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微量元素和矿物质与叶酸在母血清和羊水中的水平与先天畸形的关系。

Associations between the Level of Trace Elements and Minerals and Folate in Maternal Serum and Amniotic Fluid and Congenital Abnormalities.

机构信息

Department of Obstetrics, Perinatology and Gynecology, Polish Mother's Memorial Hospital Research Institute, ul. Rzgowska 281/289, 93-338 Lodz, Poland.

PreMediCare New Med Medical Center, ul. Drużbickiego 13, 61-693 Poznan, Poland.

出版信息

Nutrients. 2019 Feb 3;11(2):328. doi: 10.3390/nu11020328.

Abstract

Congenital birth defects may result in a critical condition affecting the baby, including severe fetal/neonatal handicap and mortality. Several studies have shown that genetic, nutritional, and environmental factors may have an impact on fetal development and neonatal health. The relevance of essential and toxic elements on fetal development has not yet been fully investigated, and the results of recent research indicate that these elements may be crucial in the assessment of the risk of malformations in neonates. We determined the association between essential and toxic elements and the level of folate in maternal serum (MS) and amniotic fluid (AF), along with neonatal abnormalities. A total of 258 pregnant Polish women in the age group of 17⁻42 years participated in this study. AF and MS were collected during vaginal delivery or during cesarean section. An inductively coupled plasma mass spectrometry technique was used to determine the levels of various elements in AF and MS. The results of this exploratory study indicate that the levels of essential and toxic elements are associated with fetal and newborn anatomical abnormalities and growth disorders.

摘要

先天性出生缺陷可能导致危及婴儿的严重状况,包括严重的胎儿/新生儿残疾和死亡。多项研究表明,遗传、营养和环境因素可能对胎儿发育和新生儿健康产生影响。必需和有毒元素对胎儿发育的相关性尚未得到充分研究,最近的研究结果表明,这些元素在评估新生儿畸形风险方面可能至关重要。我们确定了母体血清(MS)和羊水(AF)中的必需和有毒元素与叶酸水平与新生儿异常之间的关联。共有 258 名年龄在 17-42 岁的波兰孕妇参与了这项研究。在阴道分娩或剖宫产期间收集 AF 和 MS。使用电感耦合等离子体质谱技术测定 AF 和 MS 中各种元素的水平。这项探索性研究的结果表明,必需和有毒元素的水平与胎儿和新生儿的解剖结构异常和生长障碍有关。

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