Maternal selenium, copper and zinc concentrations in pregnancy associated with small-for-gestational-age infants

Hiten D Mistry1, Lesia O Kurlak, Scott D Young

  • 1Division of Women's Health, King's College London, Women's Health Academic Centre, KHP, London, UK Department of Obstetrics & Gynaecology, School of Clinical Sciences, University of Nottingham, Nottingham, UK School of Biosciences, Faculty of Science, University of Nottingham, Nottingham, UK Departments of Obstetrics/Gynecology & Physiology, University of Alberta, Edmonton, Alberta, Canada.

Insights

Adolescent mothers delivering small-for-gestational-age (SGA) infants had lower plasma selenium. Smoking and ethnicity also impacted selenium levels, suggesting a link between maternal selenium and infant birth weight.

Area of Science:

  • Maternal and Child Health
  • Nutritional Biochemistry
  • Adolescent Medicine

Background:

  • Adolescent pregnancy is associated with increased risk of adverse outcomes, including small-for-gestational-age (SGA) birth.
  • Micronutrient deficiencies are linked to SGA, and smoking may further lower nutrient levels.
  • Ethnic variations in micronutrient status during adolescent pregnancy have not been extensively studied.

Purpose of the Study:

  • To investigate maternal plasma selenium, copper, and zinc concentrations in relation to SGA birth in adolescent mothers.
  • To compare micronutrient levels between adolescent mothers based on smoking status and ethnicity.
  • To explore the potential role of selenium in adverse pregnancy outcomes among adolescents.

Main Methods:

  • A prospective observational study of 126 pregnant adolescents (14-18 years) was conducted.
  • Maternal plasma micronutrient status (selenium, copper, zinc) was measured using inductively coupled mass spectrometry.
  • Infant size (SGA vs. appropriate-for-gestational-age), maternal smoking, and ethnicity were assessed.

Main Results:

  • Adolescent mothers who delivered SGA infants had significantly lower plasma selenium concentrations compared to those with appropriate-for-gestational-age infants (P < 0.0001).
  • Maternal smoking was associated with lower selenium levels (P = 0.01).
  • Afro-Caribbean women exhibited higher plasma selenium concentrations than White European women (P = 0.02). Copper and zinc levels did not differ significantly between groups.

Conclusions:

  • Low maternal plasma selenium concentration may increase the risk of SGA birth in adolescent mothers, potentially by impairing placental antioxidant defense and fetal growth.
  • Observed ethnic differences in selenium levels suggest variations in nutritional intake that warrant further investigation.
  • Selenium status is an important consideration in adolescent pregnancies, particularly concerning SGA risk and ethnic disparities.

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