Abstract
Leucocyte zinc concentrations were measured in 70 mothers at the beginning of the third trimester of pregnancy and compared with the weight centiles of their subsequently delivered babies. The median maternal leucocyte zinc concentrations rose progressively with weight centile. Thus the median leucocyte zinc concentration of the mothers delivering babies weighing below the 10th centile was 112 nmol/10(9) leucocytes and that of the mothers with babies weighing above the 90th centile was 229.5 nmol/10(9) leucocytes. A maternal leucocyte zinc concentration less than 120 nmol/10(9) leucocytes strongly predicted a baby weighing below the 10th centile (positive predictive value = 71.9%, negative predictive value = 91.5%, sensitivity = 64.3%, specificity = 81.8%). These findings suggest that maternal zinc concentration might have a role in antenatal screening, but larger studies are required.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Allen M. C. Developmental outcome and followup of the small for gestational age infant. Semin Perinatol. 1984 Apr;8(2):123–156. [PubMed] [Google Scholar]
- Andréasson B., Svenningsen N. W., Nordenfelt E. Screening for viral infections in infants with poor intrauterine growth. Acta Paediatr Scand. 1981 Sep;70(5):673–676. doi: 10.1111/j.1651-2227.1981.tb05766.x. [DOI] [PubMed] [Google Scholar]
- Baron D. N., Ahmed S. A. Intracellular concentrations of water and of the principal electrolytes determined by analysis of isolated human leucocytes. Clin Sci. 1969 Aug;37(1):205–219. [PubMed] [Google Scholar]
- Belizán J. M., Villar J., Nardin J. C., Malamud J., De Vicurna L. S. Diagnosis of intrauterine growth retardation by a simple clinical method: measurement of uterine height. Am J Obstet Gynecol. 1978 Jul 15;131(6):643–646. doi: 10.1016/0002-9378(78)90824-4. [DOI] [PubMed] [Google Scholar]
- Briend A. Do maternal energy reserves limit fetal growth? Lancet. 1985 Jan 5;1(8419):38–40. doi: 10.1016/s0140-6736(85)90977-8. [DOI] [PubMed] [Google Scholar]
- Bryce-Smith D., Simpson R. I. Case of anorexia nervosa responding to zinc sulphate. Lancet. 1984 Aug 11;2(8398):350–350. doi: 10.1016/s0140-6736(84)92717-x. [DOI] [PubMed] [Google Scholar]
- Chiswick M. L. Intrauterine growth retardation. Br Med J (Clin Res Ed) 1985 Sep 28;291(6499):845–848. doi: 10.1136/bmj.291.6499.845. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cole P. V., Hawkins L. H., Roberts D. Smoking during pregnancy and its effects on the fetus. J Obstet Gynaecol Br Commonw. 1972 Sep;79(9):782–787. doi: 10.1111/j.1471-0528.1972.tb12920.x. [DOI] [PubMed] [Google Scholar]
- Gairdner D., Pearson J. A growth chart for premature and other infants. Arch Dis Child. 1971 Dec;46(250):783–787. doi: 10.1136/adc.46.250.783. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hadlock F. P., Deter R. L., Harrist R. B. Sonographic detection of abnormal fetal growth patterns. Clin Obstet Gynecol. 1984 Jun;27(2):342–351. doi: 10.1097/00003081-198406000-00009. [DOI] [PubMed] [Google Scholar]
- Hytten F. E. Do pregnant women need zinc supplements? Br J Obstet Gynaecol. 1985 Sep;92(9):873–874. [PubMed] [Google Scholar]
- Jones O. W. Genetic factors in the determination of fetal size. J Reprod Med. 1978 Nov;21(5):305–313. [PubMed] [Google Scholar]
- Lehtovirta P., Forss M. The acute effect of smoking on intervillous blood flow of the placenta. Br J Obstet Gynaecol. 1978 Oct;85(10):729–731. doi: 10.1111/j.1471-0528.1978.tb15592.x. [DOI] [PubMed] [Google Scholar]
- Little R. E., Streissguth A. P., Barr H. M., Herman C. S. Decreased birth weight in infants of alcoholic women who abstained during pregnancy. J Pediatr. 1980 Jun;96(6):974–977. doi: 10.1016/s0022-3476(80)80620-2. [DOI] [PubMed] [Google Scholar]
- Meadows N. J., Ruse W., Smith M. F., Day J., Keeling P. W., Scopes J. W., Thompson R. P., Bloxam D. L. Zinc and small babies. Lancet. 1981 Nov 21;2(8256):1135–1137. doi: 10.1016/s0140-6736(81)90587-0. [DOI] [PubMed] [Google Scholar]
- Meadows N., Ruse W., Keeling P. W., Scopes J. W., Thompson R. P. Peripheral blood leucocyte zinc depletion in babies with intrauterine growth retardation. Arch Dis Child. 1983 Oct;58(10):807–809. doi: 10.1136/adc.58.10.807. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Metcoff J., Costiloe J. P., Crosby W., Bentle L., Seshachalam D., Sandstead H. H., Bodwell C. E., Weaver F., McClain P. Maternal nutrition and fetal outcome. Am J Clin Nutr. 1981 Apr;34(Suppl 4):708–721. doi: 10.1093/ajcn/34.4.708. [DOI] [PubMed] [Google Scholar]
- Ouellette E. M., Rosett H. L., Rosman N. P., Weiner L. Adverse effects on offspring of maternal alcohol abuse during pregnancy. N Engl J Med. 1977 Sep 8;297(10):528–530. doi: 10.1056/NEJM197709082971003. [DOI] [PubMed] [Google Scholar]
- Primhak R. A., Simpson R. M. Screening small for gestational age babies for congenital infection. Clin Pediatr (Phila) 1982 Jul;21(7):417–420. doi: 10.1177/000992288202100705. [DOI] [PubMed] [Google Scholar]
- Procianoy R. S., Garcia-Prats J. A., Adams J. M., Silvers A., Rudolph A. J. Hyaline membrane disease and intraventricular haemorrhage in small for gestational age infants. Arch Dis Child. 1980 Jul;55(7):502–505. doi: 10.1136/adc.55.7.502. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rosett H. L., Weiner L., Lee A., Zuckerman B., Dooling E., Oppenheimer E. Patterns of alcohol consumption and fetal development. Obstet Gynecol. 1983 May;61(5):539–546. [PubMed] [Google Scholar]
- Simmer K., Thompson R. P. Maternal zinc and intrauterine growth retardation. Clin Sci (Lond) 1985 Apr;68(4):395–399. doi: 10.1042/cs0680395. [DOI] [PubMed] [Google Scholar]
- Stein Z., Susser M. The Dutch famine, 1944-1945, and the reproductive process. I. Effects on six indices at birth. Pediatr Res. 1975 Feb;9(2):70–76. doi: 10.1203/00006450-197502000-00003. [DOI] [PubMed] [Google Scholar]
- Westergaard J. G., Teisner B., Hau J., Grudzinskas J. G., Chard T. Placental function studies in low birth weight infants with and without dysmaturity. Obstet Gynecol. 1985 Mar;65(3):316–318. [PubMed] [Google Scholar]
