The Role of Zinc-Rich Food Consumption on Zinc Level and the Incident of Preeclampsia
(1) Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University/ Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia
(2) Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University/ Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia
(3) Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia Department of Obstetrics and Gynecology, Faculty of Medicine, Indonesian Muslim University, Makassar, Indonesia
(4) Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University/ Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia
(5) Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University/ Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia
(6) Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University/ Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia
(*) Corresponding Author
Abstract
Objective: Investigate the correlation between dietary intake of zinc, preeclampsia and blood zinc levels.
Methods: This study, which compared pregnant women in the third trimester at the Wahidin Sudirohusodo Hospital and the educational network hospital with and without preeclampsia, used a Cross Sectional methodology. Zinc level testing was carried out at Prodia using ICP-MS method. Mann Whitney, Kruskal Wallis, and chi square tests were used to examine the data.
Results: Preeclampsia group (n=38) and control group (n=40) were two groups made up of a total of 78 pregnant women. Zn level of severe preeclampsia (47.73 ± 11.23 ng/mL) was lower than preeclampsia (50.50 ± 13.59 ng/mL) and non-preeclampsia (50.58 ± 10.12ng/mL), but not significantly. Lower zinc rich-food consumption was a significant effect on zinc deficiency (p< 0.05), and was no significant effect on preeclampsia (p > 0.05).
Conclusion: Low intake of zinc-rich foods and occasionally exposure to cigarette smoke are the causes of zinc insufficiency in third trimester pregnancy, but has little impact on the occurrence of preeclampsia.
Peranan Konsumsi Makanan Kaya Zink terhadap Kadar Zink dan Insiden Preeklamsia
Abstrak
Tujuan: Mengetahui korelasi antara asupan zink, preeklamsia dan tingkat zink serum.
Metode: Penelitian ini membandingkan ibu hamil trimester III di RS Wahidin Sudirohusodo dan RS jejaring pendidikan dengan dan tanpa preeklampsia menggunakan metodologi Cross Sectional. Pengujian kadar zink dilakukan di Prodia dengan menggunakan metode ICP-MS. Uji Mann Whitney, Kruskal Wallis dan Chi Square digunakan untuk menganalisis data.
Hasil: Kelompok preeklamsia (n=38) dan kelompok kontrol (n=40) adalah dua kelompok yang terdiri dari total 78 ibu hamil. Kadar Zn preeklamsia berat (47.73 ± 11.23 ng/mL) lebih rendah dibandingkan preeklamsia (50.50 ± 13.59 ng/mL) dan non preeklamsia (50.58 ± 10.12ng/mL), tetapi tidak bermakna. Rendahnya konsumsi makanan kaya zink berpengaruh signifikan terhadap defisiensi zink (p<0.05), namun tidak signifikan terhadap kejadian preeklamsia (p>0.05).
Kesimpulan: Diet rendah zink dan paparan asap rokok adalah penyebab defisiensi zink pada kehamilan trimester III, tetapi memiliki dampak kecil terhadap insiden preeklamsia.
Kata kunci: preeklamsia, kehamilan, zink
Keywords
Full Text:
PDFReferences
Padda J, Khalid K, Colaco LB, Padda S, Boddeti NL, Khan AS, et al. Efficacy of Magnesium Sulfate on Maternal Mortality in Eclampsia. Cureus. 2021;13(8).
Kementerian Kesehatan RI. Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/Menkes/349/2018 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Kanker Serviks. Jakarta; 2018.
Lokeswara AW, Hiksas R, Irwinda R, Wibowo N. Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition. Front Cell Dev Biol. 2021;9(November):1–22.
Karimi A, Bagheri S, Student P, Health R. Zinc Deficiency in Pregnancy and Fetal - Neonatal Outcomes and Impact of the Supplements on Pregnancy Outcomes. Iran J Neonatol IJN [Internet]. 2012;3(2):77–83. Tersedia pada: https://ijn.mums.ac.ir/article_270.html
Bilano VL, Ota E, Ganchimeg T, Mori R, Souza JP. Risk factors of pre-eclampsia/eclampsia and its adverse outcomes in low- and middle-income countries: A WHO secondary analysis. PLoS One. 2014;9(3):1–9.
Ananth C V., Keyes KM, Wapner RJ. Pre-eclampsia rates in the United States, 1980-2010: Age-period-cohort analysis. BMJ [Internet]. 2013;347(November):1–9. Tersedia pada: http://dx.doi.org/doi:10.1136/bmj.f6564
De Benedictis CA, Trame S, Rink L, Grabrucker AM. Prevalence of low dietary zinc intake in women and pregnant women in Ireland. Ir J Med Sci [Internet]. 2022;(0123456789). Tersedia pada: https://doi.org/10.1007/s11845-022-03181-w
Agedew E, Tsegaye B, Bante A, Zerihun E, Aklilu A, Girma M, et al. Zinc deficiency and associated factors among pregnant women’s attending antenatal clinics in public health facilities of Konso Zone, Southern Ethiopia. PLoS One [Internet]. 2022;17(7 July):1–12. Tersedia pada: http://dx.doi.org/10.1371/journal.pone.0270971
Mabuchi S, Isohashi F, Okazawa M, Kitada F, Maruoka S, Ogawa K, et al. Chemoradiotherapy followed by consolidation chemotherapy involving paclitaxel and carboplatin and in FIGO stage IIIB/IVA cervical cancer patients. J Gynecol Oncol. 2017;28(1):1–13.
