ascorbic-acid and Birth-Weight

Benefit of micronutrient supplementation on female fertility.. Reports of randomized trials are rare. Most studies are focused on multivitamin supplementations. For some micronutrients, a positive impact on fertility could be shown. This article reviews the available clinical studies as well as the pathophysiological background of possible effects and summarizes the potential benefits of selected micronutrients on female fertility.. Apart from lowering the malformation risk by periconceptional supplementation of folic acid, substitution with different micronutrients, particularly folic acid, vitamin B6, vitamin C, vitamin D, vitamin E, iodine, selenium, iron, and DHA might have a positive impact on infertility treatment. The multivitamin formulation should take the pathophysiology, clinical studies, and upper limits into account.

Topics: Adult; Ascorbic Acid; Birth Weight; Dietary Supplements; Female; Folic Acid; Humans; Infertility, Female; Micronutrients; Neural Tube Defects; Pregnancy; Pregnancy Complications; Premature Birth; Prenatal Nutritional Physiological Phenomena; Randomized Controlled Trials as Topic; Selenium; Vitamin B Complex

The water-soluble vitamins B6, B12 and C play important roles in maternal health as well as fetal development and physiology during gestation. This systematic review evaluates the risks and benefits of interventions with vitamins B6, B12 and C during pregnancy on maternal, neonatal and child health and nutrition outcomes. Relevant publications were identified by searching PubMed, Popline and Web of Science databases. Meta-analyses were conducted for outcomes where results from at least three controlled trials were available. Potential benefits of vitamin B6 supplementation were reduction in nausea and vomiting, improvement in dental health, and treatment of some cases of anaemia. In meta-analysis based on three small studies, vitamin B6 supplementation had a significant positive effect on birthweight (d = 217 g [95% confidence interval (CI) 130, 304]). Interventions with vitamin C alone or combined with vitamin E did not systematically reduce the incidence of pre-eclampsia, premature rupture of membranes, or other adverse pregnancy outcomes. In meta-analyses, vitamins C and E increased the risk of pregnancy-related hypertension (relative risk 1.10 [95% CI 1.02, 1.19]). Effects of vitamin B6 or C intervention on other neonatal outcomes, including preterm birth, low birthweight, and perinatal morbidity and mortality, were not significant. Data on child health outcomes were lacking. Despite the prevalence of vitamin B12 deficiency amongst populations with limited intake of animal source foods, no intervention trials have evaluated vitamin B12 supplementation before or during pregnancy. In conclusion, existing evidence does not justify vitamin C supplementation during pregnancy. Additional studies are needed to confirm positive effects of vitamin B6 supplementation on infant birthweight and other outcomes. While vitamin B12 supplementation may reduce the incidence of neural tube defects in the offspring based on theoretical considerations, research is needed to support this hypothesis.

Topics: Ascorbic Acid; Ascorbic Acid Deficiency; Birth Weight; Child Welfare; Child, Preschool; Dietary Supplements; Female; Humans; Infant; Infant Nutritional Physiological Phenomena; Maternal Nutritional Physiological Phenomena; Maternal Welfare; Pre-Eclampsia; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Randomized Controlled Trials as Topic; Vitamin B 12; Vitamin B 12 Deficiency; Vitamin B 6; Vitamin B 6 Deficiency

Maternal nutrition represents one of the important influences on the course and outcome of pregnancy and attention to nutritional factors (i.e., assessment of nutritional status, dietary advice, and follow-up evaluation) properly constitute an essential component of prenatal care. Nearly all nutrients are required in increased amounts during gestation but the magnitude of the increase varies from nutrient to nutrient. Caloric needs increase by 300 kcal per day, representing an addition of 15 per cent, and should be sufficient to support a weight gain averaging 350 to 400 gm per week during the last two trimesters. Total protein intake during pregnancy should be 1.3 gm per kg for the mature woman and somewhat higher for the adolescent. Gestational needs for iron cannot be met by diet and supplementation (in the form of simple ferrous salts, 30 to 60 mg daily) should be provided. Folate requirements are doubled during pregnancy and, while these can be met by diet, supplementation may be considered as an option. Provision of the gestational calcium allowance from food sources is readily possible if (and only if) daily products are consumed. The generally increased need for other nutrients can be provided readily by the properly selected diet. Thus, with respect to supplements, iron and perhaps folate should be advised routinely while other vitamin-mineral supplements are probably neither helpful nor harmful. Prescription of vitamin-mineral supplements cannot be expected to compensate for poor dietary habits. Dietary restriction of nutrients in general, and energy and sodium in particular, has the potential for impairing the maternal capacity to make the required physiologic adjustments of pregnancy and interfering with fetal development. Restriction of any nutrient to levels below the guidelines provided by the Recommended Dietary Allowances is rarely if ever advisable.

Topics: Ascorbic Acid; Birth Weight; Body Weight; Calcium, Dietary; Dietary Proteins; Energy Metabolism; Female; Folic Acid; Humans; Iron; Nutritional Physiological Phenomena; Nutritional Requirements; Obesity; Pregnancy; Pregnancy Complications; Pyridoxine; Sodium; Vitamin D

Topics: Anemia, Hypochromic; Ascorbic Acid; Avitaminosis; Birth Weight; Female; Folic Acid; Humans; Infant, Newborn; Infant, Premature, Diseases; Iron; Pregnancy; Time Factors; Vitamin A; Vitamin D; Vitamin E; Vitamin K; Vitamins

Topics: Ascorbic Acid; Birth Weight; Body Height; Body Weight; Calcium, Dietary; Diet; Dietary Carbohydrates; Dietary Fats; Dietary Proteins; Eclampsia; Energy Transfer; Female; Germany, West; Humans; Lactation; Maternal Mortality; Nutritional Physiological Phenomena; Obesity; Obstetric Labor, Premature; Pre-Eclampsia; Pregnancy; Prenatal Care; Vitamin A; Vitamin B Complex; Vitamin D; Vitamin E; Vitamin K

When rupture of membrane happens before onset of labor, the condition in obstetric practice is defined as "Prelabor rupture of membranes (PROM)" leading to leakage of amniotic fluid through ruptured chorioamniotic membranes and the conditions happens before 37 weeks of pregnancy the term "preterm PROM (PPROM)" is applied. Lack of vitamin C has been suggested as a predisposing factor and vitamin C supplementation has been suggested as a preventive measure.. This study was aimed to determine the efficacy and safety of administration of vitamin C women with history of premature preterm rupture of membrane in prevention of such event in current pregnancy.. The present randomized controlled clinical trial was performed in Maternity and Children Teaching Hospital in Al-Diwaniyah province in Iraq. It included 100 women with previous history of premature preborn rupture of membrane who were randomly allocated into two groups. The first group, the study group included 55 women who received vitamin C supplementation orally staring from 14 weeks gestation and the second group, the reference group was the placebo group (. Vitamin C was able to significantly increase the GA at rupture or membrane (. Vitamin C Administration to women with previous history of Premature Preterm Rupture of Membrane is efficient and safe in prevention of such event in current pregnancy.

Topics: Ascorbic Acid; Birth Weight; Child; Female; Humans; Infant, Newborn; Pregnancy

To compare the risks of adverse maternal and neonatal outcomes associated with spontaneous (SPTB) versus indicated preterm births (IPTB).. A secondary analysis of a multicenter trial of vitamin C and E supplementation in healthy low-risk nulliparous women. Outcomes were compared between women with SPTB (due to spontaneous membrane rupture or labor) and those with IPTB (due to medical or obstetric complications). A primary maternal composite outcome included: death, pulmonary edema, blood transfusion, adult respiratory distress syndrome (RDS), cerebrovascular accident, acute tubular necrosis, disseminated intravascular coagulopathy, or liver rupture. A neonatal composite outcome included: neonatal death, RDS, grades III or IV intraventricular hemorrhage (IVH), sepsis, necrotizing enterocolitis (NEC), or retinopathy of prematurity.. Of 9,867 women, 10.4% (. Adverse maternal and neonatal outcomes were significantly more likely with IPTB than with SPTB.

Topics: Adolescent; Adult; Ascorbic Acid; Birth Weight; Delivery, Obstetric; Female; Gestational Age; Humans; Infant, Newborn; Infant, Premature, Diseases; Infant, Small for Gestational Age; Intensive Care Units, Neonatal; Logistic Models; Male; Multivariate Analysis; Parity; Pre-Eclampsia; Pregnancy; Pregnancy Outcome; Premature Birth; Respiratory Distress Syndrome, Newborn; Retrospective Studies; United States; Vitamin E; Young Adult

Prenatal antioxidant supplementation might influence fetal lung growth and development and reduce infant respiratory morbidity. The aim of this study was to test the hypothesis that infants of mothers at risk of pre-eclampsia who were randomised to receive high-dose vitamins C and E (1000 mg vitamin C and 400 IU RRR α-tocopherol daily) during pregnancy would have better respiratory outcomes than infants whose mothers were randomised to receive placebo.. Respiratory outcomes to 2 years of age were documented using questionnaires and, in a subset, by recording their healthcare utilisation and calculating the cost of care data.. 330 women who had taken vitamin supplementation and 313 who had taken placebo completed the respiratory questionnaire (386 and 366 infants, respectively). There were no significant differences between the two groups in the proportions diagnosed with asthma. 54 women who had taken vitamin supplementation and 45 who had taken placebo took part in the healthcare utilisation study (65 and 53 infants, respectively). On average, infants of mothers receiving vitamin supplementation had 2.6 (99% CI 0.8 to 5.1) times more A&E/outpatient visits and 3.2 (99% CI 0.2 to 6.9) times more GP visits than infants of mothers receiving placebo, and their costs of care were £226 (99% CI £27 to £488) more for outpatient admissions, £57 (99% CI £3 to £123) more for GP visits and £22 (99% CI £3 to £50) more for medications.. High-dose antenatal vitamin C and E supplementation does not improve infant respiratory outcome and is associated with increased healthcare utilisation and cost of care.

