Different levels of prenatal zinc and selenium had different effects on neonatal neurobehavioral development

作者: Xin Yang , XiaoDan Yu , HuanHuan Fu , LuanLuan Li , TianHong Ren

DOI: 10.1016/J.NEURO.2013.04.001

关键词: Internal medicineUmbilical Cord SerumPediatricsEndocrinologyAdverse effectCord bloodSeleniumNeurological assessmentFetusMedicinePregnancyZinc

摘要: Either deficient or excessive of essential nutrients had adverse effects. Effects different levels prenatal zinc (Zn) and selenium (Se) on fetal neurobehavioral development remain unclear. To determine the effects cord serum Zn Se in neonates to explore possible threshold level based neurodevelopment, we conducted this epidemiological research. In multi-center study, investigated these questions 927 mother-newborn pairs Shanghai, China, from 2008 through 2009. Umbilical concentrations were measured Neonatal Behavioral Neurological Assessment (NBNA) tests conducted. The median 794.3 μg/L 63.1 μg/L, respectively. A nonlinear relationship was observed between NBNA after adjusting for potential confounders. score decreased with increasing (adjusted β=-3.0, 95% CI: -3.6 -2.4, p<0.001). Additionally, an invert U-shape a 100 NBNA. adjusted regression coefficient 4.4 (95% 3.6-5.2, p<0.001) Se<100 while -6.1 -1.1, p<0.01) Se≥100 μg/L. Of infants, 50% high (≥794.3 μg/L) 8.6% (≥100 μg/L). High both mainly behavior passive tone (p<0.001). Taken together, our study suggested that blood existed neurodevelopment prevalence high. Thus, supplementation during pregnancy should be considered caution China.

参考文章(37)
X L Bao, R J Yu, Z S Li, 20-item neonatal behavioral neurological assessment used in predicting prognosis of asphyxiated newborn. Chinese Medical Journal. ,vol. 106, pp. 211- 215 ,(1993)
M. Nandakumaran, H.M. Dashti, E. Al‐Saleh, N.S. Al‐Zaid, Transport kinetics of zinc, copper, selenium, and iron in perfused human placental lobule in vitro Molecular and Cellular Biochemistry. ,vol. 252, pp. 91- 96 ,(2003) , 10.1023/A:1025565720489
X L Bao, R J Yu, Z S Li, B L Zhang, Twenty-item behavioral neurological assessment for normal newborns in 12 cities of China. Chinese Medical Journal. ,vol. 104, pp. 742- 746 ,(1991)
Jun Chen, Marla J. Berry, Selenium and selenoproteins in the brain and brain diseases Journal of Neurochemistry. ,vol. 86, pp. 1- 12 ,(2004) , 10.1046/J.1471-4159.2003.01854.X
Josefa Canals, Carmen Hernández-Martínez, Griselda Esparó, Joan Fernández-Ballart, Neonatal Behavioral Assessment Scale as a predictor of cognitive development and IQ in full-term infants: a 6-year longitudinal study. Acta Paediatrica. ,vol. 100, pp. 1331- 1337 ,(2011) , 10.1111/J.1651-2227.2011.02306.X
T. Berry Brazelton, J. Kevin Nugent, Neonatal Behavioral Assessment Scale ,(1973)
Xudong Huang, Math P. Cuajungco, Craig S. Atwood, Robert D. Moir, Rudolph E. Tanzi, Ashley I. Bush, Alzheimer’s Disease, β-Amyloid Protein and Zinc Journal of Nutrition. ,vol. 130, ,(2000) , 10.1093/JN/130.5.1488S
Margaret P. Rayman, The argument for increasing selenium intake Proceedings of the Nutrition Society. ,vol. 61, pp. 203- 215 ,(2002) , 10.1079/PNS2002153
Shannon D. Gower-Winter, Cathy W. Levenson, Zinc in the central nervous system: From molecules to behavior BioFactors. ,vol. 38, pp. 186- 193 ,(2012) , 10.1002/BIOF.1012