</sec>
<sec id="t3-4">
<title>Open Field Test</title>
<p id="p-17">Significant increase in distance traveled in RD vs. CD (mean difference = 31.00, 95% CI: 7.99–54.01, <italic>p</italic> = 0.0118). No significant differences in RD-P (<italic>p</italic> = 0.92) or RD-W (<italic>p</italic> = 0.9985) (<xref ref-type="fig" rid="fig3">Figure 3</xref>).</p>
<fig id="fig3" position="float">
<label>Figure 3</label>
<caption>
<p id="fig3-p-1">
<bold>Open Field Test assessment of locomotor activity in offspring from different maternal diet groups.</bold> The restricted diet (RD) group showed significantly increased locomotor activity compared with the control diet (CD) group, indicating hyperactivity associated with maternal nutrient restriction. No significant differences were observed in the postnatal restricted diet (RD-P) and weaning restricted diet (RD-W) groups relative to CD, suggesting partial recovery following dietary normalization. Data are presented as mean ± SD. Statistical analysis was performed using one-way ANOVA followed by Dunnett’s multiple-comparison test against the CD group. Statistical notation: ns = not significant (<italic>p</italic> ≥ 0.05); * = <italic>p</italic> &lt; 0.05; ** = <italic>p</italic> &lt; 0.01; *** = <italic>p</italic> &lt; 0.001; **** = <italic>p</italic> &lt; 0.0001 vs. CD group according to Dunnett’s multiple-comparison test.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="eff-04-1010177-g003.tif" />
</fig>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<sec id="t4-1">
<title>Behavioral outcomes and maternal nutrient status</title>
<p id="p-18">During crucial developmental windows, maternal global food restriction caused domain-specific behavioral changes in rat offspring. There was no discernible difference in working memory across groups as measured by spontaneous alternation in the Y-maze (<italic>p</italic> &gt; 0.05). This result is consistent with a number of earlier studies that found that moderate gestational nutrient restriction had mild or context-dependent effects on attention and executive function. This could be due to compensatory hippocampus mechanisms or the short duration of restriction in the current model [<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>]. In keeping with studies that attentional/executive deficits are frequently modest or task-specific in such contexts, the lack of a substantial deficit in alternation performance raises the possibility that working memory circuits may be resilient to mild prenatal undernutrition [<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>].</p>
<p id="p-19">On the other hand, all restricted groups showed a substantial increase in time spent in the open arms of the EPM, which demonstrated a reduction in anxiety-like behavior (<italic>p</italic> &lt; 0.001). The highest impact was shown in RD-W offspring (<italic>p</italic> &lt; 0.0001). This paradoxical decrease in anxiety-like traits is in line with new research that suggests undernutrition during pregnancy can reduce stress responsiveness and anxiety-related behaviors in rodent models. This may be due to changes in frontostriatal maturation, altered HPA-axis programming, or decreased threat sensitivity [<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>]. The idea that prenatal food restriction may rewire emotional regulatory circuitry toward less anxiety-like responses is supported by the fact that enhanced open-arm exploration is traditionally viewed as decreased anxiety-like behavior rather than increased impulsivity [<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>].</p>
<p id="p-20">Only the RD group showed a significant increase in hyperactivity, as shown by the total distance walked in the Open Field Test (<italic>p</italic> = 0.0118); following postnatal diet normalization, there were no discernible differences between the RD-P or RD-W groups. This pattern implies that postnatal dietary recovery permits partial flexibility in motor and arousal systems, whereas gestational restriction has a more noticeable impact on locomotor circuits [<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>]. In keeping with differing developmental windows of sensitivity, the partial mitigation shown in the RD-P and RD-W groups further suggests that locomotor hyperactivity could be more responsive to postnatal intervention than anxiety-like traits [<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B29">29</xref>].</p>