Topics: Adult; Antioxidants; Ascorbic Acid; Birth Weight; Child Health Services; Dietary Supplements; Drug Administration Schedule; Female; Health Care Costs; Health Services; Humans; Infant, Newborn; Infant, Premature; Pre-Eclampsia; Pregnancy; Pregnancy Outcome; Prenatal Care; Respiration Disorders; Risk Factors; Treatment Outcome; Vitamin E

Prematurity and low birth weight are associated with high perinatal and infant mortality, especially in developing countries. Maternal micronutrient deficiencies may contribute to these adverse outcomes.. In a double-blind trial in Dar es Salaam, Tanzania, we randomly assigned 8468 pregnant women (gestational age of fetus, 12 to 27 weeks) who were negative for human immunodeficiency virus infection to receive daily multivitamins (including multiples of the recommended dietary allowance) or placebo. All the women received prenatal supplemental iron and folic acid. The primary outcomes were low birth weight (<2500 g), prematurity, and fetal death.. The incidence of low birth weight was 7.8% among the infants in the multivitamin group and 9.4% among those in the placebo group (relative risk, 0.82; 95% confidence interval [CI], 0.70 to 0.95; P=0.01). The mean difference in birth weight between the groups was modest (67 g, P<0.001). The rates of prematurity were 16.9% in the multivitamin group and 16.7% in the placebo group (relative risk, 1.01; 95% CI, 0.91 to 1.11; P=0.87), and the rates of fetal death were 4.3% and 5.0%, respectively (relative risk, 0.87; 95% CI, 0.72 to 1.05; P=0.15). Supplementation reduced both the risk of a birth size that was small for gestational age (<10th percentile; 10.7% in the multivitamin group vs. 13.6% in the placebo group; relative risk, 0.77; 95% CI, 0.68 to 0.87; P<0.001) and the risk of maternal anemia (hemoglobin level, <11 g per deciliter; relative risk, 0.88; 95% CI, 0.80 to 0.97; P=0.01), although the difference in the mean hemoglobin levels between the groups was small (0.2 g per deciliter, P<0.001).. Multivitamin supplementation reduced the incidence of low birth weight and small-for-gestational-age births but had no significant effects on prematurity or fetal death. Multivitamins should be considered for all pregnant women in developing countries. (ClinicalTrials.gov number, NCT00197548 [ClinicalTrials.gov].).

Topics: Abortion, Spontaneous; Adult; Ascorbic Acid; Birth Weight; Double-Blind Method; Female; Fetal Death; HIV Seronegativity; Humans; Incidence; Infant Mortality; Infant, Low Birth Weight; Infant, Newborn; Infant, Small for Gestational Age; Pregnancy; Pregnancy Outcome; Premature Birth; Tanzania; Vitamin B Complex; Vitamin E; Vitamins

Topics: Ascorbic Acid; Birth Weight; Black People; Clinical Trials as Topic; Dietary Proteins; Humans; Infant, Newborn; Infant, Premature; Injections, Intramuscular; Phenylalanine; Phenylketonurias; Time Factors; Tyrosine

Based on data obtained from pregnant women who participated in the Mothers and Children's Environmental Health (MOCEH) study in South Korea, we aimed to determine whether maternal intake of fruits and vegetables or vitamin C is associated with fetal and infant growth.. A total of 1138 Korean pregnant women at 12-28 weeks gestation with their infants were recruited as study participants for the MOCEH. Intake of fruits and vegetables or vitamin C during pregnancy was assessed by a 1-day 24-h recall method. Fetal biometry was determined by ultrasonography at late pregnancy. Infant weight and length were measured at birth and 6 months.. A multiple regression analysis after adjusting for covariates showed that maternal intake of fruits and vegetables was positively associated with the biparietal diameter of the fetus and infant's weight from birth to 6 months. Also, maternal vitamin C intake was positively associated with the abdominal circumference of the fetus and infant birth length. In addition, there was a significant inverse relationship between consumption of fruits and vegetables (below the median compared to above the median of ≥519 g/d) and the risk of low growth (<25th percentile) of biparietal diameter (odds ratio (OR): 2.220; 95% confidence interval (CI): 1.153-4.274) and birth weight (OR: 1.434; 95% CI: 1.001-2.056). A significant inverse relationship also existed between vitamin C consumption (below vs above the estimated average requirement (EAR) of ≥85 mg/d) and the risk of low growth (<25th percentile) of birth weight (OR: 1.470; 95% CI: 1.011-2.139), weight from birth to 6 months (OR: 1.520; 95% CI: 1.066-2.165), and length at birth (OR: 1.579; 95% CI: 1.104-2.258).. An increased intake of fruits and vegetables or vitamin C at mid-pregnancy is associated with increased fetal growth and infant growth up to 6 months of age.

Topics: Adult; Ascorbic Acid; Birth Weight; Child Development; Cohort Studies; Diet; Environmental Health; Female; Fetal Development; Fruit; Humans; Infant; Infant, Newborn; Male; Maternal Nutritional Physiological Phenomena; Mothers; Pregnancy; Republic of Korea; Vegetables; Vitamins

In low-resource settings, such as rural Malawi, pregnant women are prone to energy and micronutrient deficiencies with the consequence of delivering low-birth weight infants with higher risks of morbidity and mortality. This study aimed to examine the association between maternal dietary intakes during pregnancy and infant birth size. Dietary intakes of 203 pregnant women were assessed between 28 and 35 weeks of gestation and their infants' (n = 132) birth size measured. Intakes of energy, macronutrients, and 11 micronutrients were estimated using a 3-day interactive 24-hr diet recall. Semiquantitative data on food intakes for four additional days were also collected to assess food patterns. Using multilevel linear regression modeling, maternal intakes of carbohydrate were negatively associated with neonate length (β: -0.1; 95% CI: -0.2, 0.0 cm/E%) and abdominal circumference (β: -0.1, 95% CI: -0.2, 0.0 cm/E%), whereas intakes of fat were positively associated with neonate length (β: 0.1; 95% CI: 0.0, 0.2 cm/E%) and abdominal circumference (β: 0.1; 95% CI: 0.0, 0.2 cm/E%). Vitamin C intakes were positively associated with birth weight (β: 1.4; 95% CI: 0.5, 2.3 g/mg). The frequency of milk intake was positively associated with birth weight (β: 75.3; 95% CI: 13.6, 137.0 g/day). These findings offer practical suggestions for food-based interventions in the study area to promote inclusion of fat, vitamin C-rich foods, and milk in pregnancy.

Topics: Abdomen; Animals; Anthropometry; Ascorbic Acid; Birth Weight; Body Height; Cross-Sectional Studies; Diet; Dietary Carbohydrates; Dietary Fats; Dietary Proteins; Energy Intake; Female; Gestational Age; Humans; Infant, Newborn; Malawi; Male; Maternal Health; Micronutrients; Milk; Nutritional Status; Pregnancy; Prenatal Care; Rural Population

Human and guinea pig fetuses are completely dependent on an adequate maternal vitamin C (vitC) intake. Shortage of micronutrients can have negative implications for fetal health and pregnancy outcome; however, knowledge of maternal vitC deficiency's impact on fetal development is sparse and reports of pregnancy outcome have been divergent. The present study investigated whether maternal vitC deficiency affects pregnancy outcome and plasma vitC distribution between the mother and the offspring in a guinea pig model. A total of eighty pregnant Dunkin Hartley guinea pigs were randomised into two weight-stratified groups receiving either a deficient (100 mg/kg DEF) or a control (923 mg/kg CTRL) diet. VitC levels were measured in plasma during pregnancy and postpartum, and in the plasma and brain of newborns. Pregnancy outcome was recorded with respect to birth weight and perinatal survival and were similar between groups. Plasma vitC in dams declined throughout gestation in both groups (P< 0·01). Compared with maternal plasma vitC, plasma vitC of newborn pups was found to be significantly lower in the DEF group (P< 0·001) and higher in the CTRL group (P< 0·001), respectively. Brain vitC levels were significantly reduced in DEF newborn pups (P< 0·001). The present results indicate that preferential transport of vitC from the mother to the fetus is overridden during sustained maternal vitC deficiency, maintaining maternal vitC concentration at the expense of the offspring. This contradicts the notion that a fetus is protected from vitC deficiency by the placental Na-dependent vitC co-transporter, SVCT2, thus fetal development may be susceptible to the negative effects of maternal vitC deficiency.

