Hanachi Parichehr, Norrozi Mansoreh, Moosavi Rayhaneh Miri
Department of Biology, Biochemistry Unite, Faculty of Basic Sciences, Alzahra University, Tehran, Iran.
Valie Asr Reproductive Health Research Center, Tehran University of Medical Science, Tehran, Iran.
J Family Reprod Health. 2014 Mar;8(1):21-6.
To determine the status of serum zinc in pregnant women in different gestational ages and correlation with socio-demographic and anthropometric factors in Iranian women referring to prenatal care public health clinics.
We analyzed the zinc concentrations in plasma samples obtained at different gestational ages from 961 women and recorded BMI at the first trimester in pregnant women who were screened for a trial designed to evaluate the zinc concentration. Subjects were from different socio economical backgrounds and attended public health clinics for their prenatal care. All analyses were performed by SPSS (version 16). P values < 0.05 were considered significant.
The results showed that after plasma zinc concentrations were adjusted with Parity, weight (early pregnancy), BMI (at early pregnancy), age and educational statues. Plasma zinc deficiency declined as gestational age progressed, however it was not significant. There was no significant correlation between zinc concentration, anthropometric, method of contraception and socio factors. However, there were significant relation between parity (p = 0.007) and weight at early pregnancy (p= 0.039) with serum zinc levels.
We conclude that plasma zinc concentrations decreased during the late first trimester to the early third trimester and with parity. These findings may indicate that the deficient levels of zinc in the latter third of pregnancy suggest a tendency for insufficient maternal nutrition. However larger studies are required to support this finding.
确定在伊朗前往产前保健公共卫生诊所就诊的孕妇中,不同孕周血清锌的状况及其与社会人口统计学和人体测量学因素的相关性。
我们分析了961名女性在不同孕周采集的血浆样本中的锌浓度,并记录了参与旨在评估锌浓度试验筛查的孕妇孕早期的体重指数(BMI)。研究对象来自不同社会经济背景,在公共卫生诊所接受产前保健。所有分析均使用SPSS(版本16)进行。P值<0.05被视为具有统计学意义。
结果显示,在对血浆锌浓度进行产次、体重(孕早期)、BMI(孕早期)、年龄和教育程度校正后,随着孕周的增加,血浆锌缺乏情况有所下降,但差异不显著。锌浓度、人体测量学指标、避孕方法和社会因素之间无显著相关性。然而,产次(p = 0.007)和孕早期体重(p = 0.039)与血清锌水平之间存在显著相关性。
我们得出结论,孕早期晚期至孕晚期血浆锌浓度下降,且与产次有关。这些发现可能表明妊娠后期锌水平不足提示母体营养不足的倾向。然而,需要更大规模的研究来支持这一发现。