Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, Universidad de Castilla-La Mancha (UCLM), 45071 Toledo, Spain.
Primary Health Care Center, Servicio de Salud de Castilla-La Mancha (SESCAM), 45313 Toledo, Spain.
Int J Environ Res Public Health. 2020 Aug 28;17(17):6275. doi: 10.3390/ijerph17176275.
Protein requirements of pregnant women are increased due to anatomical and physiological changes. However, optimal levels of plasma proteins do not receive adequate attention from health professionals and researchers. We aimed to evaluate the plasma protein status in pregnant women receiving care at health centers, with the intention of identifying potential deficiency states and their relationship with quality of life during pregnancy. This is a population-based, prospective, and observational study among a cohort of 215 pregnant women from three different socioeconomic areas (urban, semi-urban, and rural). Blood samples in the first (T1), second (T2), and third (T3) trimester of pregnancy were obtained to quantify the proteins and albumin levels. Statically significant differences regarding the age of pregnant women ( = 0.002), education status ( = 0.034), and socioeconomic level ( = 0.000), were found among groups. Prevalence of protein and albumin deficits was much higher in women from rural and semi-urban areas than in women from urban areas ( = 0.001). Moreover, these deficits were associated with the appearance of edema. Plasma total protein deficit could be an undervalued public health problem in pregnant women receiving prenatal care that could affect the quality of life in the gestational period. It would be important to establish reference intervals for plasma protein monitoring in each trimester of pregnancy, and protein levels should be measured routinely throughout pregnancy.
孕妇的蛋白质需求量因解剖和生理变化而增加。然而,健康专业人员和研究人员并没有充分关注血浆蛋白的最佳水平。我们旨在评估在保健中心接受护理的孕妇的血浆蛋白状况,目的是确定潜在的缺乏状态及其与妊娠期间生活质量的关系。这是一项在三个不同社会经济地区(城市、半城市和农村)的 215 名孕妇队列中进行的基于人群、前瞻性和观察性研究。在妊娠的第一(T1)、第二(T2)和第三(T3)期采集血样以定量蛋白质和白蛋白水平。在孕妇年龄(=0.002)、教育状况(=0.034)和社会经济水平(=0.000)方面,各组之间存在统计学显著差异。农村和半农村地区的妇女比城市地区的妇女更容易出现蛋白质和白蛋白缺乏症(=0.001)。此外,这些缺陷与水肿的出现有关。在接受产前保健的孕妇中,血浆总蛋白缺乏可能是一个被低估的公共卫生问题,可能会影响妊娠期间的生活质量。在每个妊娠期间建立血浆蛋白监测的参考区间,并在整个怀孕期间常规测量蛋白水平将非常重要。