Topics: Animals; Animals, Newborn; Ascorbic Acid; Ascorbic Acid Deficiency; Birth Weight; Brain; Diet; Female; Fetal Development; Fetus; Guinea Pigs; Male; Maternal-Fetal Exchange; Placenta; Postpartum Period; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Sodium-Coupled Vitamin C Transporters

Maternal exposure to polycyclic aromatic hydrocarbons (PAH) during pregnancy has been associated with reduced fetal growth. However, the role of diet, the main source of PAH exposure among non-smokers, remains uncertain.. To assess associations between maternal exposure to dietary intake of the genotoxic PAH benzo(a)pyrene [B(a)P] during pregnancy and birth weight, exploring potential effect modification by dietary intakes of vitamins C, E and A, hypothesized to influence PAH metabolism.. This study included 50,651 women in the Norwegian Mother and Child Cohort Study (MoBa). Dietary B(a)P and nutrient intakes were estimated based on total consumption obtained from a food frequency questionnaire (FFQ) and estimated based on food composition data. Data on infant birth weight were obtained from the Medical Birth Registry of Norway (MBRN). Multivariate regression was used to assess associations between dietary B(a)P and birth weight, evaluating potential interactions with candidate nutrients.. The multivariate-adjusted coefficient (95%CI) for birth weight associated with maternal energy-adjusted B(a)P intake was -20.5g (-31.1, -10.0) in women in the third compared with the first tertile of B(a)P intake. Results were similar after excluding smokers. Significant interactions were found between elevated intakes of vitamin C (>85mg/day) and dietary B(a)P during pregnancy for birth weight (P<0.05), but no interactions were found with other vitamins. The multivariate-adjusted coefficients (95%CI) for birth weight in women in the third compared with the first tertile of B(a)P intake were -44.4g (-76.5, -12.3) in the group with low vitamin C intakes vs. -17.6g (-29.0, -6.1) in the high vitamin C intake group.. The results suggest that higher prenatal exposure to dietary B(a)P may reduce birth weight. Lowering maternal intake of B(a)P and increasing dietary vitamin C intake during pregnancy may help to reduce any adverse effects of B(a)P on birth weight.

Topics: Adult; Ascorbic Acid; Benzo(a)pyrene; Birth Weight; Child; Cohort Studies; Diet; Female; Fetal Development; Food; Food Contamination; Heredodegenerative Disorders, Nervous System; Humans; Infant; Maternal Exposure; Microphthalmos; Multivariate Analysis; Mutagenicity Tests; Norway; Parity; Polycyclic Aromatic Hydrocarbons; Pregnancy; Pregnancy Outcome; Prenatal Exposure Delayed Effects

This study isolated the effects of maternal hypoxia independent of changes in maternal nutrition on maternal circulatory and placental molecular indices of oxidative stress and determined whether maternal antioxidant treatment conferred protection. Pregnant rats were subjected to normoxic pregnancy or 13% O2 chronic hypoxia for most of gestation with and without maternal treatment with vitamin C in the drinking water. Maternal hypoxia with and without vitamin C did not affect maternal food or water intake and led to a significant increase in maternal and fetal haematocrit. At gestational day 20, maternal plasma urate and L-cysteine concentrations, and placental levels of 4-hydroxynonenal and heat shock protein 70 were increased while placental heat shock protein 90 levels were decreased in hypoxic pregnancy. The induction of maternal circulatory and placental molecular indices of oxidative stress in hypoxic pregnancies was prevented by maternal treatment with vitamin C. Maternal hypoxia during pregnancy with or without vitamin C increased placental weight, but not total or compartmental volumes. Maternal treatment with vitamin C increased birth weight in both hypoxic and normoxic pregnancies. The data show that maternal hypoxia independent of maternal undernutrition promotes maternal and placental indices of oxidative stress, effects that can be prevented by maternal treatment with vitamin C in hypoxic pregnancy. While vitamin C may not be the ideal candidate of choice for therapy in pregnant women, and taking into consideration differences in ascorbic acid metabolism between rats and humans, the data do underlie that antioxidant treatment may provide a useful intervention to improve placental function and protect fetal growth in pregnancy complicated by fetal hypoxia.

Topics: Animals; Animals, Newborn; Antioxidants; Ascorbic Acid; Birth Weight; Catalase; Cysteine; Disease Models, Animal; Female; Hematocrit; Hypoxia; Oxidative Stress; Placenta; Pregnancy; Pregnancy Complications; Rats; Rats, Wistar; Superoxide Dismutase; Uric Acid

Previous studies have reported maternal exposure to airborne polycyclic aromatic hydrocarbons (PAH), as well as DNA adducts reflecting total PAH exposure, to be associated with reduced fetal growth. The role of diet, the main source of PAH exposure among non-smokers, remains uncertain.. To assess associations between birth weight, length and small size for gestational age (SGA) with maternal intakes of the genotoxic PAH benzo(a)pyrene [B(a)P] during pregnancy, exploring potential effect modification by dietary intakes of vitamin C, vitamin E, alpha- and beta-carotene, as well as glutathione S-transferase P1 (GSTP1) polymorphisms, hypothesized to influence PAH metabolism.. 657 women in the INMA (Environment and Childhood) Project from Sabadell (Barcelona) were recruited during the first trimester of pregnancy. Dietary B(a)P and nutrient intakes were estimated from food consumption data. Genotyping was conducted for the Ile105Val variant of GSTP1. Multivariable models were used to assess associations between size at birth and dietary B(a)P, evaluating potential interactions with candidate nutrients and GSTP1 variants.. There were significant interactions between elevated intakes of vitamin C (above the mean of 189.41 mg/day) and dietary B(a)P during the first trimester of pregnancy in models for birth weight and length (P<0.05), but no interactions were found with other nutrients. B(a)P intakes were associated with significant reductions in birth weight and length (coefficient±SE for a 1-SD increase in B(a)P: -101.63±34.62 g and -0.38±0.16 cm, respectively) among women with low, but not high, vitamin C intakes. Elevated dietary B(a)P was also associated with increased risk of SGA births among women with low dietary vitamin C. Among these women, associations were strongest in those carrying the GSTP1 Val allele, associated with lower contaminant detoxification activity.. Results suggest that dietary B(a)P exposure may impair fetal growth, particularly in genetically susceptible populations, and that increasing maternal intakes of vitamin C may help to reduce any adverse effects.

Topics: Adult; Ascorbic Acid; Benzo(a)pyrene; beta Carotene; Birth Weight; Diet; DNA Adducts; Environmental Pollutants; Female; Fetal Development; Genetic Predisposition to Disease; Glutathione Transferase; Humans; Infant, Low Birth Weight; Infant, Newborn; Male; Maternal Exposure; Polymorphism, Genetic; Pregnancy; Pregnancy Complications; Vitamin E

The present study evaluated the hypothesis that the effects of hypoxia on sheep pregnancies at high altitude (HA) are mediated by oxidative stress and that antioxidant vitamins may prevent these effects. Both HA native and newcomer ewes were maintained at an altitude of 3,589 m during mating and pregnancy. Control low altitude (LA) native ewes were maintained at sea level. Half of each group received daily oral supplements of vitamins C (500 mg) and E (350 IU) during mating and gestation. Near term, maternal plasma vitamin levels and oxidative stress biomarkers were measured. At delivery, lambs were weighed and measured, and placentas were recovered for macroscopic and microscopic evaluation. Vitamin concentrations in supplemented ewes were two- or threefold greater than in non-supplemented ewes. Plasma carbonyls and malondialdehyde in non-supplemented ewes were consistent with a state of oxidative stress, which was prevented by vitamin supplementation. Vitamin supplementation increased lamb birthweight and cotyledon number in both HA native and newcomer ewes, although placental weight and cotyledon surface were diminished. Placentas from vitamin-supplemented HA ewes were similar to those from ewes at sea level, making these placental traits (weight, number and diameter of cotyledons) similar to those from ewes at sea level. Vitamin supplementation had no effect on LA pregnancies. In conclusion, supplementation with vitamins C and E during pregnancy at HA prevents oxidative stress, improving pregnancy outcomes.

