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Factors influencing plasma zinc levels in low-income pregnant women

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Abstract

Plasma zinc (Zn) concentrations were measured in 4376 indigent women (86% African-American), at a mean (±SD) gestational age of 15 (±7.8) wk to determine the relationship between various maternal characteristics and plasma Zn levels during pregnancy. Mean plasma Zn levels were lower in African-American women than in Caucasian women, in multiparous women than in primiparous women, and in women with body weight >69.9 kg than in those with body weight ≤69.9 kg (p≤0.001 for each comparison). There were no significant differences related to maternal age, marital status, education, or smoking habit. Multiple regression analysis, including maternal prepregnancy weight, race, age, parity, smoking habit, education, and marital status indicated that race, parity, and pregnancy weight were significantly associated with maternal plasma Zn levels, adjusted for gestational age. Maternal race was the best predictor of plasma Zn concentrations among the population of pregnant women studied A significant proportion of variance in maternal plasma Zn levels remained unexplained after taking into account various maternal characteristics. The reasons for lower plasma Zn levels in African-American women, compared to Caucasian women, during pregnancy are unknown.

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References

  1. J. Apgar, Zinc and reproduction: an update,J. Nutr. Biochem. 3, 266–278 (1992).

    Article  CAS  Google Scholar 

  2. S. Jameson, Effects of zinc deficiency in human reproduction,Acta Med. Scand. 593(suppl), 3–20 (1976).

    Google Scholar 

  3. W. M. Crosby, J. Metcoff, J. P. Costiloe, M. Mameesh, H. H. Sandstead, R. A. Jacob, P. E. McClain, G. Jacobson, W. Reid, and G. Burns, Fetal malnutrition: an appraisal of correlated factors.Am. J. Obstet. Gynecol. 128, 22–31 (1977).

    PubMed  CAS  Google Scholar 

  4. Y. H. Neggers, R. Cutter, R. T. Acton, J. O. Alvarez, J. L. Bonner, R. L. Goldenberg, C. P. Go, and J. M. Roseman, A positive association between maternal serum zinc concentration and birthweight,Am. J. Clin. Nutr. 51, 678–684 (1990).

    PubMed  CAS  Google Scholar 

  5. F. F. Cherry, E. A. Bennett, G. S. Bazzano, L. K. Johnson, G. J. Fosmir, and H. K. Batson, Plasma zinc in hypertension/toxemia and other reproductive variables in adolescent pregnancy,Am. J. Clin. Nutr 34, 2367–2375 (1981).

    PubMed  CAS  Google Scholar 

  6. S. Tuttle, P. J. Aggett, D. Campbell, and I. MacGillivary, Zinc and copper nutrition in human pregnancy a longitudinal study in normal primigravidae and in primigravidae at risk of delivering a growth retarded baby,Am. J. Clin. Nutr. 41, 1032–1041 (1985).

    PubMed  CAS  Google Scholar 

  7. T. Tamura, R. L. Goldenberg, L. R. Freeberg, S. P. Cliver, G. R. Cutter, and H. J. Hoffman, Maternal serum folate and zinc concentrations and their relationships to pregnancy outcome,Am. J. Clin. Nutr. 56, 365–370 (1992).

    PubMed  CAS  Google Scholar 

  8. H. Nasrat, D. Bloxam, U. Nicolini, N. Williams, Y. Tannirandron, P. Nicolaides, and C. H. Redeck, Midpregnancy plasma zinc in normal and growth retarded fetuses—a preliminary study,Br. J. Obstet. Gynecol. 99, 646–650 (1992).

    CAS  Google Scholar 

  9. J. Metcoff, J. P. Costiloe, W. Crosby, L. Bentle, D. Seshachalam, H. H. Sandstead, C. E. Bodwell, and F. Weaver, Maternal nutrition and fetal outcome.Am. J. Clin. Nutr. 34, 708–721 (1981).

    PubMed  CAS  Google Scholar 

  10. A. J. McMichael, I. E. Dreosti, G. T. Gibson, J. M. Hortshorre, R. A. Buckley, and R. A. Colley, A prospective study of serial maternal serum zinc levels and pregnancy outcome,Early Hum. Dev. 7, 59–69 (1982).

    Article  PubMed  CAS  Google Scholar 

  11. C. A. Swanson and J. C. King, Reduced serum zinc concentration during pregnancy,Obstet. Gynecol. 62, 313–318 (1983).

    Article  PubMed  CAS  Google Scholar 

  12. K. Simmer and R. P. H. Thompson, Maternal zinc and intrauterine growth retardation,Clin. Sci. 68, 393–399 (1985).

    Google Scholar 

  13. R. L. Goldenberg, T. Tamura, Y. Neggers, R. L. Copper, K. E. Johnston, M. B. DuBard, and J. C. Hauth, The effect of zinc supplementation on pregnancy outcome,J.A.M.A. 274, 463–468 (1995).

