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Antioxidant vitamin levels in term and preterm infants and their relation to maternal vitamin status
Giyasettin Baydas1, Fikret Karatas, M Ferit Gursu
1Department of Physiology, College of Medicine, Firat University, Elazig, Turkey. baydas@hotmail.com
Insights
Preterm infants have lower levels of antioxidant vitamins E and A compared to full-term infants, suggesting increased susceptibility to oxidative stress. Maternal vitamin levels correlate positively with cord blood levels for vitamins E and A.
Area of Science:
- Neonatal nutrition and oxidative stress
- Maternal-fetal medicine
- Antioxidant vitamin research
Background:
- Lipid peroxidation is implicated in neonatal complications.
- Preterm infants possess underdeveloped antioxidant systems, increasing vulnerability.
- Vitamins E, A, and C are crucial components of natural antioxidant defenses.
Purpose of the Study:
- To quantify vitamin E, A, and C levels in maternal and cord blood of term and preterm infants.
- To explore the interrelationships between maternal and infant vitamin levels.
Main Methods:
- High-performance liquid chromatography (HPLC) was employed to measure vitamin E, A, and C.
- Blood samples were collected from mothers and their term (n=30) and preterm (n=22) infants during delivery.
Main Results:
- Cord blood levels of lipid-soluble vitamins E and A were lower than maternal levels.
- Water-soluble vitamin C levels were higher in cord blood compared to maternal plasma.
- Term infants exhibited significantly higher levels of vitamins E, A, and C than preterm infants.
Conclusions:
- Positive correlations were observed between maternal and cord blood levels of vitamins E and A.
- Preterm infants demonstrate reduced serum levels of lipid-soluble antioxidant vitamins.
- Findings suggest preterm infants are more susceptible to oxidative stress due to lower antioxidant vitamin status.
Background:
Lipid peroxidation plays a vital role in the pathogenesis of many neonatal complications. Preterm babies are especially predisposed to lung diseases and retinopathy, probably due to a deficiency in their antioxidant systems. Vitamins E, A, and C are part of the natural antioxidant defense systems. We aimed to determine the levels of vitamins E, A, and C in maternal and cord blood plasma of term and preterm infants and to investigate the relationships between these levels.
Methods:
In the present study we determined vitamin E, A, and C levels in the umbilical cord blood of term (n = 30) and preterm (n = 22) infants and their mothers by HPLC. Blood samples were taken during delivery.
Results:
Levels of lipid soluble antioxidant vitamin E and A in cord blood were lower than maternal values (p <0.01, p <0.05, respectively). Conversely, the level of water-soluble vitamin C was higher in cord blood than in maternal level (p <0.05). Significantly higher levels of vitamins E, A, and C were found in term babies as compared with those born preterm (p <0.05).
Conclusions:
There was a positive correlation between maternal and cord blood levels of vitamins E and A (r = 0.775, r = 0.725, respectively). In conclusion, preterm babies have fewer lipid-soluble antioxidant vitamins in their serum compared to term infants. Therefore, it is possible to postulate that preterm infants are more susceptible to oxidative stress.
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