<p id="p-21">Moderately unfavorable trends were found by Pearson correlation analyses between the open-field distance (<italic>r</italic> = –0.28, <italic>p</italic> = 0.12) and EPM open-arm time (<italic>r</italic> = –0.34, <italic>p</italic> = 0.06) and gestational maternal food consumption. These correlations imply that whereas postnatal recovery of intake largely normalizes these effects, poorer nutritional availability during pregnancy may lead to decreased anxiety-like behavior and increased locomotor activity in offspring. Working memory may be less responsive to the level of maternal constraint in this paradigm, as seen by the lack of substantial associations with Y-maze performance. Dopaminergic synthesis, myelination, and the formation of the frontostriatal circuitry depend on a number of micronutrients, especially iron, zinc, choline, folate, and vitamin B12 [<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>]. Iron deficiency causes dysregulation of attention and impulse control by impairing dopamine metabolism and D2 receptor function [<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>]. While folate and B12 deficits impair methylation pathways and raise homocysteine, which impacts brain plasticity and synaptic maturation, zinc and choline promote neurogenesis and cholinergic transmission [<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>]. Through energy deficit, changed insulin/IGF-1 signaling, and decreased substrate availability for brain development, macronutrient restriction most likely exacerbated these effects [<xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B37">37</xref>]. Although the lack of direct neurochemical (dopamine levels, receptor expression) or neuroanatomical (prefrontal cortex histology) measurements in this study means that such interpretations remain conjectural and need further validation, these pathways offer tenable mechanisms for the observed behavioral profile.</p>
<p id="p-22">This study has a few drawbacks, including lower final sample numbers owing to non-pregnant exclusions. To identify micronutrient vs calorie effects, no negative controls (for example, a pair-fed isocaloric group) were used. The 21-day gestational restriction model represents moderate exposure but may not depict chronic deficit. No molecular, neurochemical, or histological studies were performed. Behavioral paradigms give indirect assessments of ADHD-like features, but rodent models have intrinsic limitations in properly replicating human neuropsychiatric disorders. Future research should precisely distinguish between macronutrient and micronutrient impacts, target specific nutrients (iron, zinc, choline, B-vitamins), and use sophisticated models (patient-derived organoids, humanized mice, multi-omics) to unravel processes. Longitudinal designs with longer restriction periods, neurochemical assessments (e.g., dopamine levels, receptor expression), and brain histology are encouraged.</p>
<p id="p-23">This study shows that maternal global nutritional restriction during pregnancy causes long-term behavioral changes in children, including reduced anxiety-like behavior and hyperactivity, which may be reversed partially after birth. These findings emphasize the importance of sufficient maternal nutrition in neurodevelopmental outcomes and encourage early nutritional treatments to reduce cognitive and behavioral vulnerabilities.</p>
</sec>
</sec>
</body>
<back>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term>CD</term>
<def>
<p>control diet</p>
</def>
</def-item>
<def-item>
<term>EPM</term>
<def>
<p>Elevated Plus Maze</p>
</def>
</def-item>
<def-item>
<term>RD</term>
<def>
<p>restricted diet</p>
</def>
</def-item>
<def-item>
<term>RD-P</term>
<def>
<p>postnatal restricted diet</p>
</def>
</def-item>
<def-item>
<term>RD-W</term>
<def>
<p>weaning restricted diet</p>
</def>
</def-item>
</def-list>
</glossary>
<sec id="s-suppl" sec-type="supplementary-material">
<title>Supplementary materials</title>
<p>The supplementary materials for this article are available at: <uri xlink:href="https://www.explorationpub.com/uploads/Article/file/1010177_sup_1.pdf">https://www.explorationpub.com/uploads/Article/file/1010177_sup_1.pdf</uri>.</p>
<supplementary-material id="SD1" content-type="local-data">
<media xlink:href="1010177_sup_1.pdf" mimetype="application" mime-subtype="pdf"></media>
</supplementary-material>
</sec>
<sec id="s6">
<title>Declarations</title>
<sec id="t-6-1">
<title>Acknowledgments</title>
<p>The authors gratefully acknowledge the financial support provided by the University Grants Commission (UGC), New Delhi, Government of India. The authors also thank National College (Autonomous), Tiruchirappalli, the Department of Biotechnology and Microbiology, National College, Tiruchirappalli, and Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, for providing the laboratory facilities and infrastructure necessary to carry out this research. The authors further appreciate the valuable contributions and dedication of all members of the research team involved in this study.</p>
</sec>
<sec id="t-6-2">
<title>Author contributions</title>
