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Maternal low level lead and pregnancy outcomes
W L West1, E M Knight, C H Edwards
1Department of Pharmacology, College of Medicine, Howard University, Washington, D.C. 20059.
The Journal of Nutrition
|June 1, 1994
Summary
Maternal vitamin E and ascorbic acid supplement use was linked to lower blood lead levels in pregnant African American women. These antioxidants may protect fetuses from lead toxicity and free radical damage.
Area of Science:
- Environmental Health
- Nutritional Epidemiology
- Reproductive Health
Background:
- Maternal blood lead exposure is a significant public health concern.
- Lead toxicity can adversely affect pregnancy outcomes and fetal development.
- The role of nutritional factors, particularly antioxidants, in mitigating lead's effects during pregnancy requires further investigation.
Purpose of the Study:
- To investigate the association between maternal blood lead concentrations and pregnancy outcomes.
- To explore the relationship between vitamin-mineral supplement use, specifically vitamins E and C, and blood lead levels.
- To examine correlations between maternal blood lead levels and various maternal and infant health indicators.
Main Methods:
- Analysis of a subset of 349 African American women from the "Nutrition, Other Factors, and the Outcome of Pregnancy" project.
- Measurement of maternal blood lead concentrations and serum levels of ascorbic acid and vitamin E.
- Statistical analysis including Pearson's correlations to assess relationships between variables.
Main Results:
- Vitamin-mineral supplement users exhibited higher serum levels of ascorbic acid and vitamin E.
- Supplement users showed significantly lower mean maternal blood lead concentrations.
- Inverse correlations were observed between maternal blood lead and vitamins E and C; positive correlations with calcium and phosphorus.
- Maternal blood lead levels showed inverse correlations with gestational age and infant Ponderal Index.
Conclusions:
- Nutritional interventions, particularly supplementation with antioxidant vitamins like E and C, may reduce adverse effects of lead exposure during pregnancy.
- Antioxidant vitamins may protect the fetus from lead toxicity and free radical damage.
- Maternal supplementation with vitamins E and C could offer protection even at blood lead levels considered "safe".