Skip to main content
Log in

Serum Level of Some Minerals during Three Trimesters of Pregnancy in Iranian Women and Their Newborns: A Longitudinal Study

  • Original Article
  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

Concentrations of various trace elements are altered during pregnancy with changes in the mother’s physiology and the requirements of growing fetus. The aim of the present longitudinal study was to learn the changes of micronutrients Iron (Fe), Calcium (Ca), zinc (Zn) Magnesium (Mg) and copper (Cu) of pregnant woman and their relations with newborns levels. Serum levels of iron, calcium, zinc, magnesium and copper of 162 pregnant women and their newborns were determined by an inductively couple plasma mass spectrometer (ICP/MS). The results showed that majority (41 %) of pregnant women were in age group 26–36 years 55 % had high school and diploma levels of education and the total income ranged between 3 and 5 Rials million per month There was significant difference in iron levels during first, second and third trimesters, 76.0 ± 17.8, 63.5 ± 15.2 and 70.1 ± 14.4 μg/dl respectively. Significant difference was shown in zinc levels 79.5 ± 15, 74.5 ± 16.1, and 65.3 ± 14.9 μg/dl during three trimesters. Copper levels during pregnancy were significantly different (130.9 ± 43.5, 172.0 ± 38.94, 193.2 ± 28.5 μg/dl. The serum levels of calcium and magnesium during pregnancy were constant (Ca: 8.96 ± 0.48, 8.86 ± 0.47, 8.91 ± 0.42 mg/dl and Mg: 2.10 ± 0.21, 2.08 ± 0.28, 2.09 ± 0.29 mg/dl). Results showed that 13 % of pregnant women had hypocalcaemia and hypomagnesaemia. Thirty eight percent and 42 % of pregnant women had iron and zinc deficiency respectively. In this study, unlike zinc, no pregnant women were found deficient in serum copper levels. Calcium, iron, zinc, copper and magnesium levels in the newborn’s cord blood were 8.93 ± 0.43, 106.0 ± 26.1, 85.35 ± 16.6, 57.04 ± 13.8 and 1.99 ± 0.27 mg/dl respectively. In the present study the levels of iron and zinc in cord blood were higher than the levels of iron and zinc in maternal serum. The mean level of copper in cord blood serum in the current study was lower than maternal values. The mean serum calcium and magnesium in the serum cord blood and in the serum of the pregnant women were similar.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Al-Shoshan AA. Diet history and birth weight relationship among Saudi pregnant women. Pak J Med Sci. 2007;23:176–81.

    Google Scholar 

  2. James P. Marabou 2005: nutrition and human development. Nutr Rev. 2006;64:S1–11.

    Article  PubMed  Google Scholar 

  3. Ramakrishnan U, Manjrekar R, Rivera J, Gonzalescossio T, Martorell R. Micronutrients and pregnancy outcome. A review of the literature. Nutr Res. 1999;19:103–12.

    Article  CAS  Google Scholar 

  4. Black RE. Micronutrients in pregnancy. Br J Nutr. 2001;85(2):193.

    Article  Google Scholar 

  5. Al-Saleh E, Nandakumaran M, Al-Shammari M, Makhseed M, Sadan T, Harouny A. Maternal-fetal status of copper, iron, molybdenum, selenium and zinc in insulin-dependent diabetic pregnancies. Arch Gynecol Obstet. 2005;271:212–7.

    Article  CAS  PubMed  Google Scholar 

  6. Izquierdo Álvarez S, Castañón SG, Ruata MLC, Aragüés EF, Terraz PB, Irazabal YG, et al. Updating of normal levels of copper, zinc and selenium in serum of pregnant women. J Trace Elem Med Biol. 2007;21(Supplement 1):49–52.

    Article  PubMed  Google Scholar 

  7. Shariati S, Yamini Y, Faraji M, Saleh A. On-line solid phase extraction coupled to ICP–OES for simultaneous preconcentration and determination of some transition elements. Microchimica Acta. 2009;165:65–72.

    Article  CAS  Google Scholar 

  8. Zeni SN, Ortela Soler CR, Lazzari A, López L, Suarez M, Di Gregorio S, et al. Interrelationship between bone turnover markers and dietary calcium intake in pregnant women: a longitudinal study. Bone. 2003;33(4):606–13.

    Article  CAS  PubMed  Google Scholar 

  9. Liu J, Yang H, Shi H, Shen C, Zhou W, Dai Q, et al. Blood copper, zinc, calcium, and magnesium levels during different duration of pregnancy in chinese. Biol Trace Elem Res. 2010;135:31–7.

    Article  CAS  PubMed  Google Scholar 

  10. Mayne P. Calcium, phosphate and magnesium metabolism. In: Zilva JF, Pannall PR, editors. Clinical chemistry in diagnosis and treatment, vol. 144. 6th ed. Bath: ELSB; 1996. p. 179–88.