Topics: Altitude; Animals; Animals, Newborn; Antioxidants; Ascorbic Acid; Birth Weight; Female; Malondialdehyde; Organ Size; Oxidative Stress; Placenta; Pregnancy; Sheep; Vitamin E; Vitamins

To identify determinants of low birth weight (LBW) in Karachi, Pakistan, including environmental exposures and nutritional status of the mother during pregnancy.. Cross-sectional study.ParticipantsFive hundred and forty mother-infant pairs. We interviewed mothers about obstetric history, diet and exposure to Pb. We measured birth weight and blood lead level (BLL). We performed multiple log binomial regression analysis to identify factors related to LBW.. Of 540 infants, 100 (18.5 %) weighed 208.7 mg/d), infants of mothers with MUAC less than or equal to the median and dietary vitamin C intake >208.7 mg/d (adjPR = 10.80; 95 % CI 1.46, 79.76), mothers with MUAC above the median and vitamin C intake

Topics: Adult; Anthropometry; Ascorbic Acid; Birth Weight; Cross-Sectional Studies; Environmental Exposure; Female; Fetal Blood; Health Services Accessibility; Humans; Infant, Low Birth Weight; Infant, Newborn; Lead; Male; Multivariate Analysis; Nutritional Status; Odds Ratio; Pakistan; Pregnancy; Prenatal Care; Prenatal Exposure Delayed Effects; Prevalence; Public Health; Risk Factors; Urban Population

Emerging evidence indicates that maternal oxidative stress during pregnancy could impair fetal growth and that antioxidant vitamins (e.g. vitamins A, E and C) have a significant role in maintaining physiological processes of pregnancy and growth.. To determine the concentrations of vitamins A, E, and C in pair-matched maternal and cord serum samples of neonate, and thus to investigate the relationship between maternal serum levels of these vitamins at delivery and birth outcomes.. A total of 143 mother-neonate pairs were recruited into the cross-sectional descriptive study. Demographic information was investigated by questionnaire. After delivery, both cord and maternal blood were collected for quantification of serum levels of vitamins A, E and C by HPLC.. Maternal serum levels of vitamins A and E were significantly higher than those in cord serum. In contrast, vitamin C level in cord serum was significantly higher than that in maternal serum. Further, we found that maternal vitamin A status was significantly correlated to both birth weight (r=0.19, p=0.0419) and birth height (r=0.21, p=0.0311), and these were manifested by these findings: (i) per 250.2 g reduction in birth weight concomitant with 1 micromol/L increase in maternal serum vitamin A level (p<0.01; 95% CI: 56.9-451.5); and (ii) per 1% increase in the ratio of serum vitamin A level of neonate to mother concomitant with 0.8 cm increase in birth height (p=0.049; 95% CI: 0.004-1.639).. Maternal vitamin A, but not vitamins E and C, during pregnancy had a significant effect on birth outcomes. Further studies are necessary to investigate the role of these antioxidant vitamins in fetal growth at various gestation stages.

Topics: Adult; Antioxidants; Ascorbic Acid; Birth Weight; Blood Chemical Analysis; Body Height; China; Cross-Sectional Studies; Female; Fetal Blood; Fetal Development; Humans; Infant, Newborn; Male; Oxidative Stress; Pregnancy; Prenatal Nutritional Physiological Phenomena; Vitamin A; Vitamin E; Vitamins; Young Adult

Information about the effect of antioxidant vitamins nutrition during pregnancy on offsprings intellectual development is extremely limited.. To investigate the correlation of antioxidant vitamins (Vitamin A, E and C) at delivery and the neurodevelopment of early childhood.. A total of 158 paired maternal-neonatal subjects were recruited. The serum concentrations of vitamin A, E and C in maternal and cord blood after delivery were determined and intellectual development was evaluated by Gesell Development Schedule (GDS) at two years old.. After adjusting for potential confounders, vitamin A placental transport ratio (VA-PTR) was positively associated with motor area development quotients (DQ) and average DQ(p<0.01). Cord VA level was positively related with language area and social area DQ (p<0.05). Nevertheless, there was no significant association between cord VE, VC levels, VE PTR or VC PTR and GDS. The adaptive area and average DQ in high cord VA group was higher than those in low VA group (p<0.05). Cord VA level and VA-PTR were positively associated with birth head circumference and birth weight, respectively.. Our data suggested that adequate vitamin A at delivery had beneficial influence on neonatal birth outcomes and children's neurodevelopment in later childhood.

Topics: Adult; Antioxidants; Ascorbic Acid; Birth Weight; Brain; Child Development; Child, Preschool; Female; Fetal Blood; Fetal Development; Head; Humans; Male; Maternal-Fetal Exchange; Neurogenesis; Nutritional Status; Pregnancy; Prenatal Nutritional Physiological Phenomena; Prospective Studies; Vitamin A; Vitamin E; Young Adult

The aim of this study is to determine the oxidant and antioxidant status in Algerian mothers and their newborns according to birth weight.. Subjects for the study were consecutively recruited from Tlemcen hospital. 139 pregnant women and their newborns were included. The plasma total antioxidant activity (ORAC), vitamins A, C, E, hydroperoxides, carbonyl proteins, and erythrocyte antioxidant enzyme activities (catalase, glutathione peroxidase, glutathione reductase and superoxide dismutase) were measured on mothers and their newborns. Lipid and lipoprotein parameters were also determined. The results were assessed in accordance with small for gestational age (SGA), appropriate (AGA) and large (LGA) birth weight of the newborn.. SGA newborns and their mothers had low ORAC, vitamin C and E values (P<0.01) and high plasma hydroperoxide and carbonyl protein levels (P<0.01) compared to AGA groups. The SGA group showed also altered erythrocyte antioxidant enzyme activities and several lipid and lipoprotein changes. In LGA compared to control newborns, hydroperoxide, carbonyl protein levels and SOD activity were enhanced while ORAC, vitamin A and E levels were reduced. However, oxidant and antioxidant status in their mothers was similar to that in control mothers.. Oxidative stress is present in both SGA and LGA newborns, with a concomitant alteration in maternal oxidant and antioxidant status only in intrauterine growth restriction.

Topics: Adult; Antioxidants; Ascorbic Acid; Birth Weight; Catalase; Erythrocytes; Female; Fetal Growth Retardation; Glutathione Peroxidase; Glutathione Reductase; Humans; Infant, Newborn; Infant, Small for Gestational Age; Lipids; Lipoproteins; Male; Oxidants; Oxidative Stress; Pregnancy; Superoxide Dismutase; Vitamin A; Vitamin E

There have been a few studies that examined the oxidative stress effects of nicotine during pregnancy and lactation. We aimed to determine the adverse effects of maternal nicotine exposure during pregnancy and lactation on oxidant-antioxidant system, and to determine a protective effect of ascorbic acid (Asc). Gravid rats were assigned into four groups. In Group 1, pregnant rats received 6-mg/kg/day nicotine subcutaneously during pregnancy from 1 to 21 days of gestation and lactation (until postnatal day 21). Group 2 received nicotine and Asc for the same period. In Group 3, the rats received nicotine during lactation. Control pregnant rats (Group 4) received only saline subcutaneously. Serum malondialdehyde (MDA), myeloperoxidase (MPO), and superoxide dismutase (SOD) levels were determined at 21 days of age. Nicotine exposure decreased birth weight and pregnancy weight gain. MDA values of the rat pups exposed to nicotine in both Groups 1 and 2 were higher than those of control and Group 3. SOD and MPO values of the groups were similar. Mean birth weight and serum MDA levels of Groups 1 and 2 were similar. Nicotine exposure via placental transfer increases oxidative stress as manifested by an increase in MDA level. Asc supplementation does not prevent the adverse effects of maternal nicotine exposure.

Topics: Animals; Animals, Newborn; Antioxidants; Ascorbic Acid; Birth Weight; Female; Fetal Development; Injections, Subcutaneous; Lactation; Male; Malondialdehyde; Maternal Exposure; Nicotine; Oxidative Stress; Oxidoreductases; Pregnancy; Prenatal Exposure Delayed Effects; Rats

Background Newborn birth weight has been shown to significantly correlate with the blood levels of vitamin C. Objective This study was planned to answer the question of why vitamin C levels correlate with birth weight; does such correlation reflect a protective effect of vitamin C on fetal growth, by its antioxidant characteristics or does it correspond to the nutritional status of both the mother and the fetus. We examined the hypothesis that maternal blood levels of vitamin C, but not vitamin E influence newborn birth weight. We determined maternal and newborn blood levels of vitamin C, vitamin E, and lipid peroxides (an index of oxidative insult) and the birth weights of full-term newborns delivered at our hospital. Results Compared with maternal blood levels, newborns have higher levels of vitamin C and lipid peroxides, but lower levels of vitamin E. There was a significant correlation in levels between mothers and their newborns for blood levels of vitamin C (r = 0.82, P < 0.01) and vitamin E (r = 0.61, P < 0.02) but not for lipid peroxides (r = 0.001). This suggests that maternal vitamin C and vitamin E intake can influence fetal vitamin C and vitamin E levels. Linear regression analysis shows a significant positive relationship between newborn birth weight and maternal plasma vitamin C (r = 0.51, P < 0.02). Similarly, there was a modest but significant positive relationship between newborn birth weights and newborn vitamin C levels (r = 0.61, P < 0.05). However, there was no relationship between maternal or fetal vitamin E or lipid peroxides levels and the newborn birth weight. Conclusions This study with a small number of subjects suggests a significant association between newborn birth weight and maternal and newborn plasma vitamin C levels. Lack of relationship between birth weight and vitamin E and lipid peroxides suggest that antioxidant function of vitamin C does not appear to have a major role in the effect of vitamin C on birth weight.

