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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.
Abstract:
Pregnancy during adolescence increases the risk of adverse pregnancy outcome, especially small-for-gestational-age (SGA) birth, which has been linked to micronutrient deficiencies. Smoking has been shown to be related to lower micronutrient concentrations. Different ethnicities have not been examined. We used a subset from a prospective observational study, the About Teenage Eating study consisting of 126 pregnant adolescents (14-18-year-olds) between 28 and 32 weeks gestation. Micronutrient status was assessed by inductively coupled mass spectrometry. Smoking was assessed by self-report and plasma cotinine, and SGA was defined as infants born <10th corrected birthweight centile. The main outcome measures were as follows: (1) maternal plasma selenium, copper and zinc concentrations in adolescent mothers giving birth to SGA vs. appropriate-for-gestational-age (AGA) infants; and (2) comparison of micronutrient concentrations between women of different ethnicities and smoking habits. The plasma selenium {mean ± standard deviation (SD) [95% confidence interval (CI)]} concentration was lower in the SGA [n = 19: 49.4 ± 7.3 (CI: 45.9, 52.9) µg L(-1)] compared with the AGA [n = 107: 65.1 ± 12.5 (CI: 62.7, 67.5) µg L(-1); P < 0.0001] group. Smoking mothers had a lower selenium concentration compared with non-smokers (P = 0.01) and Afro-Caribbean women had higher selenium concentrations compared with White Europeans (P = 0.02). Neither copper nor zinc concentrations varied between groups. Low plasma selenium concentration in adolescent mothers could contribute to the risk of delivering an SGA infant, possibly through lowering placental antioxidant defence, thus directly affecting fetal growth. Differences in plasma selenium between ethnicities may relate to variation in nutritional intake, requiring further investigation.
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