    Google Scholar 

  11. Prentice A. Calcium in pregnancy and lactation. Annu Rev Nutr. 2000;20:249–72.

    Article  CAS  PubMed  Google Scholar 

  12. Kent GN, Price RI, Gutteridge DH. The efficiency of intestinal calcium absorption is increased in late pregnancy but not in established lactation. Calcif Tissue Int. 1991;48:293–5.

    Article  CAS  PubMed  Google Scholar 

  13. Peiranoa P, Algarna C, Garridoa M, Pizarroa F, Roncaglioloa M, Lozoffc B. Interaction of iron deciency anemia and neurofunctions in cognitive development. Nutr Brain. 2001;5:19.

    Article  Google Scholar 

  14. J-Im Lee, Kang SAh, Kim S-Ki, Lim H-S. A cross sectional study of maternal iron status of Korean women during pregnancy. Nutr Res. 2002;22(12):1377–88.

    Article  Google Scholar 

  15. Upadhyaya C, Mishra S, Ajmera P, Sharma P. Serum iron, copper and zinc status in maternal and cord blood. Indian J Clin Biochem. 2004;19(2):48–52.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Pathak P, Kapil U, Kapoor SK, Saxena R, Kumar A, Gupta N, et al. Prevalence of multiple micronutrient deficiencies amongst pregnant women in a rural area of Haryana. Indian J Pediatr. 2004;71(11):1007–14.

    Article  PubMed  Google Scholar 

  17. Ilhan N, Simsek M. The changes of trace elements, malondialdehyde levels and superoxide dismutase activities in pregnancy with or without preeclampsia. Clin Biochem. 2002;35(5):393–7.

    Article  CAS  PubMed  Google Scholar 

  18. Tamura T, Goldenberg RL, Johnston KE, DuBard M. Maternal plasma zinc concentrations and pregnancy outcome. Am J Clin Nutr. 2000;71:109–13.

    CAS  PubMed  Google Scholar 

  19. Tuttle S. Trace element requirements during pregnancy. In: Campbell DM, Gillmer MDG, editors. Nutrition in pregnancy. London: Royal College of Gynaecologists; 1983.

    Google Scholar 

  20. Sheldon WL, Aspillaga MO, Smith PA, Lind T. The effects of oral iron supplementation on zinc and magnesium levels during pregnancy. Br J Obstet Gynaecol. 1985;92(9):892–8.

    Article  CAS  PubMed  Google Scholar 

  21. Bonham M, O’Connor JM, Strain JJ. The immune system as a physiological indicator of marginal copper status. Br J Nutr. 2002;87:393–403.

    Article  CAS  PubMed  Google Scholar 

  22. Keen CL, Uriu-Hare JY, Hawk SN, Jankowski MA, Daston GP, Kwik-Uribe CL, et al. Effect of copper deficiency on prenatal development and pregnancy outcome. Am J Clin Nutr. 1998;67:1003S–11S.

    CAS  PubMed  Google Scholar 

  23. Kassu A, Yabutani T, Mulu A, Tessema B, Ota F. Serum zinc, copper, selenium, calcium, and magnesium levels in pregnant and non-pregnant women in gondar,northwest ethiopia. HIV Biol Trace Elem Res. 2008;122:97–106.

    Article  CAS  Google Scholar 

  24. O’Brien KO, Zavaleta N, Caulfield LE, Yang D-X, Abrams SA. Influence of prenatal iron and zinc supplements on supplemental iron absorption, red blood cell iron incorporation, and iron status in pregnant Peruvian women. Am J Clin Nutr. 1999;69:509–15.

    PubMed  Google Scholar 

  25. Speich M, Pineau A, Ballereau Fo. Minerals, trace elements and related biological variables in athletes and during physical activity. Clin Chim Acta. 2001;312(1):1–11.

    Article  CAS  PubMed  Google Scholar 

  26. Carroli G, Rooney C, Villar J. How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatr Perinat Epidemiol. 2001;15(1):s1–42.

    Article  Google Scholar 

  27. Durlach J. New data on the importance of gestational Mg deficiency. J Am Coll Nutr. 2004;23(6):694S–700S.

    Article  CAS  PubMed  Google Scholar 

  28. Williams KP, Galerneau F. The role of serum uric acid as a prognostic indicator of the severity of maternal and fetal complications in hypertensive pregnancies. Journal of obstetrics and gynaecology Canada: JOGC = Journal d’obstétrique et gynécologie du Canada: JOGC. 2002;24(8):628.

    PubMed  Google Scholar 

  29. Ainy E, Ghazi AAM, Azizi F. Changes in calcium, 25 (OH) vitamin D3 and other biochemical factors during pregnancy. J Endocrinol Invest. 2006;29(4):303–7.

