Maternal dietary selenium intake is associated with increased gestational length and decreased risk for preterm delivery
Artikel i vetenskaplig tidskrift, 2019

The first positive genome-wide association study on gestational length and preterm delivery showed associations with a gene involved in the selenium metabolism. In this study we examine the associations between maternal intake of selenium and selenium status with gestational length and preterm delivery in 72,025 women with singleton live births from the population based, prospective Norwegian Mother, Father and Child Cohort Study (MoBa). A self-reported, semi-quantitativ food-frequency questionnaire answered in pregnancy week 22 was used to estimate selenium intake during the first half of pregnancy. Associations were analysed with adjusted linear and cox regressions. Selenium status was assessed in whole blood collected in gestational week 17 (n=2,637). Median dietary selenium intake was 53 (IQR: 44-62) μg/day, supplements provided additionally 50 (30-75) μg/day for supplement-users (n=23,409). Maternal dietary selenium intake was significantly associated with prolonged gestational length (β per SD=0.25, 95% CI=0.07-0.43) and decreased risk for preterm delivery (n=3,618, HR per SD=0.92, 95% CI=0.87-0.98). Neither selenium intake from supplements nor maternal blood selenium status was associated with gestational length or preterm delivery. Hence, this study showed that maternal dietary selenium intake, but not intake of selenium containing supplements, during the first half of pregnancy was significantly associated with decreased risk for preterm delivery. Further investigations, preferably in the form of a large RCT, are needed to elucidate the impact of selenium on pregnancy duration.

Selenium status

Father and Child Cohort Study

Preterm Delivery

Gestational length

Medical Birth Registry of Norway

Food Frequency Questionnaire

Pregnant women

Selenium

Dietary selenium intake

MoBa

The Norwegian Mother

Författare

Malin Barman

Göteborgs universitet

Chalmers, Biologi och bioteknik, Livsmedelsvetenskap

Anne-Lise Brantsaeter

Norwegian Institute of Public Health

Staffan Nilsson

Göteborgs universitet

Chalmers, Matematiska vetenskaper, Tillämpad matematik och statistik

Margaretha Haugen

Norwegian Institute of Public Health

Thomas Lundh

Lunds universitet

Gerald F. Combs

Jean Mayer USDA Human Nutrition Research Center on Aging

G. Zhang

University of Cincinnati

L. J. Muglia

University of Cincinnati

Helle M Meltzer

Norwegian Institute of Public Health

Bo Jacobsson

Norwegian Institute of Public Health

Göteborgs universitet

Verena Sengpiel

Sahlgrenska universitetssjukhuset

British Journal of Nutrition

0007-1145 (ISSN) 1475-2662 (eISSN)

1-24

Ämneskategorier

Pediatrik

Reproduktionsmedicin och gynekologi

Näringslära

DOI

10.1017/S0007114519002113

Mer information

Senast uppdaterat

2019-11-22