Topics: Ascorbic Acid; Birth Weight; Fetal Blood; Humans; Infant, Newborn; Lipid Peroxides; Mothers; Vitamin E

The aim of this study was to determine the association between maternal oxidative stress and adverse birth outcome, and serum vitamin levels and paraoxonase (PON) polymorphism during pregnancy. We investigated 276 pregnant women who visited a hospital for prenatal care during gestational weeks 24 and 28. We measured serum Vitamins C and E levels and urinary levels of 8-hydroxy-2-deoxyguanosine (8-OH-dG). We determined the presence of a maternal PON polymorphism (Q-to-R substitution at a nucleotide located on 7q21.3) using a polymerase chain reaction-restriction fragment length polymorphism assay. High levels (relative to the median) of Vitamins C and E were associated with a reduced concentration of urinary 8-OH-dG, but increased birthweight and gestational age in subjects with the Q/Q and Q/R types of PON polymorphism. Even with the high-risk PON polymorphism (R/R), the results show that birthweight increased with high levels of Vitamins C and E. Our data demonstrate that oxidative stress and neonatal birthweight are affected by maternal levels of Vitamins C and E in subjects with a PON polymorphism.

Topics: 8-Hydroxy-2'-Deoxyguanosine; Adult; Aryldialkylphosphatase; Ascorbic Acid; Birth Weight; Deoxyguanosine; Female; Genotype; Gestational Age; Humans; Infant, Newborn; Oxidative Stress; Polymorphism, Genetic; Pregnancy; Pregnancy Outcome; Prospective Studies; Vitamin E; Vitamins

Maternal micronutrient nutrition is an important determinant of size and body composition of the fetus. Maternal iron, iodine, calcium, folate, vitamin A, and vitamin C nutrition all influence offspring size. The Pune Maternal Nutrition Study was designed to study the relationship between maternal nutrition and fetal growth, size at birth, and postnatal growth. Maternal circulating folate and vitamin C concentrations predicted larger offspring size, while higher ferritin levels predicted smaller-sized babies. Subclinical vitamin B12 deficiency is common in India, especially in vegetarians, and children born to mothers with the lowest vitamin B12 but the highest folate status were the most adipose and the most insulin resistant. Furthermore, the relationship between maternal nutrition, fetal growth, and risk of type 2 diabetes and coronary heart disease appears to be much more complex than the simplistic postulates of the "fetal origins" hypothesis.

Topics: Ascorbic Acid; Birth Weight; Body Composition; Female; Fetal Development; Folic Acid; Humans; Maternal Nutritional Physiological Phenomena; Micronutrients; Pregnancy

It has been known that maternal oxidative stress during pregnancy plays an important role in fetal growth. However, the association between antioxidant vitamin levels and birth outcomes is not conclusive. We investigated the relationship between maternal serum levels of vitamins C and E during the second trimester and birth weight and length.. Prospective cohort study.. Outpatient-clinic of obstetrics, Ewha Womans University Hospital, South Korea.. The study subjects were 239 healthy, pregnant women who visited an obstetric clinic for antenatal care, and their singleton live births, in Seoul, Korea, between August 2001 and March 2003. We measured the levels of vitamins C and E in maternal serum during the period 24-28 gestational weeks. Each woman was interviewed for dietary intake by trained interviewers during the second trimester.. The serum concentration of maternal vitamin C during the second trimester was significantly associated with birth weight and length in the group of full-term deliveries. An increase of 1 microg/ml in the serum vitamin C level increased the birth weight by 27.2 g and the birth length by 0.17 cm. When we considered the levels of vitamins C and E together in the relationship with birth weight and length, we found that the heaviest birth weight and the longest birth length belonged to the group of upper vitamin C/upper vitamin E. However, dietary intake estimated by 24-h recall method was not a predictor of the levels of serum vitamins C and E.. We found that maternal serum vitamin C levels during the second trimester were positively correlated with birth weight and length in full-term babies. We also found that birth weight and length were highest when the levels of both vitamins C and E were high. Our results indicate the importance of antioxidant nutrient balance for pregnant women who are exposed to various oxidants through food, drinking water, or inhaled air.

Topics: Antioxidants; Ascorbic Acid; Birth Weight; Body Height; Cohort Studies; Diet; Drug Synergism; Female; Fetal Development; Humans; Infant, Newborn; Male; Maternal-Fetal Exchange; Mental Recall; Pregnancy; Pregnancy Outcome; Pregnancy Trimester, Second; Prospective Studies; Vitamin E

One third of the Indian babies are of low birth weight (<2.5 kg), and this is attributed to maternal undernutrition. We therefore examined the relationship between maternal nutrition and birth size in a prospective study of 797 rural Indian women, focusing on macronutrient intakes, dietary quality and micronutrient status. Maternal intakes (24-h recall and food frequency questionnaire) and erythrocyte folate, serum ferritin and vitamin C concentrations were measured at 18 +/- 2 and 28 +/- 2 wk gestation. Mothers were short (151.9 +/- 5.1 cm) and underweight (41.7 +/- 5.1 kg) and had low energy and protein intakes at 18 wk (7.4 +/- 2.1 MJ and 45.4 +/- 14.1 g) and 28 wk (7.0 +/- 2.0 MJ and 43.5 +/- 13.5 g) of gestation. Mean birth weight and length of term babies were also low (2665 +/- 358 g and 47.8 +/- 2.0 cm, respectively). Energy and protein intakes were not associated with birth size, but higher fat intake at wk 18 was associated with neonatal length (P < 0.001), birth weight (P < 0.05) and triceps skinfold thickness (P < 0.05) when adjusted for sex, parity and gestation. However, birth size was strongly associated with the consumption of milk at wk 18 (P < 0.05) and of green leafy vegetables (P < 0.001) and fruits (P < 0.01) at wk 28 of gestation even after adjustment for potentially confounding variables. Erythrocyte folate at 28 wk gestation was positively associated with birth weight (P < 0.001). The lack of association between size at birth and maternal energy and protein intake but strong associations with folate status and with intakes of foods rich in micronutrients suggest that micronutrients may be important limiting factors for fetal growth in this undernourished community.

Topics: Adolescent; Adult; Animals; Ascorbic Acid; Birth Weight; Body Height; Diet; Dietary Fats; Erythrocytes; Female; Ferritins; Folic Acid; Fruit; Humans; India; Infant, Newborn; Milk; Nutritional Physiological Phenomena; Prospective Studies; Rural Population; Skinfold Thickness; Vegetables

Vascular endothelial damage has been implicated in the pathophysiology of preeclampsia. Lipid peroxidation may be involved in the process and essential nutrients that can scavenge free radicals, such as vitamin E and C, operate in concert. Antioxidant vitamins E and C were estimated in 30 preeclamptic and 30 normotensive pregnant women. Significantly lowered levels of vitamins E and C were observed in preeclamptic women as compared to controls (P<0.001 and P<0.05 respectively). In patients with preeclampsia antioxidant nutrients may be utilized to a greater extent to counteract free radical-mediated cell disturbances, resulting in a reduction in serum antioxidant levels.

Topics: Adolescent; Adult; Antioxidants; Ascorbic Acid; Birth Weight; Blood Pressure; Delivery, Obstetric; Female; Gestational Age; Humans; Pre-Eclampsia; Pregnancy; Proteinuria; Vitamin E

Nephrocalcinosis (NC) in preterm neonates has been described frequently, and small-scale studies suggest an unfavorable effect on renal function. The etiologic factors have not yet been fully clarified. We performed a prospective observational study to identify factors that influence the development of NC.. The study population consisted of 215 preterm neonates with a gestational age <32 weeks. Clinical characteristics and intake in the first four weeks of calcium, phosphorus, vitamin D, protein, and ascorbic acid were noted. Serum calcium, phosphate, vitamin D, magnesium, uric acid, creatinine, urea and urinary calcium, phosphate, oxalate, citrate, magnesium, uric acid, and creatinine were assessed at four weeks of age and at term. Renal ultrasonography (US) was performed at four weeks and at term. At term was defined as a postconceptional age of 38 to 42 weeks.. NC was diagnosed by means of US in 33% at four weeks and in 41% at term. Patients with NC at four weeks had a significantly higher mean intake of calcium (P < 0.05), phosphorus (P < 0.05), and ascorbic acid (P < 0.01) than patients without NC. They had a higher mean serum calcium (2.55 vs. 2.46 mmol/L, P < 0.01) and a higher mean urinary calcium/creatinine ratio (2.6 vs. 2.1 mmol/mmol, P < 0.05). Patients with NC at term had a lower birth weight (1142 vs. 1260 g, P < 0.05) and a lower gestational age (28.8 vs. 29.4 weeks, P < 0.05), were treated significantly longer with furosemide, dexamethasone, theophylline, and thiazides, developed chronic lung disease more frequently (40 vs. 16%, P < 0.001), and had a higher mean urinary calcium/creatinine ratio (2.7 vs. 2.3 mmol/mmol, P < 0.05) and a lower mean urinary citrate/calcium ratio (1.1 vs. 1.7 mmol/mmol, P = 0.005).. NC develops as a result of an imbalance between stone-inhibiting and stone-promoting factors. A high intake of calcium, phosphorus, and ascorbic acid, a low urinary citrate/calcium ratio, a high urinary calcium/creatinine ratio, immaturity, and medication to prevent or treat chronic lung disease with hypercalciuric side effects appear to contribute to the high incidence of NC in preterm neonates.