    Article  CAS  PubMed  Google Scholar 

  30. Elders PJ, Netelenbos JC, Lips P, Van Ginkel FC, Khoe E, Leeuwenkamp OR, et al. Calcium supplementation reduces vertebral bone loss in perimenopausal women: a controlled trial in 248 women between 46 and 55 years of age. J Clin Endocrinol Metab. 1991;73(3):533–40.

    Article  CAS  PubMed  Google Scholar 

  31. Guzel R, Kozanoglu E, Guler-Uysal F, Soyupak S, Sarpel T. Vitamin D status and bone mineral density of veiled and unveiled Turkish women. J Women’s Health Gend Based Med. 2001;10(8):765–70.

    Article  CAS  Google Scholar 

  32. Baker PN, Wheeler SJ, Sanders TA, Thomas JE, Hutchinson CJ, Clarke K, et al. A prospective study of micronutrient status in adolescent pregnancy. Am J Clin Nutr. 2009;89(4):1114.

    Article  CAS  PubMed  Google Scholar 

  33. Liao QK. Prevalence of iron deficiency in pregnant and premenopausal women in China: a nationwide epidemiological survey. Zhonghua Xue Ye Xue Za Zhi. 2004;25(11):653–7.

    PubMed  Google Scholar 

  34. Simpson KM, Morris ER, Cook JD. The inhibitory effect of bran on iron absorption in man. Am J Clin Nutr. 1981;34:1469–78.

    CAS  PubMed  Google Scholar 

  35. Ma AG, Chen XC, Xu RX, Zheng MC, Wang Y, Li JS. Comparison of serum levels of iron, zinc and copper in anaemic and non-anaemic pregnant women in China. Asia Pac J Clin Nutr. 2004;13:348–52.

    CAS  PubMed  Google Scholar 

  36. Kapil U, Pathak P, Singh P, Singh C. Zinc and magnesium nutriture amongst pregnant mothers of urban slum communities in Delhi: a pilot study. Indian Pediatr. 2002;39:365–8.

    PubMed  Google Scholar 

  37. Pathak P, Kapil U, Dwivedi SN, Singh R. Serum zinc levels amongst pregnant women in a rural block of Haryana state, India. Asia Pac J Clin Nutr. 2008;17:276–9.

    CAS  PubMed  Google Scholar 

  38. Gibson R. Zinc nutrition in developing countries. Nutr Res Rev. 1994;7:151–73.

    Article  CAS  PubMed  Google Scholar 

  39. King JC. Determinants of maternal zinc status during pregnancy. Am J Clin Nutr. 2000;71:1334S–43S.

    CAS  PubMed  Google Scholar 

  40. Gupta AP, Bhandari B, Gupta A. Serum copper, zinc, magnesium and calcium in neonates. Indian Pediatr. 1984;21:469–73.

    Google Scholar 

  41. Perveen S, Altaf W, Vohra N, Bautista ML, Harper RG, Wapnir RA. Effect of gestational age on cord blood plasma copper, zinc, magnesium and albumin. Early Human Dev. 2002;69(1–2):15–23.

    Article  CAS  Google Scholar 

  42. Schulpis KH, Karakonstantakis T, Vlachos GD, Gavrili S, Mentis A-FA, Lazaropoulou C, et al. The effect of nutritional habits on maternal-neonatal zinc and magnesium levels in Greeks and Albanians. e-SPEN Eur e-J Clin Nutr Metab. 2009;4(4):e176–80.

    Article  Google Scholar 

  43. Awadallah SM, Abu-Elteen KH, Elkarmi AZ, Qaraein SH, Salem NM, Mubarak MS. Maternal and cord blood serum levels of zinc, copper, and iron in healthy pregnant Jordanian women. J Trace Elements Exp Med. 2004;17:1–8.

    Article  CAS  Google Scholar 

  44. Balai KS, Pendse V, Gupta R, Gupta S. Effect of maternal anemia on iron status of the newborn. Indian J Matern Child Health. 1992;3(2):54–6.

    CAS  PubMed  Google Scholar 

  45. Rwebembera AA, Munubhi EK, Manji KP, Mpembeni R, Philip J. Relationship between infant birth weight </=2,000 g and maternal zinc levels at Muhimbili National Hospital, Dar Es Salaam, Tanzania. J Trop Pediatr. 2006;52(2):118–25.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fatemeh Moghaddam Tabrizi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tabrizi, F.M., Pakdel, F.G. Serum Level of Some Minerals during Three Trimesters of Pregnancy in Iranian Women and Their Newborns: A Longitudinal Study. Ind J Clin Biochem 29, 174–180 (2014). https://doi.org/10.1007/s12291-013-0336-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-013-0336-x

Keywords

Navigation