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Serum Folate, Red Blood Cell Folate, and Zinc Serum Levels Are Related with Gestational Weight Gain and Offspring's Birth-Weight of Adolescent Mothers.
Sámano, Reyna; Martínez-Rojano, Hugo; Chico-Barba, Gabriela; Gamboa, Ricardo; Tolentino, Maricruz; Toledo-Barrera, Alexa Xiomara; Ramírez-González, Cristina; Mendoza-Flores, María Eugenia; Hernández-Trejo, María; Godínez-Martínez, Estela.
Afiliación
  • Sámano R; Coordinación de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud, México City 11000, Mexico.
  • Martínez-Rojano H; Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina del Instituto Politécnico Nacional, México City 11340, Mexico.
  • Chico-Barba G; Coordinación de Medicina Laboral, Instituto de Diagnóstico y Referencia Epidemiológicos (InDRE) "Dr. Manuel Martínez Báez", Secretaría de Salud, México City 01480, Mexico.
  • Gamboa R; Coordinación de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud, México City 11000, Mexico.
  • Tolentino M; Departamento de Fisiología, Instituto Nacional de Cardiología, México City 14080, Mexico.
  • Toledo-Barrera AX; Coordinación de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud, México City 11000, Mexico.
  • Ramírez-González C; Facultad de Nutrición, Universidad Autónoma del Estado de Morelos, Cuernavaca 62350, Mexico.
  • Mendoza-Flores ME; Coordinación de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud, México City 11000, Mexico.
  • Hernández-Trejo M; Coordinación de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud, México City 11000, Mexico.
  • Godínez-Martínez E; Departamento de Neurobiología del Desarrollo, Instituto Nacional de Perinatología, Secretaría de Salud, México City 11000, Mexico.
Nutrients ; 16(11)2024 May 26.
Article en En | MEDLINE | ID: mdl-38892565
ABSTRACT

BACKGROUND:

Gestational weight gain below or above the Institute of Medicine recommendations has been associated with adverse perinatal and neonatal outcomes. Very few studies have evaluated the association between serum and red blood cell folate concentrations and gestational weight gain in adolescents. Additionally, zinc deficiency during pregnancy has been associated with impaired immunity, prolonged labor, preterm and post-term birth, intrauterine growth restriction, low birth weight, and pregnancy-induced hypertension.

OBJECTIVE:

The purpose of our study is to evaluate the association between serum concentrations of zinc, serum folate, and red blood cell folate, with the increase in gestational weight and the weight and length of the newborn in a group of adolescent mothers from Mexico City.

RESULTS:

In our study, 406 adolescent-neonate dyads participated. The adolescents' median age was 15.8 years old. The predominant socioeconomic level was middle-low (57.8%), single (57%), 89.9% were engaged in home activities, and 41.3% completed secondary education. Excessive gestational weight gain was observed in 36.7% of cases, while insufficient gestational weight gain was noted in 38.4%. Small for gestational age infants were observed in 20.9% of the sample. Low serum folate (OR 2.1, 95% CI 1.3-3.3), decreased red blood cell folate (OR 1.6, 95% CI 1.0-2.6), and reduced serum zinc concentrations (OR 3.3, 95% CI 2.1-5.2) were associated with insufficient gestational weight gain. Decreased serum zinc levels (OR 1.2, 95% CI 1.2-3.4) were linked to an increased probability of delivering a baby who is small for their gestational age.

CONCLUSIONS:

Low serum folate, red blood cell folate, and serum zinc concentrations were associated with gestational weight gain and having a small gestational age baby. Both excessive and insufficient gestational weight gain, as well as having a small gestational age baby, are frequent among adolescent mothers.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Zinc / Peso al Nacer / Eritrocitos / Ácido Fólico / Ganancia de Peso Gestacional Límite: Adolescent / Female / Humans / Newborn / Pregnancy País/Región como asunto: Mexico Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: México Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Zinc / Peso al Nacer / Eritrocitos / Ácido Fólico / Ganancia de Peso Gestacional Límite: Adolescent / Female / Humans / Newborn / Pregnancy País/Región como asunto: Mexico Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: México Pais de publicación: Suiza