    PubMed  CAS  Google Scholar 

  14. T. Tamura, K. E. Johnston, L. E. Freeberg, L. L. Perkins, and R. L. Goldenberg, Refrigeration of blood samples prior to separation is essential for the accurate determination of plasma or serum zinc concentrations,Biol. Trace Elem. Res. 41, 165–169 (1994).

    Article  PubMed  CAS  Google Scholar 

  15. K. M. Hambidge, N. F. Krebs, M. A. Jacobs, A. Favier, L. Guyette, and D. N. Ikle, Zinc nutritional status during pregnancy: a longitudinal study,Am. J. Clin. Nutr. 37, 429–442 (1983).

    PubMed  CAS  Google Scholar 

  16. R. Valdes-Ramos, Zinc: a perinatal point of view,Prog. Food Nutr. Sci. 16, 279–306 (1992).

    PubMed  CAS  Google Scholar 

  17. E. M. Knight, B. G. Spurlock, C. H. Edwards, A. A. Johnson, U. J. Oyemade, O. J. Cole, W. L. West, M. Manning, J. Hutchinson, H. Laryea, O. E. Westney, S. Jones, and L. S. Westney, Biochemical profile of African American women during three trimesters of pregnancy and at delivery,J. Nutr. 124, 943S-953S (1994).

    PubMed  CAS  Google Scholar 

  18. N. Lazebnik, B. R. Kuhnert, P. M. Kuhnert, and K. L. Thompson, Zinc status, pregnancy complications and labor abnormalities,Am. J. Obstet. Gynecol. 158, 161–166 (1988).

    PubMed  CAS  Google Scholar 

  19. W. Wasowicz, P. Wolkanin, M. Bednarski, J. Gromadzinska, M. Skalodowska, and K. Grzybowska, Plasma trace element (Se, Zn, Cu) concentration in maternal and umbilical cord blood in Poland,Biol. Trace Elem. Res. 38, 205–215 (1993).

    Article  PubMed  CAS  Google Scholar 

  20. G. D. Martino, M. G. Matera, B. D. Martino, C. Vacca, S. D. Martino, and F. Rossi, Relationship between zinc and obesity,J. Med. 24, 177–183 (1993).

    PubMed  Google Scholar 

  21. J. E. Maher III, R. L. Goldenberg, T. Tamura, S. P. Cliver, K. E. Johnston, and H. J. Hoffman, Indicators of maternal nutritional status and birth weight in term deliveries,Obstet. Gynecol. 81, 165–169 (1993).

    PubMed  Google Scholar 

  22. O. Hiedki, K. Yamashita, R. Doi, K. Yamamura, T. Kondo, and N. Taniguchi, Exercise-induced changes in blood zinc related proteins in humans.J. App. Physiol. 58, 1453–1458 (1985).

    Google Scholar 

  23. S. I. Koo and J. S. Ramlet, Dietary cholesterol decreases the serum levels of zinc: further evidence for a positive relationship betwen zinc and high density lipoproteins,Am. J. Clin Nutr. 37, 918–923 (1983).

    PubMed  CAS  Google Scholar 

  24. B. R. Kuhnert, P. M. Kuhnert, L. Groh-Wargo, S. Webster, P. Erhard, and N. Lazebnik, Smoking alters the relationship between maternal zinc intake and biochemical indices of fetal zinc status,Am. J. Clin. Nutr. 55, 981–984 (1992).

    PubMed  CAS  Google Scholar 

  25. L. M. Wallock, J. C. King, K. M. Hambidge, J. E. English-Westcott, and J. Pritts, Meal induced changes in plasma, erythrocyte, and urinary zinc concentrations in adult women,Am. J. Clin. Nutr. 58, 695–701 (1993).

    PubMed  CAS  Google Scholar 

  26. J. C. King, K. M. Hambidge, J. L. Westcott, D. L. Kern, and G. Marshall, Daily variation in plasma zinc concentrations in women fed meals at six-hour intervals,J. Nutr. 124, 508–516 (1994).

    PubMed  CAS  Google Scholar 

  27. T. O. Scholl, M. L. Heidiger, J. I. Schall, R. L. Fischer, and C. S. Khoo, Low zinc intake during pregnancy: its association with preterm and very preterm delivery,Am. J. Epidemiol. 137, 115–124 (1993).

    Google Scholar 

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Neggers, Y.H., Dubard, M.B., Goldenberg, R.L. et al. Factors influencing plasma zinc levels in low-income pregnant women. Biol Trace Elem Res 55, 127–135 (1996). https://doi.org/10.1007/BF02784174

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