The Relationship between Zinc Concentration of Maternal, Umbilical Cord, and Placenta and Birth Weight

임신말 모체ㆍ제대혈 및 태반의 아연 함량과 신생아 체중

  • 배현숙 (성신여자대학교 식품영양학과) ;
  • 안홍석 (성신여자대학교 식품영양학과)
  • Published : 2003.12.01

Abstract

The purpose of this study was to assess the maternal zinc status during pregnancy and to evaluate the relationship between the zinc concentration of maternal, umblical cord blood and placental tissue and pregnancy outcomes. Venous blood samples were drawn from 53 pregnant women just before delivery and the cord blood of their newborn babies was collected immediately after birth. In addition, placental tissues were extracted. We investigated the difference in the concentration of zinc in maternal, umbilical cord blood and placental tissue in two gestational age groups (preform delivery group [PT] and normal term delivery group [NT]) at 34.7 wk and 39.0 wk of mean gestational age, respectively). We also assessed correlations of the zinc concentration of maternal, umbilical cord blood and placental tissue. Lastly, we studied the correlations between the birth weights and the zinc concentration in the maternal, umbilical cord blood and placental tissue. The concentrations of maternal serum zinc and of umbilical cord serum zinc were significantly higher in the PT group (76.9$\pm$37.4 $\mu/dl$, 101.3$\pm$41.4 $\mu/dl$) than in those of the NT group (57.8$\pm$22.4 $\mu/dl$, 80.7$\pm$27.5 $\mu/dl$), respectively (p<0.05). The zinc concentration of the umbilical cord blood was significantly higher than that of the maternal blood in both groups (p<0.05). There was no significant correlation between the gestational age and the serum zinc concentration in the cord or the maternal serum. Our results showed that there was a negative relationship between the birth weight (r=-0.286) and the maternal serum zinc concentration. Despite there not being a significant difference, there was tendency for the highest concentrations of maternal serum zinc to be associated with the lowest birth weights. These findings support a possible relationship between the maternal zinc status and the pregnancy outcome, and suggest that zinc may play a role in the many biological processes involved in the successful outcome of a pregnancy.