<p>PGJ: Conceptualization, Methodology, Investigation, Formal analysis, Data curation, Writing—original draft, Writing—review &amp; editing, Supervision. GA: Investigation, Formal analysis, Writing—review &amp; editing. PAP: Methodology, Investigation, Data curation. RP: Formal analysis, Validation, Data curation. MH: Formal analysis, Validation, Data curation. MMJ: Conceptualization, Methodology, Resources, Funding acquisition, Supervision, Project administration, Writing—review &amp; editing. All authors read and approved the submitted version of the manuscript.</p>
</sec>
<sec id="t-6-3" sec-type="COI-statement">
<title>Conflicts of interest</title>
<p>The authors declare that they have no conflicts of interest.</p>
</sec>
<sec id="t-6-4">
<title>Ethical approval</title>
<p>The animal study was approved by the Institutional Animal Ethics Committee of National College (Autonomous), Tiruchirappalli, India (CPCSEA Approval No. 1941/GO/RE/S/17/CPCSEA).</p>
</sec>
<sec id="t-6-5">
<title>Consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec id="t-6-6">
<title>Consent to publication</title>
<p>Not applicable.</p>
</sec>
<sec id="t-6-7" sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets generated and/or analyzed during the current study are partly included in this published article. Additional data supporting the findings of this study are available from the corresponding author upon reasonable request.</p>
</sec>
<sec id="t-6-8">
<title>Funding</title>
<p>This work was supported by the University Grants Commission (UGC), New Delhi, Government of India [F.No. 43-557/2014(SR)]. The funding agency had no role in the design of the study, collection, analysis, or interpretation of data; writing of the manuscript; or in the decision to submit the article for publication.</p>
</sec>
<sec id="t-6-9">
<title>Copyright</title>
<p>© The Author(s) 2026.</p>
</sec>
</sec>
<sec id="s7">
<title>Publisher’s note</title>
<p>Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.</p>
</sec>
<ref-list>
<ref id="B1">
<label>1</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cusick</surname>
<given-names>SE</given-names>
</name>
<name>
<surname>Georgieff</surname>
<given-names>MK</given-names>
</name>
</person-group>
<article-title>The Role of Nutrition in Brain Development: The Golden Opportunity of the “First 1000 Days”</article-title>
<source>J Pediatr</source>
<year iso-8601-date="2016">2016</year>
<volume>175</volume>
<fpage>16</fpage>
<lpage>21</lpage>
<pub-id pub-id-type="doi">10.1016/j.jpeds.2016.05.013</pub-id>
<pub-id pub-id-type="pmid">27266965</pub-id>
<pub-id pub-id-type="pmcid">PMC4981537</pub-id>
</element-citation>
</ref>
<ref id="B2">
<label>2</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Monk</surname>
<given-names>C</given-names>
</name>
<name>
<surname>Georgieff</surname>
<given-names>MK</given-names>
</name>
<name>
<surname>Osterholm</surname>
<given-names>EA</given-names>
</name>
</person-group>
<article-title>Research Review: Maternal prenatal distress and poor nutrition – mutually influencing risk factors affecting infant neurocognitive development</article-title>
<source>J Child Psychol Psychiatry</source>
<year iso-8601-date="2012">2012</year>
<volume>54</volume>
<fpage>115</fpage>
<lpage>30</lpage>
<pub-id pub-id-type="doi">10.1111/jcpp.12000</pub-id>
<pub-id pub-id-type="pmid">23039359</pub-id>
<pub-id pub-id-type="pmcid">PMC3547137</pub-id>
</element-citation>
</ref>
<ref id="B3">
<label>3</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prado</surname>
<given-names>EL</given-names>
</name>
<name>
<surname>Dewey</surname>
<given-names>KG</given-names>
</name>
</person-group>
<article-title>Nutrition and brain development in early life</article-title>
<source>Nutr Rev</source>
<year iso-8601-date="2014">2014</year>
<volume>72</volume>
<fpage>267</fpage>
<lpage>84</lpage>
<pub-id pub-id-type="doi">10.1111/nure.12102</pub-id>
<pub-id pub-id-type="pmid">24684384</pub-id>
</element-citation>
</ref>
<ref id="B4">
<label>4</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Georgieff</surname>
<given-names>MK</given-names>
</name>
</person-group>
<article-title>Iron deficiency in pregnancy</article-title>
<source>Am J Obstet Gynecol</source>
<year iso-8601-date="2020">2020</year>
<volume>223</volume>
<fpage>516</fpage>
<lpage>24</lpage>
<pub-id pub-id-type="doi">10.1016/j.ajog.2020.03.006</pub-id>
<pub-id pub-id-type="pmid">32184147</pub-id>
<pub-id pub-id-type="pmcid">PMC7492370</pub-id>
</element-citation>
</ref>
<ref id="B5">
<label>5</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pivina</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Semenova</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Doşa</surname>
<given-names>MD</given-names>
</name>
<name>
<surname>Dauletyarova</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Bjørklund</surname>
<given-names>G</given-names>
</name>
</person-group>
