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Updated: May 7, 2026

Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
Associations of maternal and neonatal serum trace element concentrations with neonatal birth weight
Shinya Tsuzuki1, Nao Morimoto, Shinichi Hosokawa
1Department of Pediatrics, National Center for Global Health and Medicine, Tokyo, Japan.
Insights
Maternal serum selenium levels are lower in mothers of premature infants. Lower selenium in mothers and newborns may impact birth weight, suggesting selenium
Area of Science:
- Neonatal nutrition and trace element metabolism.
- Perinatal health and developmental outcomes.
Background:
- Trace elements are crucial for neonatal nutrition.
- Investigating differences in maternal and neonatal trace element levels between term and preterm infants is important.
Purpose of the Study:
- To compare maternal and neonatal serum trace element concentrations (iron, zinc, copper, selenium) between infants born at term and prematurely.
- To identify predictors of birth weight, including maternal and neonatal trace element levels.
Main Methods:
- Serum samples from 44 mothers and their infants were analyzed for iron, zinc, copper, and selenium 5 days postpartum.
- Infants were categorized into term (≥37 weeks, ≥2500g) and preterm (<37 weeks or <2500g) groups.
- Linear regression models were used to assess the association between trace elements and birth weight.
Main Results:
- Preterm infants and their mothers had significantly lower serum selenium concentrations compared to the term group.
- No significant differences in neonatal or maternal iron, zinc, or copper levels were observed between groups.
- Maternal serum selenium concentration was a significant positive predictor of infant birth weight.
Conclusions:
- Lower serum selenium concentrations are observed in preterm infants and their mothers.
- Maternal serum selenium levels are positively correlated with neonatal birth weight.
- Maternal selenium status may play a role in influencing fetal growth and birth weight.
Background:
Trace elements play important nutritional roles in neonates. Our objective was to examine whether there are differences in maternal/neonatal serum trace element concentrations between mature infants and premature infants.
Methods:
During 2012, 44 infants born at National Center for Global Health and Medicine, Tokyo, Japan, were enrolled. Serum samples were collected to measure serum iron, zinc, copper, and selenium concentrations 5 days after birth. Maternal serum samples were obtained before delivery and cord blood was taken at delivery to measure the same trace elements. We compared the results between term group whose birth weight were ≥2500 g and gestational age were ≥37 weeks and premature group whose birth weight were <2500 g or gestational age were <37 weeks. Variables significantly different between two groups were included in linear regression models to identify significant predictors of birth weight. Values of P<0.05 were considered statistically significant.
Results:
Serum selenium concentrations were lower in premature group than in term group (43.3±7.0 µg/L vs. 52.0±8.9 µg/L, P = 0.001). Maternal serum selenium concentrations were also significantly lower in the mothers of premature group than in the mothers of term group (79.3±19.3 µg/L vs. 94.1±18.1 µg/L, P = 0.032). There were no significant differences in neonatal or maternal iron, zinc, or copper concentrations between two groups. Multivariate linear regression analysis showed that, except for gestational age, only maternal serum selenium was significantly associated with birth weight (P = 0.015).
Conclusions:
Serum selenium concentrations were lower in premature group and their mothers compared with the term group. The maternal serum selenium concentration was positively correlated with birth weight. These results suggest that maternal serum selenium concentration may influence neonatal birth weight.
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