Keywords

References

  1. Ahn HS, Park SH (1999): Maternal serum zinc concentration and pregnancy outcomes. Korean J Nutrition 32 (2): 182-188
  2. Ahn HS, Park YS, Park SH (1996): Ecological sutdies of maternalinfant nutrition and feeding in urban low income areas. I. Anthropometric measurements, dietary intakes and serum lipids content/ fatty acids composition of the pregnants. Korean J Comm Nutr I(2): 171-184
  3. Allen LH (2000): Anemia and iron deficiency: effect on pregnancy outcome. .Am J Clin Nutr 71 (suppl): 1280S-1284S
  4. Bolxam DL, William S NR, Waskett RJ, Stewart SG (1994): Disturbed zinc metabolism and reduced birth weight related to raised maternal serum alpha-feto protein in normal human pregnancies. Acta Obstet Gynecol Scand 73 (10): 758-764 https://doi.org/10.3109/00016349409072500
  5. Garg HK, Singhal KC, Arshad Z (1993): A study of the effect of oral zinc supplementation during pregnancy on pregnancy outcome. Indian J Physiol Pharmacal 37 (4): 276-284
  6. Goldenberg R, Tamura T, Neggers Y, Cooper R, Johnson K, DuBard M, Hauth J (1995): The effects of zinc supplementation on pregnancy outcome. J Am Med Assoc 274: 463-468 https://doi.org/10.1001/jama.274.6.463
  7. Gupta GS, Singh J, Gupta A (1997): Trace metals and metaloenzymes in placenta after oral administration of lead acetate. Biol Trace Elem Res Oct-Nov 60 (1-2): 145-152 https://doi.org/10.1007/BF02783318
  8. Hotz C, Peerson JM, Brocon KH (2003): Suggested lower cutoffs of serum zinc concentrations for assessing zinc status: reanalysis of the second National Health and Nutrition Examination Survey data (1976-1980),$^{1-3}$ Am J Clin Nutr 78: 756-764
  9. Iqbal AS, Shahidullah M, Islam MN, Akhters, Banus (2001): Serum zinc and copper levels in the maternal blood and cord blood of neonates. Indian J pediatr 68 (6): 523-526
  10. Jameson S (1976): Variations in maternal serum zinc during pregnancy and correlation congenital malformations dysmaturity and abnormal parturition. Acta Med Scand 59: 321-337
  11. Johnson AA, Knigh EM, Edwards CH, Oyemade UJ, Cole OJ, Westney OE, Westney LS, Laryea H, Jone S (1994): Dietary intakes, anthropometric measurements and pregnancy outcomes. J Nutr 124 (suppl): 936S-942S
  12. Kim SR, Cho DH, Kim GD, Koh MW, Lee TH, Lee SH (1991): The relationship between maternal serum and leukocyte zinc conce-ntration and birth weight. Korean J Obstet & GynecoI 34(6): 796-803
  13. Kracher M, Rossipal E, Micetic DT (1999): Trace element transfer from the mother to the newborn-investigations on triplets of colostrum, maternal and umbilical cord sera. European J Clin Nutr 53: 486-494 https://doi.org/10.1038/sj.ejcn.1600781
  14. Kynast G, Saling E (1986): Effect of oral zinc application during pregnancy, Gynecol Obstet Invest 21: 117-123
  15. Maret W (2001): Zinc biochemistry, physiology and homeostasis-recent insights and current trends, In: Maret W, eds, Zinc biochemistry, physiology, and homeostasis. pp.1-4, Kluweracademic publishers
  16. McMichael AJ, Dreosti IE, Gibson GT, Hartshore JM, Buckley RA, Colley DP (1982): A prospective study of serial maternal serum zinc levels and pregnancy outcome. Early Hum Dev 7: 59-69 https://doi.org/10.1016/0378-3782(82)90008-1
  17. Merialdi M, Caulfield LE, Zavaleta N, Figueroa A, Dipietro JS (1998): Adding zinc to prenatal iron and folate tablets improves fetal neurobehavioral development. Am J Obstet GynecaI 180(2): 483-490
  18. Metcoff J, Castiloe JP, Corsby W, et al (1981): Maternal nutrition and fatal outcome. Am J Clin Nutr 34: 708-721
  19. Neggers YH, Cutter GR, Acton RT, Alvarez JO, Bonner JL (1990): A positive association between maternal serum zinc concentration and birth weight. Am J Clin Nutr 51: 678-684
  20. Neggers YH, Goldenberg RL, DuBard MB, Cliver SP (2000): Increased risk of preterm delivery with elevated maternal alpha-fetoprotein and plasma zinc levels in African-American women. Acta Obstet Gynecol Scand 79 (3): 160-164
  21. Odland JO, Nieboer E, Romanora N, Thomassen Y, Brox J, Lund E (1999): Concentrations of essential trace elements in maternal serum and the effect on birth weight and newborn body mass index in sub-arctic and arctic populations of Norway and Russia. Acta Obstet Gynecol Scand 78: 605-614 https://doi.org/10.1080/j.1600-0412.1999.780708.x
  22. Osada H, Watanade Y, Nishimura Y, Yukawa H, Seki K, Sekiya S (2002): Profile of trace element concentrations in the feto-placental unit in relation to fetal growth. Acta Obstet Gynecol Scand 81: 931-937
  23. Park SH, Ahn SH (1999): Dietary fat intake during pregnancy and serum lipid levels in mother and umbilical cord of full-term and preterm delivery. Korean J Nutrition 32 (5): 577-584
  24. Perveens, Altaf W, Vohra N, Bautista ML, Harper RG, Wapnir RA (2002): Effect of gestational age on cord blood plasma copper, zinc, magnesium and albumin. Early human Dev 69 (I -2): 15-23 https://doi.org/10.1016/S0378-3782(02)00024-5
  25. Scholl TO, Hediger ML, Schall JL, Fischer RL, Khoo CS (1993): Low zinc intake during pregnancy: its association with preterm and very pretermdelivery. Am J EpidemioI 137(10): 115-1124 https://doi.org/10.1093/oxfordjournals.aje.a116593
  26. Scholl TO, Reilly TM (2000): Clinical nutrition of the essential trace elements and minerals. In: 8. Trace element and mineral nutrition in human pregnancy. Human press, pp.123-127
  27. Sempos CT (1992): Some limitation of semiquantitative food frequency questionnaire. Am J Epid 135: 1127-1132
  28. Singh PP, Khushlani K, Veerwal PC, Gupta RC (1987): Maternal hypozincemia and low birth weight infants. Clin Chem 33: 1950
  29. Song YS, Kim SH (1989): Nutritional status of rural pregnant women in relation to physical condition of offspring at birth. Korean J Nutrition 22: 547-556
  30. Tamura T, Goldenberg RL, Johnston KE, Cliver SP, Hickey CA (1996): Serum ferritin: A predictor of early spontaneous preterm delivery. Obstet Gynecol 87: 360-365 https://doi.org/10.1016/0029-7844(95)00437-8
  31. Wada L, King JC (1994): Tace element nutrition during pregnancy. Clin Obstet & Gynecol 37(3): 574-586 https://doi.org/10.1097/00003081-199409000-00010
  32. Yu KH, Yoon JS (1998): The effect of weekly iron supplementation on iron and zinc nutritional status in pregnant women. Korean J Nutrion 31 (8): 1270-1282
  33. Yu KH, Yoon JS (1999): Across-sectional study of nutrient intakes by gestational age and pregnancy outcome (I). Korean J Nutrition 32(8): 877-886