Topics: Ascorbic Acid; Birth Weight; Calcium; Chronic Disease; Citrates; Creatinine; Gestational Age; Humans; Infant Food; Infant Nutritional Physiological Phenomena; Infant, Newborn; Infant, Premature; Lung Diseases; Nephrocalcinosis; Phosphorus; Prospective Studies; Ultrasonography; Urine

The aim of the present investigation was to study the relationship between ascorbic acid status during the third trimester of pregnancy and levels of this vitamin in transition milk (days 13-14 of lactation) and mature milk (day 40 of lactation). To this end, the pregnancies and lactation periods of fifty-seven healthy women between 18 and 35 years of age (27 (SD 3.7) years) were monitored. Vitamin intake during the third trimester was determined by recording the consumption of foods over 5 d, and by registering the quantities provided by dietary supplements. Ascorbic acid levels in maternal serum during this stage of pregnancy, and in transition and mature milk samples, were determined by spectrophotometry. Those subjects with ascorbic acid intakes below that recommended (80 mg/d) (group L) showed lower consumption of fruit and vegetables than did those with greater intakes (group H). The consumption of ascorbic acid supplements was very low, and was only seen in three group H subjects. The difference in ascorbic acid intake was reflected at serum level. Group L subjects showed significantly lower serum values than did group H subjects (30.1 (SD 36.3) mumol/l compared with 101.1 (SD 168.1) mumol/l). Vitamin intake also influenced the composition of transition milk. Group L subjects showed significantly lower levels of ascorbic acid in milk than did group H subjects (255.5 (SD 220.3) mumol/l compared with 437.8 (SD 288.4) mumol/l). The results of the present study reveal the need to increase the consumption of fruits and vegetables during pregnancy and to monitor maternal ascorbic acid intake and vitamin C status.

Topics: Adolescent; Adult; Ascorbic Acid; Birth Weight; Body Mass Index; Diet; Female; Humans; Infant, Newborn; Milk, Human; Nutritional Status; Pregnancy; Pregnancy Trimester, Third

Fresh fruit consumption and vitamin C intake have been associated with improved lung function in adults. Whether this is due to enhancement of lung growth, to a reduction in lung function decline, or to protection against bronchospasm is unclear.. In a cross-sectional school based survey of 2650 children aged 8-11 from 10 towns in England and Wales the main outcome measure was forced expiratory volume in one second (FEV1) standardised for body size and sex. Exposure was assessed by a food frequency questionnaire to parents and by measurement of plasma levels of vitamin C in a subsample of 278 children.. FEV1 was positively associated with frequency of fresh fruit consumption. After adjustment for possible confounding variables including social class and passive smoking, those who never ate any fresh fruit had an estimated FEV1 some 79 ml (4.3%) lower than those who ate these items more than once a day (95% CI 22 to 136 ml). The association between FEV1 and fruit consumption was stronger in subjects with wheeze than in non-wheezers (p = 0.020 for difference in trend), though wheeze itself was not related to fresh fruit consumption. Frequency of consumption of salads and of green vegetables were both associated with FEV1 but the relationships were weaker than for fresh fruit. Plasma vitamin C levels were unrelated to FEV1 (r = -0.01, p = 0.92) or to wheeze and were only weakly related to fresh fruit consumption (r = 0.13, p = 0.055).. Fresh fruit consumption appears to have a beneficial effect on lung function in children. Further work is needed to confirm whether the effect is restricted to subjects who wheeze and to identify the specific nutrient involved.

Topics: Ascorbic Acid; Birth Weight; Child; Cross-Sectional Studies; Female; Forced Expiratory Volume; Fruit; Humans; Lung; Male; Regression Analysis; Respiratory Sounds; Social Class; Vegetables

This article describes a study of the relationship between diet and smoking in a group of 821 Norwegian pregnant women. The study is part of a multi-centre project, examining risk factors for intrauterine growth retardation. Two 3-day dietary records were collected during the 17th and 33rd week of pregnancy. Information on smoking habits and other relevant parameters were collected through an extensive questionnaire. The results showed that the smokers consumed significantly less than the non-smokers of bread, cakes and cookies, vegetables, fruits and berries, cheese, yoghurt, low fat milk, juice and tea. The smokers also consumed significantly more meat, margarine, whole milk, soft drinks and coffee than the non-smokers on both occasions. The diet of the smokers contained significantly less protein, carbohydrate, dietary fibre, thiamin, riboflavin, vitamin C, calcium and iron as compared with the non-smokers. Fat contributed significantly more to the energy content of the diet of the smokers and it is concluded that their diet was less nutritious than that of the non-smokers throughout pregnancy.

Topics: Adult; Ascorbic Acid; Birth Weight; Chi-Square Distribution; Diet; Dietary Fats; Dietary Fiber; Female; Fetal Growth Retardation; Food Preferences; Humans; Iron; Linear Models; Logistic Models; Norway; Nutrition Surveys; Pregnancy; Risk Factors; Smoking

Ascorbic acid (AA) is a powerful antioxidant required for the defense against oxidative stress. At present it is not known whether AA may play a role in the developmental process of the fetus. We therefore determined the relationship of AA levels between the umbilical cord vein (UCV) and umbilical cord artery (UCA) of preterm ( < 37 weeks of gestation) and term ( > or = 37 weeks of gestation) infants and compared those levels to matched maternal venous AA levels. We also assessed the association between UCV plasma AA levels with birth weight and gestational age by measuring AA in 88 UCV plasma samples and 58 UCA plasma samples obtained from newborn infants ranging in gestational age from 24 to 42 weeks and birth weight from 675 to 5,020 g, by high pressure liquid chromatography. Maternal venous samples were collected at the time of delivery. The mean UCV plasma AA levels (mg/dl) were significantly lower in the preterm group than in the term group (0.43 +/- 0.59 and 1.16 +/- 0.97, respectively; p < 0.002); however, the mean UCA plasma AA levels did not differ between the groups. In contrast, mean maternal venous plasma AA levels of the preterm group (1.33 +/- 0.62) were significantly higher than those of the mothers in the term group (0.72 +/- 0.69; p < 0.01). A direct correlation was found between UCV levels and birth weight (r = 0.23, p < 0.05), and UCV levels and gestational age (r = 0.23, p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Topics: Adolescent; Adult; Ascorbic Acid; Birth Weight; Female; Fetal Blood; Gestational Age; Humans; Infant; Infant, Newborn; Infant, Premature; Umbilical Arteries; Umbilical Veins

Findings reported are for a subset of African American subjects, residing in the urban area of Washington, D. C., who participated in a Program Project designed to study nutrition, other factors, and the outcome of pregnancy. Fasting blood samples, drawn during each trimester of pregnancy and at delivery, were screened for concentrations of cocaine, phencyclidine (PCP) and marijuana. Since substance abusers are expected to consume inadequate diets, these samples were also analyzed for serum folate, vitamin B12, ferritin and ascorbic acid. Data for these biochemical variables were compared for subjects whose serum values for drugs were either above or below the drug screening threshold concentrations established by ADAMHA/NIDA. Pearson's correlations were used to determine relationships between pregnancy outcome variables and maternal serum drug concentrations. Blood samples drawn at delivery showed higher maternal: cord ratios (mean +/- SEM) for marijuana (3.3 +/- 2.2) and PCP (2.9 +/- 1.0) than for cocaine (1.0 +/- 0.2). The subjects whose serum values were above the ADAMHA/NIDA ranges for marijuana, PCP and cocaine had concentrations of folate and ferritin that were significantly less than those of subjects with lower serum drug levels (P < or = 0.05). High maternal serum concentrations of illicit drugs were accompanied by a significant increase in leukocyte count (P < or = 0.05). The level of maternal cocaine during the third trimester was inversely correlated with birthweight (r = -0.29; n = 52; P = 0.038) and head circumference (r = -0.28; n = 52; P = 0.047).(ABSTRACT TRUNCATED AT 250 WORDS)

Topics: Adolescent; Adult; Ascorbic Acid; Birth Weight; Black or African American; Cannabis; Cocaine; District of Columbia; Female; Ferritins; Fetal Blood; Folic Acid; Gestational Age; Humans; Infant, Newborn; Labor, Obstetric; Nutritional Status; Phencyclidine; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Substance-Related Disorders; Vitamin B 12

We examined the relationship between the concentrations of blood lead and pregnancy outcomes in a subset of 349 African American women who enrolled in the program project, "Nutrition, Other Factors, and the Outcome of Pregnancy." Vitamin-mineral supplement users had significantly higher serum levels of ascorbic acid and vitamin E. Also, in supplement users, there were significantly lower mean concentrations of maternal blood lead. Inverse correlations were found between maternal levels of lead and the antioxidant vitamins, vitamin E and ascorbic acid. In addition, significant Pearson's correlations were observed between maternal blood lead levels and the following variables: positive correlations with calcium, phosphorus, mean corpuscular volume; inverse correlations with gestational age, Ponderal Index, infant orientation, and hematologic values. In the total subset, the three trimester sample means for maternal blood lead concentrations were not significantly different for mothers of infants who weighed less than 2500 g (low birth weight) and those who were delivered infants who weighed 2500 g or more. Clinically, nutrition may play a role in the reduction of potentially adverse effects from lead during pregnancy, i.e. protection of the fetus against lead toxicity and/or free radical damage through the antioxidant actions of vitamin E and ascorbic acid. Even when maternal blood lead levels are within the so-called "safe" range, maternal/use of a vitamin supplement supplying vitamin E and ascorbic acid during pregnancy may offer protection.

