Sun, May 19, 2024
[Archive]
Volume 8, Issue 2 (May 2023)
JNFS 2023, 8(2): 306-324 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Daneshvar M, Yadegari A, Hasanzadeh M, Djafarian K. Evaluation of Selenium Status among Iranian Pregnant Women: A Systematic Review and Met-Analysis. JNFS 2023; 8 (2) :306-324
URL: http://jnfs.ssu.ac.ir/article-1-467-en.html
URL: http://jnfs.ssu.ac.ir/article-1-467-en.html
Department of Clinical Nutrition, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (1687 Views)
Selenium (Se) plays an important role in numerous immunological functions of human health. It has been shown that maternal Se deficiency contributes to many pregnancy complications such as pre-eclampsia, gestational diabetes mellitus (GDM), miscarriage, and even fetal growth restriction. Due to the evidence of importance of Se in pregnancy outcomes and the inconsistency of current shreds of evidence on Se adequacy in Iranian pregnant women, this study aimed to provide a comprehensive evaluation of published studies. This systematic review explored studies reporting dietary Se intake, serum or plasma Se, and Umbilical cord Se in Iranian pregnant women. Methods: PubMed, Scopus, Web of Science, Embase, Google scholar (in English and Persian), and Persian databases, including Scientific Information Database, IranDoc, Iranian National Library, Magiran, and Regional Information Center for Science and Technology, were reviewed. Results: A total of 30 studies were included in the meta-analysis. Pooled effect sizes show an overall value of 90.09 µg/l (95% CI: 81.89, 98.29) and 75.08 µg/d (95% CI: 63.01, 87.16) for serum and dietary Se. Geographically, the lowest serum Se was in Fars and East-Azerbaijan with values of 61.97 µg/l (51.38, 72.55) and 55.12 µg/l (48.5, 61.74), respectively. Dietary intake pooled estimate showed that the lowest Se intake was in West-Azerbaijan with a value of 42.80 µg/d (95% CI: 38.95, 46.65). Conclusion: The current study shows that the overall serum and dietary intake of Se in Iranian pregnant women is acceptable. Some parts of the country need monitoring to prevent Se inadequacy and related-adverse complications in pregnant women.
Type of article: review article |
Subject:
public specific
Received: 2021/08/28 | Published: 2023/05/20 | ePublished: 2023/05/20
Received: 2021/08/28 | Published: 2023/05/20 | ePublished: 2023/05/20
References
1. Aalami-Harandi R, Karamali M & Asemi Z 2015. The favorable effects of garlic intake on metabolic profiles, hs-CRP, biomarkers of oxidative stress and pregnancy outcomes in pregnant women at risk for pre-eclampsia: randomized, double-blind, placebo-controlled trial. Journal of maternal-fetal & neonatal medicine. 28 (17): 2020-2027.
2. Akhlaghi F, Bagheri SM & Rajabi O 2012. A comparative study of relationship between micronutrients and gestational diabetes. International scholarly research notices. 2012.
3. Al-Othman AM, et al. 2012. Daily intake of selenium and concentrations in blood of residents of Riyadh City, Saudi Arabia. Environmental geochemistry and health. 34 (4): 417-431.
4. Alawad AS, Alawadi SB, Al-Dujaily IH & Alawadi NB 2019. Trace Elements in Pregnant Women from Babil Province, Iraq. Annals of tropical medicine and health. 22: 64-71.
5. Alipour AA, Babaei H, Hemmati M, Rezaei M & Hoseininezhad Z 2015. Comparison of maternal and umbilical cord blood selenium levels in preterm and term neonates. Journal of Kermanshah University of medical sciences. 18 (9): 509-515.
6. Asemi Z, Jamilian M, Mesdaghinia E & Esmaillzadeh A 2015. Effects of selenium supplementation on glucose homeostasis, inflammation, and oxidative stress in gestational diabetes: Randomized, double-blind, placebo-controlled trial. Nutrition. 31 (10): 1235-1242.
7. Asemi Z, et al. 2012. Effect of daily consumption of probiotic yogurt on oxidative stress in pregnant women: a randomized controlled clinical trial. Annals of nutrition and metabolism. 60 (1): 62-68.
8. Atarod Z, Emadi N, Saeedi Saravi SS, Modanlookordi M & Shokrzadeh M 2015. Copper and selenium levels in women with second-trimester induced abortion in Mazandaran, 2009: A case control study. Pharmaceutical and biomedical research. 1 (1): 44-47.
9. Boskabadi H, et al. 2012. Effect of prenatal selenium supplementation on cord blood selenium and lipid profile. Pediatrics & neonatology. 53 (6): 334-339.
