Association of maternal serum zinc and cordblood zinc with neonatal birth weight
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20240453Keywords:
Association, Maternal serum zinc status, Neonatal birth weightAbstract
Background: Zinc is essential for optimal fetal growth because of the role of zinc in cellular division, growth and differentiation. Low maternal serum zinc and cord blood zinc has been reported to be associated with low birth weight and, a risk factor for neonatal morbidity and mortality. The aim of this study was to evaluate the association of maternal serum zinc, cord blood zinc with neonatal birth weight.
Methods: This case-control study was conducted in department of obstetrics and gynecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from November 2020 to October 2022. A total of 60 women in their postnatal period were included in this study.
Results: In the present study, none of the socio-demographic characteristics in both case and control groups were statistically significant (p>0.05). Mean BMI was 23.88±1.36 kg/m2 in cases and 24.39±1.39 kg/m2 in controls, with 16.7% of cases overweight (p>0.05). Cases had lower maternal serum zinc (58.33±27.63 µg/dl) than controls (82.96±16.94 µg/dl), significantly affecting neonatal birth weight (p=0.001, r=+0.406). Low zinc levels (<68 µg/dl) increased the risk of birth weight <2.500 kg by nearly six times (OR 5.67, 95% CI 1.84-17.49; p=0.002).
Conclusions: Low birth weight neonates and their mothers have significant zinc deficiency as compared to term neonates and their mothers and this deficiency is correlated with zinc deficiency in mothers of these low-birth-weight neonates.
References
Lechtig A, Cornale G, Ugaz ME, Arias L. Decreasing stunting, anemia, and vitamin A deficiency in Peru: results of the good start in life program. Food Nutr Bull. 2009;30(1):37-48.
Gladstone ME, Salim N, Ogillo K, Shamba D, Gore-Langton GR, Day LT, et al. Birthweight measurement processes and perceived value: qualitative research in one EN-BIRTH study hospital in Tanzania. BMC Pregnancy Childbirth. 2021;21:1-1.
Pathey P. Bangladesh Multiple Indicator Cluster Survey 2019, Survey Findings Report. Dhaka: Bangladesh Bureau of Statistics (BBS) and UNICEF Bangladesh; 2019. Available from: https://www.unicef.org/bangladesh/en/reports/progotir-pathey-bangladesh. Accessed on 1 September 2021.
Hussain A. National low birth-weight survey, Bangladesh, 2015. In: Institute of Public Health Nutrition (IPHN), editor. Mohakhali, Dhaka 1212: DGHS, Ministry of Health and Family Welfare; 2015.
Ladipo OA. Nutrition in pregnancy: mineral and vitamin supplements. Am J Clin Nutr. 2000;72(1):280S-90S.
Jyotsna S, Amit A, Kumar A. Study of serum zinc in low birth weight neonates and its relation with maternal zinc. J Clin Diagn Res. 2015;9(1):SC01.
Erdman Jr JW, Macdonald IA, Zeisel SH, eds. Present knowledge in nutrition. John Wiley and Sons; 2012.
Ahmed F, Prendiville N, Narayan A. Micronutrient deficiencies among children and women in Bangladesh: progress and challenges. J Nutr Sci. 2016;5:e46.
Krebs NF, Miller LV, Michael Hambidge K. Zinc deficiency in infants and children: a review of its complex and synergistic interactions. Paediatr Int Child Health. 2014;34(4):279-88.
Fraga CG. Relevance, essentiality and toxicity of trace elements in human health. Mol Aspects Med. 2005;26(4-5):235-44.
Berhe K, Gebrearegay F, Gebremariam H. Prevalence and associated factors of zinc deficiency among pregnant women and children in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2019;19:1-1.
Salgueiro MJ, Zubillaga MB, Lysionek AE, Caro RA, Weill R, Boccio JR. The role of zinc in the growth and development of children. Nutrition. 2002;18(6):510-9.
Miletta MC, Schöni MH, Kernland K, Mullis PE, Petkovic V. The role of zinc dynamics in growth hormone secretion. Hormone Res Paediatr. 2014;80(6):381-9.
Ota E, Mori R, Middleton P, Tobe‐Gai R, Mahomed K, Miyazaki C, et al. Zinc supplementation for improving pregnancy and infant outcome. Cochrane Database Syst Rev. 2015(2).
Alemu B, Gashu D. Association of maternal anthropometry, hemoglobin and serum zinc concentration during pregnancy with birth weight. Early Hum Develop. 2020;142:104949.
Nanbakhsh F, Tabrizi FM. The relationship between cord blood and maternal serum zinc levels and birth weight. Iran J Neonatol. 2017;8(3).
Wang H, Hu YF, Hao JH, Chen YH, Su PY, Wang Y, et al. Maternal zinc deficiency during pregnancy elevates the risks of fetal growth restriction: a population-based birth cohort study. Sci Rep. 2015;5(1):11262.
Rwebembera AA, Munubhi EK, Manji KP, Mpembeni R, Philip J. Relationship between infant birth weight ≤2000 gm and maternal zinc levels at Muhimbili National Hospital, Dar Es Salaam, Tanzania. J Trop Pediatr. 2005;52(2):118-25.
Endalamaw A, Engeda EH, Ekubagewargies DT, Belay GM, Tefera MA. Low birth weight and its associated factors in Ethiopia: a systematic review and meta-analysis. Italian J Pediatr. 2018;44(1):1-2.
Maamouri G, Boskabadi H, Noria M, Ayatollahi H, Ghayour-Mobarhan M, Heshmati A, et al. Maternal and neonatal zinc and copper levels and birth weight. Iran J Neonatol. 2011;2(1):26-31.
Maral I, Baykan Z, Sancak B, Aksakal FN, Ünal A, Kayıkçıoğlu F, et al. The relationship between maternal zinc level and infant birth weight. Gazi Med J. 2001;12(4).
Jyotsna S, Amit A, Kumar A. Study of serum zinc in low birth weight neonates and its relation with maternal zinc. J Clin Diagn Res. 2015;9(1):SC01.
Bellad GC, Laxmi KS. Association of maternal plasma or serum zinc concentration with the birth weight of the child. Int J Reprod Contracept Obstet Gynecol. 2019;8(1):219-23.
Ahmed S, Sagar AK. Comparison of maternal serum and neonatal cord blood levels of zinc in relation to birth weight and period of gestation. Int J Contemp Pediatr. 2021;8(8):1349.
Speich M, Bousquet B, Auget JL, Gelot S, Laborde O. Association between magnesium, calcium, phosphorus, copper, and zinc in umbilical cord plasma and erythrocytes, and the gestational age and growth variables of full-term newborns. Clin Chem. 1992;38:141-143
Awadallah SM, Abu-Elteen KH, Elkarmi AZ, Qaraein SH, Salem NM, Mubarak MS. Maternal and cord blood serum levels of zinc, copper, and iron in healthy pregnant Jordanian women. J Trace Elem Exp Med. 2004;17:1-8.
Lasisi AO, Kuti MO, Adekunle AO. The association of maternal social factors and antenatal care with cord serum zinc in full-term neonates. Afr J Biomed Res. 2008;11:297-8.