<article-title>Iron Deficiency, Cognitive Functions, and Neurobehavioral Disorders in Children</article-title>
<source>J Mol Neurosci</source>
<year iso-8601-date="2019">2019</year>
<volume>68</volume>
<fpage>1</fpage>
<lpage>10</lpage>
<pub-id pub-id-type="doi">10.1007/s12031-019-01276-1</pub-id>
<pub-id pub-id-type="pmid">30778834</pub-id>
</element-citation>
</ref>
<ref id="B6">
<label>6</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tia</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Hauser</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Konan</surname>
<given-names>AG</given-names>
</name>
<name>
<surname>Ciclet</surname>
<given-names>O</given-names>
</name>
<name>
<surname>Grzywinski</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Mainardi</surname>
<given-names>F</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Unraveling the relationship between nutritional status, cognitive function, and school performance among school-aged children in Taabo, Côte d'Ivoire: a school-based observational study</article-title>
<source>Front Nutr</source>
<year iso-8601-date="2025">2025</year>
<volume>12</volume>
<elocation-id>1630497</elocation-id>
<pub-id pub-id-type="doi">10.3389/fnut.2025.1630497</pub-id>
<pub-id pub-id-type="pmid">41195065</pub-id>
<pub-id pub-id-type="pmcid">PMC12584609</pub-id>
</element-citation>
</ref>
<ref id="B7">
<label>7</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kiani</surname>
<given-names>AK</given-names>
</name>
<name>
<surname>Dhuli</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Donato</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Aquilanti</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Velluti</surname>
<given-names>V</given-names>
</name>
<name>
<surname>Matera</surname>
<given-names>G</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Main nutritional deficiencies</article-title>
<source>J Prev Med Hyg</source>
<year iso-8601-date="2022">2022</year>
<volume>63</volume>
<elocation-id>E93</elocation-id>
<pub-id pub-id-type="doi">10.15167/2421-4248/jpmh2022.63.2S3.2752</pub-id>
</element-citation>
</ref>
<ref id="B8">
<label>8</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Felt</surname>
<given-names>BT</given-names>
</name>
<name>
<surname>Beard</surname>
<given-names>JL</given-names>
</name>
<name>
<surname>Schallert</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Shao</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Aldridge</surname>
<given-names>JW</given-names>
</name>
<name>
<surname>Connor</surname>
<given-names>JR</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Persistent neurochemical and behavioral abnormalities in adulthood despite early iron supplementation for perinatal iron deficiency anemia in rats</article-title>
<source>Behav Brain Res</source>
<year iso-8601-date="2006">2006</year>
<volume>171</volume>
<fpage>261</fpage>
<lpage>70</lpage>
<pub-id pub-id-type="doi">10.1016/j.bbr.2006.04.001</pub-id>
<pub-id pub-id-type="pmid">16713640</pub-id>
<pub-id pub-id-type="pmcid">PMC1851886</pub-id>
</element-citation>
</ref>
<ref id="B9">
<label>9</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Leikin-Frenkel</surname>
<given-names>AI</given-names>
</name>
</person-group>
<article-title>Perinatal lipid nutrition</article-title>
<source>Mol Nutr: Mother Infant</source>
<year iso-8601-date="2021">2021</year>
<fpage>337</fpage>
<lpage>59</lpage>
<pub-id pub-id-type="doi">10.1016/b978-0-12-813862-5.00014-1</pub-id>
</element-citation>
</ref>
<ref id="B10">
<label>10</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Georgieff</surname>
<given-names>MK</given-names>
</name>
</person-group>
<article-title>Nutrition and the developing brain: nutrient priorities and measurement</article-title>
<source>Am J Clin Nutr</source>
<year iso-8601-date="2007">2007</year>
<volume>85</volume>
<fpage>614S</fpage>
<lpage>620S</lpage>
<pub-id pub-id-type="doi">10.1093/ajcn/85.2.614s</pub-id>
<pub-id pub-id-type="pmid">17284765</pub-id>
</element-citation>
</ref>
<ref id="B11">
<label>11</label>
<element-citation publication-type="web">
<article-title>How micronutrient supplements are nourishing women and babies [Internet]</article-title>
<comment>UNICEF; [cited 2024 Sep 25]. Available from: <uri xlink:href="https://www.unicef.org/rosa/stories/how-micronutrient-supplements-are-nourishing-women-and-babies">https://www.unicef.org/rosa/stories/how-micronutrient-supplements-are-nourishing-women-and-babies</uri></comment>
</element-citation>
</ref>
<ref id="B12">
<label>12</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Girotra</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Malik</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Roy</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Basu</surname>
<given-names>S</given-names>
</name>
</person-group>
