Association of Maternal Serum Zinc with Risk of Preeclampsia: A Comprehensive Systematic Review
Keywords:
Preeclampsia, zinc serum, maternalAbstract
Background: Zinc is an essential trace mineral element vital for many physiological functions and plays an important role in growth, reproduction, and the immune system. Adequate zinc stores in the body are extremely important during periods of pregnancy. Methods: This systematic review focused on full-text English literature published between 2014 and 2024 using the PRISMA 2020 guidelines. Editorials and review pieces published in the same journal as the submission without a DOI were not accepted. The literature was compiled using PubMed, ScienceDirect, and SagePub, among other online venues. Result: Five publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: serum zinc level in PE patients was significantly lower than that in healthy pregnancy women. A moderate amount of zinc supplementation may reduce the incidence of PE, which needs to be confirmed.
References
Liu Y, Wang X, Fu W, Cao Y, Dou W, Duan D, et al. The association between dietary mineral intake and the risk of preeclampsia in Chinese pregnant women: a matched case–control study. Sci Rep [Internet]. 2023;13(1):1–9. Available from: https://doi.org/10.1038/s41598-023-43481-4
Khoushabi F, Shadan M, Miri A, SharifiRad J. Determination of Maternal Serum Zinc, Iron, Calcium and Magnesium During Pregnancy in Pregnant Women and Umbilical Cord Blood and their Association with Outcome of Pregnancy. Mater Socio Medica. 2016;28(2):104.
Jameil N Al. Maternal serum lead levels and risk of preeclampsia in pregnant women: A cohort study in a maternity hospital, Riyadh, Saudi Arabia. Int J Clin Exp Pathol. 2014;7(6):3182–9.
Kinshella MLW, Omar S, Scherbinsky K, Vidler M, Magee LA, von Dadelszen P, et al. Maternal nutritional risk factors for pre-eclampsia incidence: findings from a narrative scoping review. Reprod Health. 2022;19(1):1–13.
Ma Y, Shen X, Zhang D. The relationship between serum zinc level and preeclampsia: A meta-analysis. Nutrients. 2015;7(9):7806–20.
Al-Jameil N, Tabassum H, Ali MN, Qadeer MA, Khan FA, Al-Rashed M. Correlation between serum trace elements and risk of preeclampsia: A case controlled study in Riyadh, Saudi Arabia. Saudi J Biol Sci [Internet]. 2017;24(6):1142–8. Available from: http://dx.doi.org/10.1016/j.sjbs.2015.02.009
Jin S, Hu C, Zheng Y. Maternal serum zinc level is associated with risk of preeclampsia: A systematic review and meta-analysis. Front Public Heal. 2022;10.
Iqbal S, Ali I. Effect of maternal zinc supplementation or zinc status on pregnancy complications and perinatal outcomes: An umbrella review of meta-analyses. Heliyon [Internet]. 2021;7(7):e07540. Available from: https://doi.org/10.1016/j.heliyon.2021.e07540
Enebe JT, Dim CC, Omeke AC. Maternal antioxidant micronutrient deficiencies among pre-eclamptic women in Enugu, Nigeria: a cross-sectional analytical study. J Int Med Res. 2023;51(11).
El Bilbeisi AH, Abo Khosa SM, Taleb MH, El Afifi AM. Assessment of serum, dietary zinc levels, and other risk factors during the third trimester among pregnant women with and without pregnancy-induced hypertension: a case-control study. Front Nutr. 2023;10(June):1–9.
Uddin SMN, Haque M, Barek MA, Chowdhury MNU, Das A, Uddin MG, et al. Analysis of serum calcium, sodium, potassium, zinc, and iron in patients with pre-eclampsia in Bangladesh: A case–control study. Heal Sci Reports. 2023;6(2):1–9.
Kaprianti T, Mirani P, Martadiansyah A, Lestari PM, Theodorus. Level of Maternal Zinc Serum as Risk Factor of Preeclampsia. Indones J Obstet Gynecol. 2022;10(4):211–7.
Dumrongwongsiri O, Winichagoon P, Chongviriyaphan N, Suthutvoravut U, Grote V, Koletzko B. Effect of maternal nutritional status and mode of delivery on zinc and iron stores at birth. Nutrients. 2021;13(3):1–10.
Al-Sakarneh NA, Mashal RH. Evaluation of Zinc and Homocysteine Status in Pregnant Women and Their Association with Pre-eclampsia in Jordan. Prev Nutr Food Sci. 2021;26(1):21–9.
Tesfa E, Munshea A, Nibret E, Gizaw ST. Association of maternal serum magnesium with pre-eclampsia in African pregnant women: a systematic review and meta-analysis. Int Health. 2024;16(1):14–22.
Wilson RL, Grieger JA, Bianco-Miotto T, Roberts CT. Association between maternal zinc status, dietary zinc intake and pregnancy complications: A systematic review. Nutrients. 2016;8(10):1–28.
Jin J, Xu Z, Liu Z, Huang L, Liu F, Liu M, et al. Association between maternal iron status and the risk of pre-eclampsia: a case-control study. Asia Pac J Clin Nutr. 2024;33(2):184–93.
Wang H, Hu YF, Hao JH, Chen YH, Su PY, Wang Y, et al. Maternal zinc deficiency during pregnancy elevates the risks of fetal growth restriction: A population-based birth cohort study. Sci Rep. 2015;5(October 2014):1–10.
Tesfa E, Nibret E, Munshea A. Maternal Serum Zinc Level and Pre-eclampsia Risk in African Women: a Systematic Review and Meta-analysis. Biol Trace Elem Res. 2021;199(12):4564–71.
Rafeeinia A, Tabandeh A, Khajeniazi S, J Marjani A. Serum Copper, Zinc and Lipid Peroxidation in Pregnant Women with Preeclampsia in Gorgan. Open Biochem J. 2014;1(1):83–8.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Brigitta, Selvia (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors publishing here keep copyright but grant the journal first publication rights, under a Creative Commons Attribution-NonCommercial 4.0 License. They can distribute their work non-exclusively elsewhere with an acknowledgment of its first publication in this journal. Posting the work online before and during submission for earlier and greater citation is encouraged, reflecting Open Access benefits.
