Zinc Levels and Birth Weight in Pregnant Women with Gestational Diabetes Mellitus: A Matched Cohort Study in China
Abstract Background Zinc (Zn) has been suggested to impact fetal growth. However, the effect may be complicated by gestational diabetes mellitus (GDM) due to its impact on fetal growth and placental transport. This study aims to investigate whether GDM modifies the association between Zn levels and...
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| creator | Luo, Jiajun Wu, Weiwei Zhang, Ping Chen, Xi Feng, Yongliang Ma, Ning Yang, Hailan Wang, Ying Li, Mei Xie, Bingjie Guo, Pengge Liew, Zeyan Deziel, Nicole C Vasiliou, Vasilis Shi, Xiaoming Wang, Suping Zhang, Yawei |
| description | Abstract
Background
Zinc (Zn) has been suggested to impact fetal growth. However, the effect may be complicated by gestational diabetes mellitus (GDM) due to its impact on fetal growth and placental transport. This study aims to investigate whether GDM modifies the association between Zn levels and birth weight.
Method
A cohort matched by GDM was established in Taiyuan, China, between 2012 and 2016, including 752 women with GDM and 744 women without. Dietary Zn intake was assessed during pregnancy. Maternal blood (MB) and cord blood (CB) Zn levels were measured at birth. Birth weight was standardized as the z score and categorized as high (HBW, >4000 g) and low (LBW, |
| doi_str_mv | 10.1210/clinem/dgaa171 |
| format | Article |
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Background
Zinc (Zn) has been suggested to impact fetal growth. However, the effect may be complicated by gestational diabetes mellitus (GDM) due to its impact on fetal growth and placental transport. This study aims to investigate whether GDM modifies the association between Zn levels and birth weight.
Method
A cohort matched by GDM was established in Taiyuan, China, between 2012 and 2016, including 752 women with GDM and 744 women without. Dietary Zn intake was assessed during pregnancy. Maternal blood (MB) and cord blood (CB) Zn levels were measured at birth. Birth weight was standardized as the z score and categorized as high (HBW, >4000 g) and low (LBW, <2500 g) groups. Multivariate linear regression and multinomial logistic regression were used to examine the association between Zn levels and birth weight in offspring born to women with or without GDM.
Results
88.8% (N = 1328) of the population had inadequate Zn intake during pregnancy. In women with GDM, MB Zn level was inversely associated with birth weight (β = –.17; 95% confidence interval (CI), –0.34 to –0.01), while CB Zn level was positively associated with birth weight (β = .38; 95% CI, 0.06-0.70); suggestive associations were observed between MB Zn level and LBW (odds ratio 2.01; 95% CI, 0.95-4.24) and between CB Zn level and HBW (odds ratio 2.37; 95% CI, 1.08-5.21).
Conclusions
GDM may modify the associations between MB and CB Zn levels and birth weight in this population characterized by insufficient Zn intake. These findings suggest a previously unidentified path of adverse effects of GDM.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/clinem/dgaa171</identifier><identifier>PMID: 32285111</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adult ; Birth weight ; Birth Weight - physiology ; Body Mass Index ; China ; Cohort analysis ; Cord blood ; Diabetes ; Diabetes mellitus ; Diabetes, Gestational - blood ; Diet ; Dietary intake ; Female ; Fetuses ; Health risk assessment ; Humans ; Infant, Newborn ; Male ; Placenta ; Pregnancy ; Zinc - blood ; Zinc - deficiency</subject><ispartof>The journal of clinical endocrinology and metabolism, 2020-07, Vol.105 (7), p.e2337-e2345</ispartof><rights>Endocrine Society 2020. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2020</rights><rights>Copyright © Oxford University Press 2015</rights><rights>Endocrine Society 2020. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Endocrine Society 2020. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4428-805c85379623f1c52715b413d555d58bc7c3577692030ab2912c0423593e03253</citedby><cites>FETCH-LOGICAL-c4428-805c85379623f1c52715b413d555d58bc7c3577692030ab2912c0423593e03253</cites><orcidid>0000-0002-5751-9191 ; 0000-0002-5335-879X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2405343878?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21388,21389,27924,27925,33530,33744,43659,43805,64385,64389,72469,73128,73129,73131</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32285111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luo, Jiajun</creatorcontrib><creatorcontrib>Wu, Weiwei</creatorcontrib><creatorcontrib>Zhang, Ping</creatorcontrib><creatorcontrib>Chen, Xi</creatorcontrib><creatorcontrib>Feng, Yongliang</creatorcontrib><creatorcontrib>Ma, Ning</creatorcontrib><creatorcontrib>Yang, Hailan</creatorcontrib><creatorcontrib>Wang, Ying</creatorcontrib><creatorcontrib>Li, Mei</creatorcontrib><creatorcontrib>Xie, Bingjie</creatorcontrib><creatorcontrib>Guo, Pengge</creatorcontrib><creatorcontrib>Liew, Zeyan</creatorcontrib><creatorcontrib>Deziel, Nicole C</creatorcontrib><creatorcontrib>Vasiliou, Vasilis</creatorcontrib><creatorcontrib>Shi, Xiaoming</creatorcontrib><creatorcontrib>Wang, Suping</creatorcontrib><creatorcontrib>Zhang, Yawei</creatorcontrib><title>Zinc Levels and Birth Weight in Pregnant Women with Gestational Diabetes Mellitus: A Matched Cohort Study in China</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Abstract
Background
Zinc (Zn) has been suggested to impact fetal growth. However, the effect may be complicated by gestational diabetes mellitus (GDM) due to its impact on fetal growth and placental transport. This study aims to investigate whether GDM modifies the association between Zn levels and birth weight.