<article-title>Utilization and determinants of adequate quality antenatal care services in India: evidence from the National Family Health Survey (NFHS-5) (2019-21)</article-title>
<source>BMC Pregnancy Childbirth</source>
<year iso-8601-date="2023">2023</year>
<volume>23</volume>
<elocation-id>800</elocation-id>
<pub-id pub-id-type="doi">10.1186/s12884-023-06117-z</pub-id>
</element-citation>
</ref>
<ref id="B13">
<label>13</label>
<element-citation publication-type="journal">
<article-title>Ajantha, Singh AK, Malhotra B, Mohan SK, Joshi A. Evaluation of Dietary Choices, Preferences, Knowledge and Related Practices Among Pregnant Women Living in An Indian Setting</article-title>
<source>J CLIN DIAGN RES</source>
<year iso-8601-date="2015">2015</year>
<volume>9</volume>
<fpage>LC04</fpage>
<lpage>10</lpage>
<pub-id pub-id-type="doi">10.7860/jcdr/2015/14463.6317</pub-id>
<pub-id pub-id-type="pmid">26435972</pub-id>
<pub-id pub-id-type="pmcid">PMC4576565</pub-id>
</element-citation>
</ref>
<ref id="B14">
<label>14</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xie</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>F</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>X</given-names>
</name>
<name>
<surname>Jin</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Q</given-names>
</name>
<name>
<surname>Shen</surname>
<given-names>H</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Benefits and risks of essential trace elements in chronic kidney disease: a narrative review</article-title>
<source>Ann Transl Med</source>
<year iso-8601-date="2022">2022</year>
<volume>10</volume>
<elocation-id>1400</elocation-id>
<pub-id pub-id-type="doi">10.21037/atm-22-5969</pub-id>
<pub-id pub-id-type="pmid">36660676</pub-id>
<pub-id pub-id-type="pmcid">PMC9843383</pub-id>
</element-citation>
</ref>
<ref id="B15">
<label>15</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bale</surname>
<given-names>TL</given-names>
</name>
<name>
<surname>Baram</surname>
<given-names>TZ</given-names>
</name>
<name>
<surname>Brown</surname>
<given-names>AS</given-names>
</name>
<name>
<surname>Goldstein</surname>
<given-names>JM</given-names>
</name>
<name>
<surname>Insel</surname>
<given-names>TR</given-names>
</name>
<name>
<surname>McCarthy</surname>
<given-names>MM</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Early Life Programming and Neurodevelopmental Disorders</article-title>
<source>Biol Psychiatry</source>
<year iso-8601-date="2010">2010</year>
<volume>68</volume>
<fpage>314</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="doi">10.1016/j.biopsych.2010.05.028</pub-id>
<pub-id pub-id-type="pmid">20674602</pub-id>
<pub-id pub-id-type="pmcid">PMC3168778</pub-id>
</element-citation>
</ref>
<ref id="B16">
<label>16</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Entringer</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Buss</surname>
<given-names>C</given-names>
</name>
<name>
<surname>Kumsta</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Hellhammer</surname>
<given-names>DH</given-names>
</name>
<name>
<surname>Wadhwa</surname>
<given-names>PD</given-names>
</name>
<name>
<surname>Wüst</surname>
<given-names>S</given-names>
</name>
</person-group>
<article-title>Prenatal psychosocial stress exposure is associated with subsequent working memory performance in young women</article-title>
<source>Behav Neurosci</source>
<year iso-8601-date="2009">2009</year>
<volume>123</volume>
<fpage>886</fpage>
<lpage>93</lpage>
<pub-id pub-id-type="doi">10.1037/a0016265</pub-id>
<pub-id pub-id-type="pmid">19634949</pub-id>
<pub-id pub-id-type="pmcid">PMC2862630</pub-id>
</element-citation>
</ref>
<ref id="B17">
<label>17</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lucassen</surname>
<given-names>PJ</given-names>
</name>
<name>
<surname>Naninck</surname>
<given-names>EF</given-names>
</name>
<name>
<surname>van Goudoever</surname>
<given-names>JB</given-names>
</name>
<name>
<surname>Fitzsimons</surname>
<given-names>C</given-names>
</name>
<name>
<surname>Joels</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Korosi</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>Perinatal programming of adult hippocampal structure and function; emerging roles of stress, nutrition and epigenetics</article-title>
<source>Trends Neurosci</source>
<year iso-8601-date="2013">2013</year>
<volume>36</volume>
<fpage>621</fpage>
<lpage>31</lpage>
<pub-id pub-id-type="doi">10.1016/j.tins.2013.08.002</pub-id>
<pub-id pub-id-type="pmid">23998452</pub-id>
</element-citation>
</ref>
<ref id="B18">
<label>18</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Radlowski</surname>
<given-names>EC</given-names>
</name>
<name>
<surname>Johnson</surname>
<given-names>RW</given-names>
</name>
</person-group>
<article-title>Perinatal iron deficiency and neurocognitive development</article-title>