Topics: Adolescent; Adult; Ascorbic Acid; Birth Weight; Black or African American; Calcium; District of Columbia; Female; Humans; Infant, Newborn; Lead; Minerals; Pregnancy; Pregnancy Outcome; Vitamin E; Vitamins

Using a prospective comparative design, African American gravidae with and without genital tract infection were assessed with respect to dietary intakes, serum nutrient values, hematologic values, and pregnancy outcomes. Intakes of ascorbic acid, vitamin A, protein, and iron were the dietary variables while levels of ascorbic acid, protein, albumin, globulin, and ferritin were the variables measured in serum. The hematologic variables included hemoglobin, hematocrit, and red and white blood cell counts. Pregnancy outcome was defined on the basis of premature rupture of the membranes (PROM), and infant birth weight, birth length, gestational age, and head circumference. The sample consisted of 335 nulliparous women who were between 16-35 years of age, 96 of whom had genital tract infection based on laboratory reports. Findings indicated no significant differences between the mean dietary intakes as well as serum values of the infected and non-infected women, and no difference in the incidence of PROM. However, non-infected women had a better mean hematologic profile than the infected gravidae during pregnancy. Also, for the non-infected group, there were significant relationships between head circumference and protein consumption (P = .015) and serum ferritin (P = .05). For the infected women, the relationship between the hemoglobin and hematocrit measurements obtained at the first prenatal visit and infant birth weight, birth length and head circumference were statistically significant.

Topics: Adolescent; Adult; Ascorbic Acid; Birth Weight; Black or African American; Candidiasis, Vulvovaginal; Diet; Dietary Proteins; District of Columbia; Female; Fetal Membranes, Premature Rupture; Gestational Age; Hematocrit; Humans; Infant, Newborn; Iron; Labor, Obstetric; Pregnancy; Pregnancy Complications, Infectious; Pregnancy Outcome; Prospective Studies; Vaginitis; Vaginosis, Bacterial; Vitamin A

Concentrations of retinol, vitamins E and C in cord and maternal blood samples were studied in rural health centres, polyclinics and maternities in Cross River State, Nigeria. Plasma concentrations of retinol, vitamins E and C were followed up for 12 months of post natal life. At birth cord blood levels of retinol and vitamin E were significantly lower than the maternal levels but vitamin C levels were higher. During the first twelve months of post natal life, there was a significant increase in the levels of these fat-soluble blood components but the mean was still less than one-third of the mother's level either at birth or at six weeks. However, vitamin C levels in infants showed a decrease at three months. The results are discussed in terms of nutritional and non-nutritional factors.

Topics: Ascorbic Acid; Birth Weight; Female; Fetal Blood; Humans; Infant; Infant, Newborn; Male; Nigeria; Rural Population; Vitamin A; Vitamin E

The influence of prolonged exposure of guinea pigs to excessive ascorbic acid (AA) on the outcome of pregnancy, as well as the adaptive effect of the vitamin either during preweanling life or following weaning, were examined. Continuous exposure to AA (1 mg/mL drinking water) from the time they were first mated up to the time of second pregnancy, had no significant effect on the number of offspring and on their weights at birth, when compared with that of the animals receiving 0.1 mg AA/mL drinking water. However, change in AA intake from 1 to 0.1 mg/mL drinking water, at the age of 21 days, resulted in a significant loss in body weight and reductions in the plasma, leukocyte, and adrenal concentrations of AA, as compared with those of the pair-fed animals receiving 0.1 mg/mL drinking water throughout. The present study also indicated that the conditioning effect is less pronounced in guinea pigs when exposed to the high AA following weanling age than in utero.

Topics: Adrenal Glands; Animals; Ascorbic Acid; Birth Weight; Body Weight; Female; Growth; Guinea Pigs; Leukocytes; Pregnancy; Substance Withdrawal Syndrome

Our preliminary data suggest that supplementation of premature neonates with vitamin C is required to maintain adequate ascorbate plasma levels and may have a sparing effect on vitamin E metabolism. Further studies are required to validate our findings and evaluate the possible antioxidant advantage of ascorbic acid administration.

Topics: Ascorbic Acid; Birth Weight; Body Weight; Gestational Age; Humans; Infant, Newborn; Infant, Premature; Vitamin E

The accumulation of ascorbic acid in the brain by active transport establishes a high brain-plasma gradient of the vitamin. An insult to the CNS may result in an efflux of ascorbate into the circulation with a consequent rise of plasma levels. We measured plasma ascorbic acid levels in premature neonates on days 1, 3, and 5 of life, and the infants underwent ultrasonographic examination to detect intracranial hemorrhage. Neonates with intraventricular hemorrhage sustained significantly higher plasma ascorbate levels than their controls. Infants with massive bleeding had higher levels than those with a smaller hemorrhage. These results suggest that an efflux of ascorbic acid into the circulation occurs secondary to intracranial hemorrhage.

Topics: Apgar Score; Ascorbic Acid; Biological Transport, Active; Birth Weight; Cerebral Hemorrhage; Gestational Age; Humans; Infant, Newborn; Infant, Premature, Diseases; Time Factors; Urea

Two experiments were conducted, involving 68 third-litter sows and 20 first-litter gilts in Exp. 1 and 82 first-litter gilts in Exp. 2. On d 108 of gestation, the dams were moved into individual crates, stratified by parity and breed, and randomly assigned within strata, to one of two treatments: (1) fed a basal 16% protein corn-soybean meal diet, 1.8 and 2.7 kg once daily before farrowing and for the first 7 d of lactation, respectively, and then ad libitum until pigs were weaned at 28 d of age, and (2) fed the basal diet plus 1 g of L-ascorbic acid (vitamin C)/dam daily from d 108 of gestation through d 7 of lactation and on the same feeding schedule as for treatment 1. In Exp. 1, no effect of vitamin C supplementation was observed in sows or gilts on total pigs born/litter, number of live pigs/litter or average live pig weight at birth, 7 or 28 d of age, or on plasma vitamin C concentration of dams at d 108 of gestation or d 7 of lactation or of pigs at birth, 7 or 28 d of age. However, there was a lower (P less than .01) plasma vitamin C concentration of the dams at d 7 of lactation than at d 108 of gestation. Plasma vitamin C concentration also declined (P less than .01) as pigs aged. In Exp. 2, with all gilts, vitamin C supplementation again showed no effect on any of the reproductive traits measured in Exp. 1. It is concluded that daily supplementation of 1 g of vitamin C to either sows or gilts from d 108 of gestation through d 7 of lactation has no beneficial effect on the reproductive or lactation performance of swine.

Topics: Animals; Ascorbic Acid; Birth Weight; Diet; Female; Lactation; Litter Size; Pregnancy; Pregnancy, Animal; Swine

Topics: Adult; Ascorbic Acid; Birth Weight; Female; Fetal Blood; Humans; Infant, Newborn; Nigeria; Pregnancy; Sex Factors

Effects of assocation of lindane ingestion and sulfur depletion on pregnancy in the rat. Sulfoconjugation stands as one of the main processes of foreign compound detoxication in mammals. When feeding conditions are adequate, sulfate ions necessary to form sulfoconjugates are provided by the sulfur aminoacids of the diet. The feeding to pregnant rats of a diet containing lindane, when sulfur aminoacids are limiting factors, should lead to competition between their utilisation for anabolic or detoxifying processes. The balance between stimulation of glucuroconjugation and sulfoconjugation seems to depend on which of the 2 compounds necessary for detoxification is the most limiting factor. Glucuroconjugation spares sulfur aminoacids for foetal growth; sulfoconjugation spares glucose for foetal utilisation. The foetal needs appear to modulate the orientation of the maternal detoxication processes; foetal anabolism is predominent over detoxication.

Topics: Animals; Ascorbic Acid; Birth Weight; Diet; Female; Hexachlorocyclohexane; Pregnancy; Pregnancy, Animal; Rats; Sulfur

1. Leucocyte ascorbic acid concentrations have been measured in 1147 females during early pregnancy and in smaller numbers of women before conception, throughout pregnancy and at 6 months post partum. 2. The leucocyte concentration in the 1st trimester was found to be affected by season, social class and smoking. Selecting individuals by extremes of social class, season and smoking produced two small populations with almost separate ascorbic acid distributions and mean concentrations of 21.7 and 45.1 microgram/10(8) leucocytes. 3. Early pregnancy had little effect on leucocyte ascorbic acid concentrations but values decreased in the second trimester. However, this was associated with a leucocytosis so that the total leucocyte ascorbic acid content of blood was unchanged. 4. Low ascorbic acid concentrations during the 1st trimester were not associated with subsequent spontaneous abortions, still-births or neonatal deaths, but there was an increased frequency of low values in women who gave birth to infants smaller than 3250 g. 5. The adequacy of ascorbic acid reserves in early pregnancy is discussed.

