巴西妇女孕期和哺乳期锌的吸收和动力学。

Carmen M Donangelo, Carmiña L Vargas Zapata, Leslie R Woodhouse, David M Shames, Ratna Mukherjea, Janet C King
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引用次数: 14

摘要

背景:锌吸收和内源性排泄的调节维持了低锌饮食中未怀孕成人锌的体内平衡。在孕期和哺乳期低锌摄入对锌体内平衡的影响尚未在一项纵向研究中描述。目的:我们研究了10名巴西健康女性的锌吸收(FZA)和锌动力学的纵向变化,这些女性习惯摄入边缘锌饮食(约9毫克锌/天)。设计:测定10-12岁(妊娠早期;EP)和34-36(妊娠晚期;LP)妊娠周和分娩后7-8周(哺乳期早期;EL)。用稳定同位素示踪剂对锌动力学和FZA进行了研究。结果:在整个研究过程中,锌的平均摄入量为9 +/- 3毫克/天。FZA从EP组的29 +/- 6%增加到LP组的43 +/- 10%和EL组的39 +/- 13% (P < 0.05)。FZA与血浆锌在EL (r = -0.73, P = 0.02)和LP (r = -0.72, P = 0.07)呈负相关。血浆锌质量LP组比EP组和EL组高23% (P < 0.05)。血浆与血管外池之间的锌通量(mg/d)在LP组比EP组和EL组高53% (P < 0.05)。EL处等离子体与较慢翻转锌池之间的锌通量比EP或LP处大27%,但差异不显著。结论:孕期和哺乳期锌摄入量处于临界水平的妇女FZA显著升高;在血浆锌含量低的女性中,这一增幅更高。血浆锌在低电压处与低电压处的交换池分布不同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Zinc absorption and kinetics during pregnancy and lactation in Brazilian women.

Background: Adjustments in zinc absorption and endogenous excretion maintain zinc homeostasis in nonpregnant adults fed low-zinc diets. The effects on zinc homeostasis of a low zinc intake during pregnancy and lactation have not been described in a longitudinal study.

Objective: We examined longitudinal changes in fractional zinc absorption (FZA) and zinc kinetics in 10 healthy Brazilian women who habitually consumed a marginal zinc diet ( approximately 9 mg Zn/d).

Design: Zinc status was measured at 10-12 (early pregnancy; EP) and 34-36 (late pregnancy; LP) wk of pregnancy and at 7-8 wk after delivery (early lactation; EL). Zinc kinetics and FZA were studied by using stable isotopic tracers.

Results: Zinc intake averaged 9 +/- 3 mg/d throughout the study. FZA increased from 29 +/- 6% at EP to 43 +/- 10% at LP and to 39 +/- 13% at EL (P < 0.05). FZA was inversely related to plasma zinc at EL (r = -0.73, P = 0.02) and LP (r = -0.72, P = 0.07). Plasma zinc mass was 23% greater at LP than at EP or EL (P < 0.05). The amount of zinc (mg/d) that fluxed between plasma and the most-rapidly-turning-over extravascular pool was 53% greater at LP than at EP or EL (P < 0.05). The zinc flux between plasma and the less-rapidly-turning-over zinc pool at EL was 27% greater than that at EP or LP, but this difference was not significant.

Conclusions: FZA increased significantly in women with marginal zinc intakes during pregnancy and lactation; the increase was higher in women with low plasma zinc. Plasma zinc was distributed into a different exchangeable pool at LP than at EL.

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