<source>Front Hum Neurosci</source>
<year iso-8601-date="2013">2013</year>
<volume>7</volume>
<elocation-id>585</elocation-id>
<pub-id pub-id-type="doi">10.3389/fnhum.2013.00585</pub-id>
<pub-id pub-id-type="pmid">24065908</pub-id>
<pub-id pub-id-type="pmcid">PMC3779843</pub-id>
</element-citation>
</ref>
<ref id="B19">
<label>19</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Perry</surname>
<given-names>RE</given-names>
</name>
<name>
<surname>Finegood</surname>
<given-names>ED</given-names>
</name>
<name>
<surname>Braren</surname>
<given-names>SH</given-names>
</name>
<name>
<surname>Dejoseph</surname>
<given-names>ML</given-names>
</name>
<name>
<surname>Putrino</surname>
<given-names>DF</given-names>
</name>
<name>
<surname>Wilson</surname>
<given-names>DA</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Developing a neurobehavioral animal model of poverty: Drawing cross-species connections between environments of scarcity-adversity, parenting quality, and infant outcome</article-title>
<source>Dev Psychopathol</source>
<year iso-8601-date="2018">2018</year>
<volume>31</volume>
<fpage>399</fpage>
<lpage>418</lpage>
<pub-id pub-id-type="doi">10.1017/s095457941800007x</pub-id>
<pub-id pub-id-type="pmid">29606185</pub-id>
<pub-id pub-id-type="pmcid">PMC6168440</pub-id>
</element-citation>
</ref>
<ref id="B20">
<label>20</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Reeves</surname>
<given-names>PG</given-names>
</name>
<name>
<surname>Nielsen</surname>
<given-names>FH</given-names>
</name>
<name>
<surname>Fahey</surname>
<given-names>GC Jr</given-names>
</name>
</person-group>
<article-title>AIN-93 Purified Diets for Laboratory Rodents: Final Report of the American Institute of Nutrition Ad Hoc Writing Committee on the Reformulation of the AIN-76A Rodent Diet</article-title>
<source>J Nutr</source>
<year iso-8601-date="1993">1993</year>
<volume>123</volume>
<fpage>1939</fpage>
<lpage>51</lpage>
<pub-id pub-id-type="doi">10.1093/jn/123.11.1939</pub-id>
<pub-id pub-id-type="pmid">8229312</pub-id>
</element-citation>
</ref>
<ref id="B21">
<label>21</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lam</surname>
<given-names>LF</given-names>
</name>
<name>
<surname>Lawlis</surname>
<given-names>TR</given-names>
</name>
</person-group>
<article-title>Feeding the brain – The effects of micronutrient interventions on cognitive performance among school-aged children: A systematic review of randomized controlled trials</article-title>
<source>Clin Nutr</source>
<year iso-8601-date="2017">2017</year>
<volume>36</volume>
<fpage>1007</fpage>
<lpage>14</lpage>
<pub-id pub-id-type="doi">10.1016/j.clnu.2016.06.013</pub-id>
<pub-id pub-id-type="pmid">27395329</pub-id>
</element-citation>
</ref>
<ref id="B22">
<label>22</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Van</surname>
<given-names>den Bergh BRH</given-names>
</name>
<name>
<surname>van den Heuvel</surname>
<given-names>MI</given-names>
</name>
<name>
<surname>Lahti</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Braeken</surname>
<given-names>M</given-names>
</name>
<name>
<surname>de Rooij</surname>
<given-names>SR</given-names>
</name>
<name>
<surname>Entringer</surname>
<given-names>S</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Prenatal developmental origins of behavior and mental health: The influence of maternal stress in pregnancy</article-title>
<source>Neurosci Biobehav Rev</source>
<year iso-8601-date="2020">2020</year>
<volume>117</volume>
<fpage>26</fpage>
<lpage>64</lpage>
<pub-id pub-id-type="doi">10.1016/j.neubiorev.2017.07.003</pub-id>
<pub-id pub-id-type="pmid">28757456</pub-id>
</element-citation>
</ref>
<ref id="B23">
<label>23</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Meer</surname>
<given-names>MS</given-names>
</name>
<name>
<surname>Sandhya</surname>
<given-names>R</given-names>
</name>
</person-group>
<article-title>Geospatial analysis of maternal healthcare utilization and socioenvironmental determinants in Tamil Nadu, India</article-title>
<source>Discov Public Health</source>
<year iso-8601-date="2026">2026</year>
<volume>23</volume>
<elocation-id>392</elocation-id>
<pub-id pub-id-type="doi">10.1186/s12982-026-01707-6</pub-id>
</element-citation>
</ref>
<ref id="B24">
<label>24</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Balsevich</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Häusl</surname>
<given-names>AS</given-names>
</name>
<name>
<surname>Meyer</surname>
<given-names>CW</given-names>
</name>
<name>
<surname>Karamihalev</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>X</given-names>
</name>
<name>
<surname>Pöhlmann</surname>
<given-names>ML</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Stress-responsive FKBP51 regulates AKT2-AS160 signaling and metabolic function</article-title>
<source>Nat Commun</source>
