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Association between trace elements and preeclampsia: A retrospective cohort study.

Ying Chen1, Qi Xin Ou1, Yu Chen2

  • 1Foshan Clinical Medical School of Guangzhou University of Chinese Medicine, Chancheng District, Foshan, Guangdong, China.

Journal of Trace Elements in Medicine and Biology : Organ of the Society for Minerals and Trace Elements (GMS)
|March 31, 2022
PubMed
Summary

Higher mid-term pregnancy blood magnesium (Mg) and copper (Cu) levels are linked to a reduced risk of preeclampsia, a major cause of maternal mortality. This study explored trace element associations in early pregnancy.

Keywords:
CalciumCopperIronMagnesiumPreeclampsiaTrace elements

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Nutritional Biochemistry

Background:

  • Preeclampsia is a leading cause of maternal and perinatal mortality globally.
  • Existing research on trace elements and preeclampsia shows varied results, with limited data on early to mid-term pregnancy.
  • Understanding these associations is crucial for early detection and prevention strategies.

Purpose of the Study:

  • To investigate the association between trace element levels in mid-term pregnancy and the risk of developing preeclampsia.
  • To explore potential protective roles of specific trace elements against preeclampsia.
  • To provide evidence for nutritional interventions in pregnancy.

Main Methods:

  • A retrospective cohort study involving 2186 participants in Guangdong Province, China.
  • Maternal whole blood trace element levels (Mg, Cu, Zn, Fe, Ca) were measured between 12-27 weeks gestation using flame atomic absorption spectrometry.
  • Multivariable logistic regression analysis was employed to determine odds ratios (OR) and 95% confidence intervals (CI) for preeclampsia risk.

Main Results:

  • Higher blood magnesium (Mg) levels were associated with a reduced risk of preeclampsia, particularly in the highest quintile (OR=0.29; 95% CI: 0.10, 0.85).
  • Increased blood copper (Cu) levels showed a trend towards lower preeclampsia risk (OR=0.89 per µmol/L increment; 95% CI: 0.78, 1.02), with significant reductions observed in higher quintiles.
  • No significant associations were found between zinc (Zn), iron (Fe), or calcium (Ca) levels and preeclampsia risk.

Conclusions:

  • Elevated blood magnesium and copper levels during mid-term pregnancy are associated with a decreased risk of preeclampsia.
  • These findings suggest potential benefits of maintaining adequate Mg and Cu status in pregnancy.
  • Further research is warranted to confirm these associations and explore clinical applications.