Method
A cohort matched by GDM was established in Taiyuan, China, between 2012 and 2016, including 752 women with GDM and 744 women without. Dietary Zn intake was assessed during pregnancy. Maternal blood (MB) and cord blood (CB) Zn levels were measured at birth. Birth weight was standardized as the z score and categorized as high (HBW, >4000 g) and low (LBW, <2500 g) groups. Multivariate linear regression and multinomial logistic regression were used to examine the association between Zn levels and birth weight in offspring born to women with or without GDM.
Results
88.8% (N = 1328) of the population had inadequate Zn intake during pregnancy. In women with GDM, MB Zn level was inversely associated with birth weight (β = –.17; 95% confidence interval (CI), –0.34 to –0.01), while CB Zn level was positively associated with birth weight (β = .38; 95% CI, 0.06-0.70); suggestive associations were observed between MB Zn level and LBW (odds ratio 2.01; 95% CI, 0.95-4.24) and between CB Zn level and HBW (odds ratio 2.37; 95% CI, 1.08-5.21).
Conclusions
GDM may modify the associations between MB and CB Zn levels and birth weight in this population characterized by insufficient Zn intake. These findings suggest a previously unidentified path of adverse effects of GDM.</description><subject>Adult</subject><subject>Birth weight</subject><subject>Birth Weight - physiology</subject><subject>Body Mass Index</subject><subject>China</subject><subject>Cohort analysis</subject><subject>Cord blood</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes, Gestational - blood</subject><subject>Diet</subject><subject>Dietary intake</subject><subject>Female</subject><subject>Fetuses</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Placenta</subject><subject>Pregnancy</subject><subject>Zinc - blood</subject><subject>Zinc - deficiency</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkM1vEzEQxS0EoqHlyhFZ4sRhW3_Gu72VAAUpVSu1VREXy-udZN06drC9RP3v2WgDV-YympnfPD09hN5RckoZJWfWuwCbs25tDFX0BZrRRshK0Ua9RDNCGK0axX4coTc5PxJChZD8NTrijNWSUjpD6acLFi_hN_iMTejwJ5dKjx_ArfuCXcA3CdbBhIIf4gYC3rnxegm5mOJiMB5_dqaFAhlfgfeuDPkcX-ArU2wPHV7EPqaCb8vQPe_FFr0L5gS9Whmf4e2hH6P7r1_uFt-q5fXl98XFsrJCsLqqibS15KqZM76iVjJFZSso76SUnaxbqyyXSs0bRjgxLWsos0QwLhsOhDPJj9GHSXeb4q9htKwf45BGz1kzQSQXvFb1SJ1OlE0x5wQrvU1uY9KzpkTvI9ZTxPoQ8fjw_iA7tBvo_uF_Mx0BMQG76Auk_OSHHSTdg_Gl12QsMVd1xQgjRI1TtV_tjXyc3uKw_Z-HPyUalHA</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Luo, Jiajun</creator><creator>Wu, Weiwei</creator><creator>Zhang, Ping</creator><creator>Chen, Xi</creator><creator>Feng, Yongliang</creator><creator>Ma, Ning</creator><creator>Yang, Hailan</creator><creator>Wang, Ying</creator><creator>Li, Mei</creator><creator>Xie, Bingjie</creator><creator>Guo, Pengge</creator><creator>Liew, Zeyan</creator><creator>Deziel, Nicole C</creator><creator>Vasiliou, Vasilis</creator><creator>Shi, Xiaoming</creator><creator>Wang, Suping</creator><creator>Zhang, Yawei</creator><general>Oxford University Press</general><general>Copyright Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0002-5751-9191</orcidid><orcidid>https://orcid.org/0000-0002-5335-879X</orcidid></search><sort><creationdate>202007</creationdate><title>Zinc Levels and Birth Weight in Pregnant Women with Gestational Diabetes Mellitus: A Matched Cohort Study in China</title><author>Luo, Jiajun ; Wu, Weiwei ; Zhang, Ping ; Chen, Xi ; Feng, Yongliang ; Ma, Ning ; Yang, Hailan ; Wang, Ying ; Li, Mei ; Xie, Bingjie ; Guo, Pengge ; Liew, Zeyan ; Deziel, Nicole C ; Vasiliou, Vasilis ; Shi, Xiaoming ; Wang, Suping ; Zhang, Yawei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4428-805c85379623f1c52715b413d555d58bc7c3577692030ab2912c0423593e03253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Birth weight</topic><topic>Birth Weight - physiology</topic><topic>Body Mass Index</topic><topic>China</topic><topic>Cohort analysis</topic><topic>Cord blood</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes, Gestational - blood</topic><topic>Diet</topic><topic>Dietary