Shen Y, Yang L, Wang Z. Treatment of early bulky cervical cancer with neoadjuvant paclitaxel, carboplatin and cisplatin prior to laparoscopical radical hysterectomy and pelvic lymphadenectomy. Oncol Lett. 2012;3(3):641–5.
Noviyani R, Suwiyoga K, Lesmana I, Niruri R, Tunas K, Budiana AING. Differences of Tumor Masses and Hemoglobin Levels in Cervical Cancer Squamous Cell Type Patients Treated With Combination of Paclitaxel and Carboplatin Chemotherapy. Bali Med J. 2014;3(1):15.
Yang L, Guo J, Shen Y, Cai J, Xiong Z, Dong W, et al. Clinical efficacy and safety of paclitaxel plus carboplatin as neoadjuvant chemotherapy prior to radical hysterectomy and pelvic lymphadenectomy for stage IB2-IIB cervical cancer. Int J Clin Exp Med. 2015;8(8):13690–8.
Chababa L, Mukosha M, Sijumbila G, Vwalika B. Relationship between serum zinc levels and preeclampsia at the University Teaching Hospital, Lusaka, Zambia. Med J Zambia. 2016;43(3):139–44.
Keshavarz P, Nobakht M. Gh BF, Mirhafez SR, Nematy M, Azimi-Nezhad M, Afin SA, et al. Alterations in Lipid Profile, Zinc and Copper Levels and Superoxide Dismutase Activities in Normal Pregnancy and Preeclampsia. Am J Med Sci. 2017;353(6):552–8.
in S, Hu C, Zheng Y. Maternal serum zinc level is associated with risk of preeclampsia: A systematic review and meta-analysis. Front Public Heal. 2022;10.
Ma Y, Shen X, Zhang D. The relationship between serum zinc level and preeclampsia: A meta-analysis. Nutrients. 2015;7(9):7806–20.
Tesfa E, Nibret E, Munshea A. Maternal Serum Zinc Level and Pre-eclampsia Risk in African Women: a Systematic Review and Meta-analysis. Biol Trace Elem Res. 2021;199(12):4564–71.
Martadiansyah A, Peby Maulina, Putri Mirani, Tia Kaprianti, Theodorus. Zinc Serum Maternal Levels as a Risk Factor for Preeclampsia. Biosci Med J Biomed Transl Res. 2021;5(7):693–701.
Tabandeh A, Eshghinia S, Joshaghani HR, Azarian M. Serum and Urinary Levels of Micronutrients in Preeclamptic and Healthy Pregnant Women : A Case-Control Study. J Clin Basic Res. 2018;2(1):16–9.
Gupta S, Jain NP, Avasthi K, Wander GS. Plasma and erythrocyte zinc in Pre-Eclampsia and its correlation with Foetal outcome. J Assoc Physicians India. 2014;62(APR):306–10.
Rafeeinia A, Tabandeh A, Khajeniazi S, J Marjani A. Serum Copper, Zinc and Lipid Peroxidation in Pregnant Women with Preeclampsia in Gorgan. Open Biochem J. 2014;1(1):83–8.
Akhter S, Ali T, Begum S, Ferdousi S. Micronutrient Deficiency in Severe Preeclampsia. J Bangladesh Soc Physiol. 2013;8(1):26–32.
Malone SL, Yahya RH, Kane SC. Reviewing Accuracy of First Trimester Screening for Preeclampsia Using Maternal Factors and Biomarkers. Int J Womens Health. 2022;14(September):1371–84.
Poon LC, Nicolaides KH. Early Prediction of Preeclampsia. Obstet Gynecol Int. 2014;2014(Table 2):1–11.
Wrześniak M, Kepinska M, Królik M, Milnerowicz H. The Influence of Tobacco Smoke on Protein and Metal Levels in the Serum of Women during Pregnancy. PLoS One. 2016;11(8).
Milnerowicz H, Wrześniak M, Królik M, Kowalska K. Influence of tobacco smoke on zinc, cadmium, iron, iron-binding proteins, and low-weight anti-oxidant status in pregnancy. Inhal Toxicol [Internet]. 2018;30(13–14):534–41. Tersedia pada: https://doi.org/10.1080/08958378.2019.1576805
Wilson RL, Grieger JA, Bianco-Miotto T, Roberts CT. Association between maternal zinc status, dietary zinc intake and pregnancy complications: A systematic review. Nutrients. 2016;8(10):1–28.
Iqbal S, Ali I, Rust P, Kundi M, Ekmekcioglu C. Selenium, zinc, and manganese status in pregnant women and its relation to maternal and child complications. Nutrients. 2020;12(3).
Enebe JT, Dim CC, Ugwu EO, Enebe NO, Meka IA, Obioha KC, et al. Serum antioxidant micronutrient levels in pre-eclamptic pregnant women in Enugu, south-East Nigeria: A comparative cross-sectional analytical study. BMC Pregnancy Childbirth. 2020;20(1):1–9.
DOI: http://dx.doi.org/10.24198/obgynia/v6n1.474
Refbacks
- There are currently no refbacks.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.




_CROSREF22.jpg)