10. Choi R, et al. 2016. A prospective study of serum trace elements in healthy Korean pregnant women. Nutrients. 8 (11): 749.
11. Chun OK, et al. 2010. Estimation of antioxidant intakes from diet and supplements in US adults. Journal of nutrition. 140 (2): 317-324.
12. Dabbaghmanesh MH, Sadegholvaad A, Ejtehadi F & Omrani G 2007. Low serum selenium concentration as a possible factor for persistent goiter in Iranian school children. Biofactors. 29 (2, 3): 77-82.
13. Daneshzad E, Tehrani H, Bellissimo N & Azadbakht L 2020. Dietary Total Antioxidant Capacity and Gestational Diabetes Mellitus: A Case-Control Study. Oxidative medicine and cellular longevity. 2020.
14. Davaryari N, Ramin Razavi Panah SHM, Homa Oskouiyan,, Marzieh Mohajeri, Nayereh Ghomian & Ghasemi SM 2011. A Comparison of Serum Level of Selenium in Women with Preeclampsia and Normal Pregnant Women. Medical journal of Mashhad University of medical sciences. 54 (2): 80-85.
15. Duffield AJ, Thomson CD, Hill KE & Williams S 1999. An estimation of selenium requirements for New Zealanders. American journal of clinical nutrition. 70 (5): 896-903.
16. Farzin L & Sajadi F 2012. Comparison of serum trace element levels in patients with or without pre-eclampsia. Journal of research in medical sciences. 17 (10): 938.
17. Filippini T, et al. 2017. Toenail selenium as an indicator of environmental exposure: A cross-sectional study. Molecular medicine reports. 15 (5): 3405-3412.
18. Ghaemi SZ, et al. 2013. A prospective study of selenium concentration and risk of preeclampsia in pregnant Iranian women: a nested case–control study. Biological trace element research. 152 (2): 174-179.
19. Hashemipour M, et al. 2008. Goiter persistence after iodine replenishment, the potential role of selenium deficiency in goitrous schoolchildren of Semirom, Iran. Experimental and clinical endocrinology & diabetes. 116 (02): 75-79.
20. Hawkes WC, Alkan Z, Lang K & King JC 2004. Plasma selenium decrease during pregnancy is associated with glucose intolerance. Biological trace element research. 100 (1): 19-29.
21. Higgins J & Deeks J 2011. Obtaining standard deviations from standard errors and confidence intervals for group means, Cochrane handbook for systematic reviews of interventions.
22. Higgins J & Green S 2019. 16.1. 3.1 Imputing standard deviations. Cochrane Handb. Syst. Rev. Interv. https://handb ook-5-1. coch r ane. org/chapt er_16/16_1_3_1impu ting_stand ard_devia tions. htm. Accessed 2
23. Higgins JP, et al. 2011. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. British medical journal. 343.
24. Higgins JP & Thompson SG 2002. Quantifying heterogeneity in a meta-analysis. Statistics in medicine. 21 (11): 1539-1558.
25. Hubalewska-Dydejczyk A, Duntas L & Gilis-Januszewska A 2020. Pregnancy, thyroid, and the potential use of selenium. Hormones. 19 (1): 47-53.
26. Ibrahim SA, Kerkadi A & Agouni A 2019. Selenium and health: An update on the situation in the Middle East and North Africa. Nutrients. 11 (7): 1457.
27. Iranpour R, et al. 2009. Comparison of maternal and umbilical cord blood selenium levels in term and preterm infants. Chinese journal of contemporary pediatrics. 11 (7): 513-516.
28. Jalili A, Akhlaghi F, Bagheri SM, Chehelmard ElahAbadi P & Khadem Rezaiyan M 2015. Relationship between micronutrients of active and inactive mothers with Neonatal growth. Iranian journal of obstetrics, gynecology and infertility. 18 (145): 8-13.
29. Johnson CC, Fordyce FM & Rayman MP 2010. Symposium on ‘Geographical and geological influences on nutrition’Factors controlling the distribution of selenium in the environment and their impact on health and nutrition: Conference on ‘Over-and undernutrition: challenges and approaches’. Proceedings of the nutrition society. 69 (1): 119-132.
30. Kazemian E, Dorosti- Motlagh AR, Sotoudeh G, Eshraghian MR & Ansary S 2013. Nutritional Status of Women with Gestational Hypertension Compared to Normal Pregnant Women. Journal of Rafsanjan University of medical sciences. 12 (10): 793-806.
31. Kharaghani R, Cheraghi Z, Esfahani BO, Mohammadian Z & Nooreldinc RS 2016. Prevalence of preeclampsia and eclampsia in Iran. Archives of Iranian medicine. 19 (1): 0-0.