intake</topic><topic>Female</topic><topic>Fetuses</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Placenta</topic><topic>Pregnancy</topic><topic>Zinc - blood</topic><topic>Zinc - deficiency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luo, Jiajun</creatorcontrib><creatorcontrib>Wu, Weiwei</creatorcontrib><creatorcontrib>Zhang, Ping</creatorcontrib><creatorcontrib>Chen, Xi</creatorcontrib><creatorcontrib>Feng, Yongliang</creatorcontrib><creatorcontrib>Ma, Ning</creatorcontrib><creatorcontrib>Yang, Hailan</creatorcontrib><creatorcontrib>Wang, Ying</creatorcontrib><creatorcontrib>Li, Mei</creatorcontrib><creatorcontrib>Xie, Bingjie</creatorcontrib><creatorcontrib>Guo, Pengge</creatorcontrib><creatorcontrib>Liew, Zeyan</creatorcontrib><creatorcontrib>Deziel, Nicole C</creatorcontrib><creatorcontrib>Vasiliou, Vasilis</creatorcontrib><creatorcontrib>Shi, Xiaoming</creatorcontrib><creatorcontrib>Wang, Suping</creatorcontrib><creatorcontrib>Zhang, Yawei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luo, Jiajun</au><au>Wu, Weiwei</au><au>Zhang, Ping</au><au>Chen, Xi</au><au>Feng, Yongliang</au><au>Ma, Ning</au><au>Yang, Hailan</au><au>Wang, Ying</au><au>Li, Mei</au><au>Xie, Bingjie</au><au>Guo, Pengge</au><au>Liew, Zeyan</au><au>Deziel, Nicole C</au><au>Vasiliou, Vasilis</au><au>Shi, Xiaoming</au><au>Wang, Suping</au><au>Zhang, Yawei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Zinc Levels and Birth Weight in Pregnant Women with Gestational Diabetes Mellitus: A Matched Cohort Study in China</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2020-07</date><risdate>2020</risdate><volume>105</volume><issue>7</issue><spage>e2337</spage><epage>e2345</epage><pages>e2337-e2345</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><abstract>Abstract
Background
Zinc (Zn) has been suggested to impact fetal growth. However, the effect may be complicated by gestational diabetes mellitus (GDM) due to its impact on fetal growth and placental transport. This study aims to investigate whether GDM modifies the association between Zn levels and birth weight.
Method
A cohort matched by GDM was established in Taiyuan, China, between 2012 and 2016, including 752 women with GDM and 744 women without. Dietary Zn intake was assessed during pregnancy. Maternal blood (MB) and cord blood (CB) Zn levels were measured at birth. Birth weight was standardized as the z score and categorized as high (HBW, >4000 g) and low (LBW, <2500 g) groups. Multivariate linear regression and multinomial logistic regression were used to examine the association between Zn levels and birth weight in offspring born to women with or without GDM.
Results
88.8% (N = 1328) of the population had inadequate Zn intake during pregnancy. In women with GDM, MB Zn level was inversely associated with birth weight (β = –.17; 95% confidence interval (CI), –0.34 to –0.01), while CB Zn level was positively associated with birth weight (β = .38; 95% CI, 0.06-0.70); suggestive associations were observed between MB Zn level and LBW (odds ratio 2.01; 95% CI, 0.95-4.24) and between CB Zn level and HBW (odds ratio 2.37; 95% CI, 1.08-5.21).
Conclusions
GDM may modify the associations between MB and CB Zn levels and birth weight in this population characterized by insufficient Zn intake. These findings suggest a previously unidentified path of adverse effects of GDM.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>32285111</pmid><doi>10.1210/clinem/dgaa171</doi><orcidid>https://orcid.org/0000-0002-5751-9191</orcidid><orcidid>https://orcid.org/0000-0002-5335-879X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Birth weight Birth Weight - physiology Body Mass Index China Cohort analysis Cord blood Diabetes Diabetes mellitus Diabetes, Gestational - blood Diet Dietary intake Female Fetuses Health risk assessment Humans Infant, Newborn Male Placenta Pregnancy Zinc - blood Zinc - deficiency |
| title | Zinc Levels and Birth Weight in Pregnant Women with Gestational Diabetes Mellitus: A Matched Cohort Study in China |
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