<year iso-8601-date="2017">2017</year>
<volume>8</volume>
<elocation-id>1725</elocation-id>
<pub-id pub-id-type="doi">10.1038/s41467-017-01783-y</pub-id>
<pub-id pub-id-type="pmid">29170369</pub-id>
<pub-id pub-id-type="pmcid">PMC5700978</pub-id>
</element-citation>
</ref>
<ref id="B25">
<label>25</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pellow</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Chopin</surname>
<given-names>P</given-names>
</name>
<name>
<surname>File</surname>
<given-names>SE</given-names>
</name>
<name>
<surname>Briley</surname>
<given-names>M</given-names>
</name>
</person-group>
<article-title>Validation of open : closed arm entries in an elevated plus-maze as a measure of anxiety in the rat</article-title>
<source>J Neurosci Methods</source>
<year iso-8601-date="1985">1985</year>
<volume>14</volume>
<fpage>149</fpage>
<lpage>67</lpage>
<pub-id pub-id-type="doi">10.1016/0165-0270(85)90031-7</pub-id>
<pub-id pub-id-type="pmid">2864480</pub-id>
</element-citation>
</ref>
<ref id="B26">
<label>26</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carobrez</surname>
<given-names>AP</given-names>
</name>
<name>
<surname>Bertoglio</surname>
<given-names>LJ</given-names>
</name>
</person-group>
<article-title>Ethological and temporal analyses of anxiety-like behavior: The elevated plus-maze model 20 years on</article-title>
<source>Neurosci Biobehav Rev</source>
<year iso-8601-date="2005">2005</year>
<volume>29</volume>
<fpage>1193</fpage>
<lpage>205</lpage>
<pub-id pub-id-type="doi">10.1016/j.neubiorev.2005.04.017</pub-id>
<pub-id pub-id-type="pmid">16084592</pub-id>
</element-citation>
</ref>
<ref id="B27">
<label>27</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Reddan</surname>
<given-names>JM</given-names>
</name>
<name>
<surname>Macpherson</surname>
<given-names>H</given-names>
</name>
<name>
<surname>White</surname>
<given-names>DJ</given-names>
</name>
<name>
<surname>Scholey</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Pipingas</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>Examining the relationship between nutrition and cerebral structural integrity in older adults without dementia</article-title>
<source>Nutr Res Rev</source>
<year iso-8601-date="2018">2018</year>
<volume>32</volume>
<fpage>79</fpage>
<lpage>98</lpage>
<pub-id pub-id-type="doi">10.1017/s0954422418000185</pub-id>
<pub-id pub-id-type="pmid">30378509</pub-id>
</element-citation>
</ref>
<ref id="B28">
<label>28</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jain</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Maheshwari</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Jain</surname>
<given-names>SK</given-names>
</name>
</person-group>
<article-title>Maternal Nutrition and Fetal/Infant Development</article-title>
<source>Clin Perinatol</source>
<year iso-8601-date="2022">2022</year>
<volume>49</volume>
<fpage>313</fpage>
<lpage>30</lpage>
<pub-id pub-id-type="doi">10.1016/j.clp.2022.02.005</pub-id>
<pub-id pub-id-type="pmid">35659089</pub-id>
</element-citation>
</ref>
<ref id="B29">
<label>29</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>de Matos Reis</surname>
<given-names>ÁE</given-names>
</name>
<name>
<surname>Teixeira</surname>
<given-names>IS</given-names>
</name>
<name>
<surname>Maia</surname>
<given-names>JM</given-names>
</name>
<name>
<surname>Luciano</surname>
<given-names>LAA</given-names>
</name>
<name>
<surname>Brandião</surname>
<given-names>LM</given-names>
</name>
<name>
<surname>Silva</surname>
<given-names>MLS</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Maternal nutrition and its effects on fetal neurodevelopment</article-title>
<source>Nutrition</source>
<year iso-8601-date="2024">2024</year>
<volume>125</volume>
<elocation-id>112483</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.nut.2024.112483</pub-id>
<pub-id pub-id-type="pmid">38823254</pub-id>
</element-citation>
</ref>
<ref id="B30">
<label>30</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Soni</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Verma</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Chopra</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Singh</surname>
<given-names>V</given-names>
</name>
<name>
<surname>Goswami</surname>
<given-names>D</given-names>
</name>
</person-group>
<article-title>Demystifying intricate factors of nutritional anemia beyond iron deficiency–A narrative review</article-title>
<source>Clin Nutr ESPEN</source>
<year iso-8601-date="2025">2025</year>
<volume>69</volume>
<fpage>745</fpage>
<lpage>64</lpage>
<pub-id pub-id-type="doi">10.1016/j.clnesp.2025.08.034</pub-id>
<pub-id pub-id-type="pmid">40912361</pub-id>
</element-citation>
</ref>
<ref id="B31">
<label>31</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Francis</surname>
<given-names>HM</given-names>