32. Khoigani MG, Paknahad Z & Mardanian F 2012. The relationship between nutrients intake and preeclampsia in pregnant women. Journal of research in medical sciences.(2): S210-S217.
33. Kieliszek M 2019. Selenium–fascinating microelement, properties and sources in food. Molecules. 24 (7): 1298.
34. Kilinc M, Guven MA, Ezer M, Ertas IE & Coskun A 2008. Evaluation of serum selenium levels in Turkish women with gestational diabetes mellitus, glucose intolerants, and normal controls. Biological trace element research. 123 (1): 35-40.
35. Kim SY, et al. 2013. Testing a tool for assessing the risk of bias for nonrandomized studies showed moderate reliability and promising validity. Journal of clinical epidemiology. 66 (4): 408-414.
36. Kipp AP, et al. 2015. Revised reference values for selenium intake. Journal of trace elements in medicine and biology. 32: 195-199.
37. Kooshki A, Yaghoubi MA & Rahnama Rahsepar F 2009. Comparison of Energy and Nutrient Intakes in Pregnant Women in Sabzevar with Dietary Reference Intakes. Iranian journal of obstetrics, gynecology and infertility. 12 (1): 49-53.
38. Koukkou E, et al. 2014. Urine selenium changes during pregnancy do not correlate with thyroid autoantibodies in a mildly iodine deficient population. Biological trace element research. 157 (1): 9-13.
39. Kushki A, Forough S & Akbari A The relationship between diet and gestational hypertension. Journal of Sazevar medical university. 16 (2): 10-107 [Persian].
40. Kyozuka H, et al. 2021. Effect of Preconception Selenium Intake on the Risk for Gestational Diabetes: The Japan Environment and Children’s Study. Antioxidants. 10 (4): 568.
41. Lin L & Chu H 2018. Quantifying publication bias in meta-analysis. Biometrics. 74 (3): 785-794.
42. Liu PJ, et al. 2021. Associations of serum selenium levels in the first trimester of pregnancy with the risk of gestational diabetes mellitus and preterm birth: a preliminary cohort study. Biological trace element research. 199: 527-534.
43. Ma Y, et al. 2006. Seasonal variation in food intake, physical activity, and body weight in a predominantly overweight population. European journal of clinical nutrition. 60 (4): 519-528.
44. Maleki A, et al. 2011. The relationship between plasma level of Se and preeclampsia. Hypertension in pregnancy. 30 (2): 180-187.
45. Mariath AB, et al. 2011. The possible role of selenium status in adverse pregnancy outcomes. British journal of nutrition. 105 (10): 1418-1428.
46. Mashhadi MA, Heidari Z, Sepehri Z, Bakhshipour AR & Karimkoshte A 2014. The selenium status in thalassemia patients in South East of iran. International journal of hematology-oncology and stem cell research. 8 (4): 1.
47. Mazloomi S, Khodadadi I, Alimohammadi S & Shafiee G 2021. Correlation of thioredoxin reductase (TrxR) and nitric oxide synthase (NOS) activities with serum trace elements in preeclampsia. Clinical and experimental hypertension. 43 (2): 120-124.
48. Mesdaghinia E, Rahavi A, Bahmani F, Sharifi N & Asemi Z 2017. Clinical and metabolic response to selenium supplementation in pregnant women at risk for intrauterine growth restriction: randomized, double-blind, placebo-controlled trial. Biological trace element research. 178 (1): 14-21.
49. Mohammadzadeh A, et al. 2009. Maternal serum selenium and low birth weight neonates. Journal of neonatal-perinatal medicine. 2 (2): 103-107.
50. Mohammadzadeh A, et al. 2012. Selenium Level of Umbilical Cord Blood: Is it related to Respiratory Distress Syndrome? Iranian journal of nephrology. 1 (3): 24-28.
51. Monafi M, Rabiee Pour S & Pourheidar B 2003. Evaluation of food consumption in pregnant women referring to health centers in Urmia. Medical journal of Urmia University of medical sciences. 14 (4): 9-15.
52. Moshfeghy Z, et al. 2020. The predictive value of selenium in diagnosis of gestational diabetes: a nested case-control study. International journal of general medicine. 13: 53-60.
53. Mostafa-Gharehbaghi M, et al. 2012. Determination of selenium in serum samples of preterm newborn infants with bronchopulmonary dysplasia using a validated hydride generation system. Biological trace element research. 147 (1): 1-7.
54. Nakayama SF, et al. 2019. Blood mercury, lead, cadmium, manganese and selenium levels in pregnant women and their determinants: the Japan Environment and Children’s Study (JECS). Journal of exposure science & environmental epidemiology. 29 (5):633-647.
