Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart Defects

The effects of zinc, copper, and selenium on human congenital heart defects (CHDs) remain unclear. This study aimed to investigate the associations of the maternal total, dietary, and supplemental intakes of zinc, copper, and selenium during pregnancy with CHDs. A hospital-based case-control study w...

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Main Authors: Jiaomei Yang, Yijun Kang, Qianqian Chang, Binyan Zhang, Xin Liu, Lingxia Zeng, Hong Yan, Shaonong Dang
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/5/1055
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author Jiaomei Yang
Yijun Kang
Qianqian Chang
Binyan Zhang
Xin Liu
Lingxia Zeng
Hong Yan
Shaonong Dang
author_facet Jiaomei Yang
Yijun Kang
Qianqian Chang
Binyan Zhang
Xin Liu
Lingxia Zeng
Hong Yan
Shaonong Dang
author_sort Jiaomei Yang
collection DOAJ
description The effects of zinc, copper, and selenium on human congenital heart defects (CHDs) remain unclear. This study aimed to investigate the associations of the maternal total, dietary, and supplemental intakes of zinc, copper, and selenium during pregnancy with CHDs. A hospital-based case-control study was performed, including 474 cases and 948 controls in Northwest China. Eligible participants waiting for delivery were interviewed to report their diets and characteristics in pregnancy. Mixed logistic regression was adopted to examine associations and interactions between maternal intakes and CHDs. Higher total intakes of zinc, selenium, zinc to copper ratio, and selenium to copper ratio during pregnancy were associated with lower risks of total CHDs and the subtypes, and the tests for trend were significant (all <i>p</i> < 0.05). The significantly inverse associations with CHDs were also observed for dietary intakes of zinc, selenium, zinc to copper ratio, selenium to copper ratio, and zinc and selenium supplements use during pregnancy and in the first trimester. Moreover, high zinc and high selenium, even with low or high copper, showed a significantly reduced risk of total CHDs. Efforts to promote zinc and selenium intakes during pregnancy need to be strengthened to reduce the incidence of CHDs in the Chinese population.
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spelling doaj.art-1bd543c565da41a4b35882f4b902ccde2023-11-23T23:33:50ZengMDPI AGNutrients2072-66432022-03-01145105510.3390/nu14051055Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart DefectsJiaomei Yang0Yijun Kang1Qianqian Chang2Binyan Zhang3Xin Liu4Lingxia Zeng5Hong Yan6Shaonong Dang7Department of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, ChinaThe effects of zinc, copper, and selenium on human congenital heart defects (CHDs) remain unclear. This study aimed to investigate the associations of the maternal total, dietary, and supplemental intakes of zinc, copper, and selenium during pregnancy with CHDs. A hospital-based case-control study was performed, including 474 cases and 948 controls in Northwest China. Eligible participants waiting for delivery were interviewed to report their diets and characteristics in pregnancy. Mixed logistic regression was adopted to examine associations and interactions between maternal intakes and CHDs. Higher total intakes of zinc, selenium, zinc to copper ratio, and selenium to copper ratio during pregnancy were associated with lower risks of total CHDs and the subtypes, and the tests for trend were significant (all <i>p</i> < 0.05). The significantly inverse associations with CHDs were also observed for dietary intakes of zinc, selenium, zinc to copper ratio, selenium to copper ratio, and zinc and selenium supplements use during pregnancy and in the first trimester. Moreover, high zinc and high selenium, even with low or high copper, showed a significantly reduced risk of total CHDs. Efforts to promote zinc and selenium intakes during pregnancy need to be strengthened to reduce the incidence of CHDs in the Chinese population.https://www.mdpi.com/2072-6643/14/5/1055zinccopperseleniumcongenital heart defectspregnancy
spellingShingle Jiaomei Yang
Yijun Kang
Qianqian Chang
Binyan Zhang
Xin Liu
Lingxia Zeng
Hong Yan
Shaonong Dang
Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart Defects
Nutrients
zinc
copper
selenium
congenital heart defects
pregnancy
title Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart Defects
title_full Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart Defects
title_fullStr Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart Defects
title_full_unstemmed Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart Defects
title_short Maternal Zinc, Copper, and Selenium Intakes during Pregnancy and Congenital Heart Defects
title_sort maternal zinc copper and selenium intakes during pregnancy and congenital heart defects
topic zinc
copper
selenium
congenital heart defects
pregnancy
url https://www.mdpi.com/2072-6643/14/5/1055
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