</name>
<name>
<surname>Stevenson</surname>
<given-names>RJ</given-names>
</name>
</person-group>
<article-title>Potential for diet to prevent and remediate cognitive deficits in neurological disorders</article-title>
<source>Nutr Rev</source>
<year iso-8601-date="2018">2018</year>
<volume>76</volume>
<fpage>204</fpage>
<lpage>17</lpage>
<pub-id pub-id-type="doi">10.1093/nutrit/nux073</pub-id>
<pub-id pub-id-type="pmid">29346658</pub-id>
</element-citation>
</ref>
<ref id="B32">
<label>32</label>
<element-citation publication-type="book">
<person-group person-group-type="author">
<name>
<surname>Alsharshani</surname>
<given-names>DA</given-names>
</name>
</person-group>
<source>Risk factors for autism spectrum disorders in the state of Qatar [dissertation]</source>
<publisher-loc>Doha</publisher-loc>
<publisher-name>Hamad Bin Khalifa University</publisher-name>
<year iso-8601-date="2019">2019</year>
<pub-id pub-id-type="doi">10.57945/manara.hbku.28473026</pub-id>
</element-citation>
</ref>
<ref id="B33">
<label>33</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Begum</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Latunde-Dada</surname>
<given-names>GO</given-names>
</name>
</person-group>
<article-title>Anemia of Inflammation with An Emphasis on Chronic Kidney Disease</article-title>
<source>Nutrients</source>
<year iso-8601-date="2019">2019</year>
<volume>11</volume>
<elocation-id>2424</elocation-id>
<pub-id pub-id-type="doi">10.3390/nu11102424</pub-id>
<pub-id pub-id-type="pmid">31614529</pub-id>
<pub-id pub-id-type="pmcid">PMC6835368</pub-id>
</element-citation>
</ref>
<ref id="B34">
<label>34</label>
<element-citation publication-type="book">
<person-group person-group-type="author">
<name>
<surname>Hassan</surname>
<given-names>MA</given-names>
</name>
<name>
<surname>Wadan</surname>
<given-names>AHS</given-names>
</name>
<name>
<surname>Elhelw</surname>
<given-names>JS</given-names>
</name>
<name>
<surname>Atia</surname>
<given-names>NE</given-names>
</name>
<name>
<surname>Sarhan</surname>
<given-names>MM</given-names>
</name>
</person-group>
<article-title>The impact of micronutrients on cognitive functions</article-title>
<person-group person-group-type="editor">
<name>
<surname>Mohamed</surname>
<given-names>W</given-names>
</name>
<name>
<surname>Özge</surname>
<given-names>A</given-names>
</name>
</person-group>
<source>Feeding the mind: the connection between diet, drugs, and mental health Volume 1</source>
<publisher-loc>Nutritional neurosciences. Singapore</publisher-loc>
<publisher-name>Springer</publisher-name>
<year iso-8601-date="2025">2025</year>
<comment>pp. 243–64.</comment>
<pub-id pub-id-type="doi">10.1007/978-981-95-1414-4_11</pub-id>
</element-citation>
</ref>
<ref id="B35">
<label>35</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kumar</surname>
<given-names>DSTG</given-names>
</name>
</person-group>
<article-title>Role of Antenatal Maternal Psychological Factors in the Genesis of Childhood ‎Neurodevelopmental Disorders</article-title>
<source>Genet Mol Res</source>
<year iso-8601-date="2026">2026</year>
<pub-id pub-id-type="doi">10.4238/8fhts681</pub-id>
</element-citation>
</ref>
<ref id="B36">
<label>36</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bhutta</surname>
<given-names>ZA</given-names>
</name>
<name>
<surname>Berkley</surname>
<given-names>JA</given-names>
</name>
<name>
<surname>Bandsma</surname>
<given-names>RHJ</given-names>
</name>
<name>
<surname>Kerac</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Trehan</surname>
<given-names>I</given-names>
</name>
<name>
<surname>Briend</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>Severe childhood malnutrition</article-title>
<source>Nat Rev Dis Primers</source>
<year iso-8601-date="2017">2017</year>
<volume>3</volume>
<elocation-id>17067</elocation-id>
<pub-id pub-id-type="doi">10.1038/nrdp.2017.67</pub-id>
<pub-id pub-id-type="pmid">28933421</pub-id>
<pub-id pub-id-type="pmcid">PMC7004825</pub-id>
</element-citation>
</ref>
<ref id="B37">
<label>37</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Agaram</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Chandrababu</surname>
<given-names>P</given-names>
</name>
<name>
<surname>Bhavani</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Saravanan</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Chinnakannu</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Sundaram</surname>
<given-names>T</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Impact of maternal endocrine health on foetal development and pregnancy outcomes</article-title>
<source>Scr Med</source>
<year iso-8601-date="2025">2025</year>
<volume>56</volume>
<fpage>985</fpage>
<lpage>1005</lpage>
<pub-id pub-id-type="doi">10.5937/scriptamed56-56919</pub-id>
</element-citation>
</ref>
</ref-list>
</back>
</article>