55. Nazemi L, et al. 2012. Selenium status in soil, water and essential crops of Iran. Iranian journal of environmental health science & engineering. 9 (1): 1-8.
56. Nazemi L, et al. 2015. Comparison of maternal and umbilical cord blood selenium levels in low and normal birth weight neonates. Journal of family & reproductive health. 9 (3): 125.
57. Noormohammadi Isa, Mehdizadeh Abolfazl, Mandegar Mansoureh & Meamarzadeh Ali Reza 2004. Association of serum zinc and selenium concentration in the etiology of miscarriage in Iranian women. Medical science journal. 14 (2): 89-92.
58. Okunade KS, et al. 2018. Selenium deficiency and pregnancy outcome in pregnant women with HIV in Lagos, Nigeria. International journal of gynecology & obstetrics. 142 (2): 207-213.
59. Parast VM & Paknahad Z 2017. Antioxidant status and risk of gestational diabetes mellitus: a case-control study. Clinical nutrition research. 6 (2): 81.
60. Peirovifar A, Gharehbaghi MM, Abdulmohammad-Zadeh H, Sadegi GH & Jouyban A 2013. Serum selenium levels of the very low birth weight premature newborn infants with bronchopulmonary dysplasia. Journal of trace elements in medicine and biology. 27 (4): 317-321.
61. Pieczyńska J & Grajeta H 2015. The role of selenium in human conception and pregnancy. Journal of trace elements in medicine and biology. 29: 31-38.
62. Polanska K, et al. 2016. Selenium status during pregnancy and child psychomotor development-Polish Mother and Child Cohort study. Pediatric research. 79 (6): 863-869.
63. Rafraf M, Mahdavi R & Rashidi MR 2008. Serum selenium levels in healthy women in Tabriz, Iran. Food and nutrition bulletin. 29 (2): 83-86.
64. Rayman MP 2000. The importance of selenium to human health. Lancet. 356 (9225): 233-241.
65. Rayman MP 2008. Food-chain selenium and human health: emphasis on intake. British journal of nutrition. 100 (2): 254-268.
66. Rayman MP 2012. Selenium and human health. Lancet. 379 (9822): 1256-1268.
67. Sheykhi M, Paknahad Z & Hasanzadeh A 2015. Dietary nutrient intake and antioxidant status in preeclamptic women. Advanced biomedical research. 4: 183.
68. Sieniawska CE, Meniskov R & Delves HT 1999. Determination of total selenium in serum, whole blood and erythrocytes by ICP-MS. Journal of analytical atomic spectrometry. 14 (2): 109-112.
69. Solé-Navais P, et al. 2021. Maternal Dietary Selenium Intake during Pregnancy Is Associated with Higher Birth Weight and Lower Risk of Small for Gestational Age Births in the Norwegian Mother, Father and Child Cohort Study. Nutrients. 13 (1): 23.
70. Stoffaneller R & Morse NL 2015. A review of dietary selenium intake and selenium status in Europe and the Middle East. Nutrients. 7 (3): 1494-1537.
71. Tan LC, Nancharaiah YV, van Hullebusch ED & Lens PN 2018. Selenium: environmental significance, pollution, and biological treatment technologies. Biotechnology advances. 34 (5): 886-907.
72. Tara F, et al. 2010a. Selenium supplementation and the incidence of preeclampsia in pregnant Iranian women: a randomized, double-blind, placebo-controlled pilot trial. Taiwanese journal of obstetrics and gynecology. 49 (2): 181-187.
73. Tara F, et al. 2010b. Prooxidant-antioxidant balance in pregnancy: a randomized double-blind placebo-controlled trial of selenium supplementation. Journal of perinatal medcine. 38 (5): 473-478.
74. Vanderlelie J & Perkins A 2011. Selenium and preeclampsia: a global perspective. Pregnancy Hypertension. International journal of women's cardiovascular health. 1 (3-4): 213-224.
75. Wang X, et al. 2020. Selenium Nutritional Status of Rural Residents and Its Correlation with Dietary Intake Patterns in a Typical Low-Selenium Area in China. Nutrients. 12 (12): 3816.
76. Xia Y, et al. 2010. Optimization of selenoprotein P and other plasma selenium biomarkers for the assessment of the selenium nutritional requirement: a placebo-controlled, double-blind study of selenomethionine supplementation in selenium-deficient Chinese subjects. American journal of clinical nutrition. 92 (3): 525-531.
77. Zachara BA 2018. Selenium in complicated pregnancy. a review. Advances in clinical chemistry. 86: 157-178.
78. Zhong Q, Lin R & Nong Q 2018. Adiposity and serum selenium in US adults. Nutrients. 10 (6): 727.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