Topics: Adult; Ascorbic Acid; Birth Weight; Female; Humans; Leukocyte Count; Leukocytes; Pregnancy; Seasons; Smoking; Social Class; Time Factors

1. Though the growth-rate of the guinea pigs of both the groups - control and experimental were almost same, the gain in body weight in the offspring of experimental group animals were observed to be less when they were fed 1, 2 and 3 mg ascorbic acid per 100 g body weight per day. 2. Ascorbic acid content in the tissues of the offspring maintained on 1, 2 and 3 mg ascorbic acid belonging to the experimental group were low. 3. The rate of growth and the tissue content of ascorbic acid were found to be normal in the same group of animals when they were supplemented with 4 mg ascorbic acid per 100 g body weight daily.

Topics: Animals; Ascorbic Acid; Birth Weight; Body Weight; Brain; Female; Guinea Pigs; Kidney; Lactation; Liver; Maternal-Fetal Exchange; Pregnancy; Pregnancy, Animal

The considerably lower vitamin E level found in cord blood and in newborns at birth than those found in the venous blood of mothers at delivery are not yet fully explained. In a group of 217 not selected newborns, we attempted to establish the relation between vitamin E and C levels at delivery and the changes during the first year of life. The mean serum vitamin E level rose from 0.37 mg/ml at 3 days to 0.80 mg/100 ml at 6 months and to 0.72 mg/100 ml at 12 months. On the other hand vitamin C mean levels lowered from 0.93 mg/100 ml in cord blood to 0.77 mg/100 ml at 6 months and to 0.73 mg/100 ml at 12 months. The rise of vitamin E values could be explained by the early use of infant solid foods with high vitamin and mineral content and by the increase of serum lipoproteins. Except at 3 days after delivery there were no individual values of serum vitamin E below the acceptable 0.35 mg/100 ml limit. However, serum vitamin C levels compatible with a moderate risk were very often observed, i.e., in 27.1% of infants at 6 months and in 30.5% at 1 year. Thus, vitamin E intake in infants was satisfactory with the usual diet but not vitamin C for which blood levels were not adequate. In view of these findings it appears necessary to evaluate periodically the vitamin E as well as vitamin C status in the infant population.

Topics: Age Factors; Ascorbic Acid; Birth Weight; Female; Fetal Blood; Humans; Infant; Infant Food; Infant, Newborn; Labor, Obstetric; Pregnancy; Vitamin E

Topics: Abortion, Spontaneous; Animals; Ascorbic Acid; Birth Weight; Cricetinae; Female; Fetus; Guinea Pigs; Pregnancy; Pregnancy, Animal; Rats

Guinea pigs were fed a control (0.05%) or a high (0.5%) ascorbic acid diet during the last half of pregnancy. When the pups were tested at 5 and 10 days of life the ones from the high-ascorbic-acid group demonstrated a marked increase in 14CO2 excretion, compared with the control pups, following an intraperitoneal injection of 14C-labeled ascorbic acid. When the animals were weaned to an ascorbic-acid-deficient diet signs of scurvy appeared earlier in the pups from the high vitamin C group and their survival was shorter. When excretion of labeled CO2 in both groups was correlated with the day of onset of scurvy signs, a linear correlation was found between these two parameters, suggesting that the earlier appearance of signs of scurvy in the experimental pups is secondary to an increased rate of ascorbic acid catabolism.

Topics: Animals; Animals, Newborn; Ascorbic Acid; Ascorbic Acid Deficiency; Birth Weight; Body Weight; Carbon Dioxide; Diet; Feeding Behavior; Female; Fertility; Guinea Pigs; Maternal-Fetal Exchange; Nutritional Requirements; Pregnancy; Pregnancy, Animal

The 1974 RDA is 60 mg per day for pregnant women and 80 mg per day for lactating women. In the present study an attempt was made to simulate this intake in the guinea pig and study reproduction performance in relation to guinea pigs fed chronically low and high levels. In animals that conceived and carried the young to term, all 3 dietary levels of ascorbic acid appeared to be adequate for maintaining viability of fetuses and of offspring, and for growth of offspring during the nursing period. The chronically low intake level was not adequate for growth after weaning. The control group was superior to the chronically low-intake group but inferior to the high-intake group in conceiving, producing litters, and carrying litters to term. The level of intake in the control group was inadequate to maintain tissue stores. Even the high intake was inadequate to maintain some tissues at saturation levels. The results suggest that the requirement for ascorbic acid during pregnancy and lactation has been markedly underestimated.

Topics: Adrenal Glands; Aging; Animals; Ascorbic Acid; Birth Weight; Body Weight; Brain; Contraceptives, Oral; Diet; Female; Fertility; Guinea Pigs; Humans; Maternal-Fetal Exchange; Nutritional Requirements; Ovary; Pituitary Gland; Pregnancy; Reproduction; Uterus

Ascorbic acid levels in plasma and leucocytes and urinary excretion of tyrosyl derivatives (TD) were determined in 11 normal, 18 preterm, and 4 small-for-dates infants. Concentrations of ascorbic acid in both plasma and leucocytes were found to be similar in the 3 groups. There was no difference in the basal levels of TD between normal and small-for-dates infants, but preterms showed higher basal excretion of TD than the other two groups. After protein load the excretion of TD was higher than the basal level in preterms. It was concluded that the altered metabolism of tyrosine observed in preterms is not the result of poor ascorbic acid status; and that tyrosine metabolism is influenced by the period of gestation rather than the body weight of the infant.

Topics: Ascorbic Acid; Birth Weight; Creatinine; Gestational Age; Humans; Infant, Newborn; Infant, Premature; Leukocytes; Tyrosine

Tyrosyluria and for a part also tyrosinemia were studied in 60 healthy prematures of various birth weights and gestational ages. The first analyses were performed between the 6th and the 14th day after birth. A normal milk diet was given and the protein-intake was between 3 and 4 g/kg. After the first collection of urine half the patients received extra ascorbic acid, 100 mg/kg daily. Urinary analyses of tyrosine and p-hydroxyphenyl metabolites were performed once a week, until the excretion of p-hydroxyphenylpyruvic plus p-hydroxyphenyllactic acids was lower than 5 mmoles per gram creatinine. In 22 out of the 60 prematures (or 37%) a tyrosyluria of more than 5 mmoles/g creatinine and in 19 out of 44 (43%) patients analysed serum tyrosine was higher than 5 mg/100 ml at first analysis. No inverse correlation between tyrosyluria and tyrosinemia on the one hand and birth weight and gestational age on the other hand existed. But in children with a delayed intra-uterine development the incidence of tyrosyluria was higher as prematurity was more pronounced. Ascorbic acid had no effect on the rate of disappearance of tyrosyluria. It was concluded that the addition of extra vitamin C to the diet of prematures is not useful for the normalization of tyrosine metabolism.

Topics: Animals; Ascorbic Acid; Birth Weight; Creatinine; Diet; Dietary Proteins; Female; Gestational Age; Humans; Hydroxybenzoates; Infant Nutrition Disorders; Infant, Newborn; Infant, Premature; Male; Methionine; Milk; Phenylacetates; Pregnancy; Time Factors; Tyrosine

Topics: Apgar Score; Ascorbic Acid; Birth Weight; Body Weight; Diet Therapy; Female; Food Preservation; Histidine; Humans; Infant Food; Infant Nutritional Physiological Phenomena; Infant, Newborn; Infant, Newborn, Diseases; Infant, Premature; Isoleucine; Leucine; Lysine; Male; Methionine; Phenylalanine; Threonine; Tryptophan; Valine

Topics: Amino Acid Metabolism, Inborn Errors; Ascorbic Acid; Birth Weight; Humans; Infant, Newborn; Infant, Premature, Diseases; Male; Taurine; Tyrosine

Topics: Abnormalities, Drug-Induced; Abortion, Spontaneous; Administration, Oral; Animals; Ascorbic Acid; Birth Weight; Body Weight; Dose-Response Relationship, Drug; Female; Fetal Death; Fetus; Gestational Age; Lactation; Mice; Pregnancy; Rats; Reproduction

Topics: Ascorbic Acid; Austria; Birth Weight; Humans; Infant, Newborn; Mass Screening; Metabolism, Inborn Errors; Tyrosine

Topics: Ascorbic Acid; Birth Weight; Body Height; Body Weight; Breast Feeding; Calcium; Child; Child Nutritional Physiological Phenomena; Child, Preschool; Diet; Feeding Behavior; Female; Humans; Infant; Infant Nutritional Physiological Phenomena; Infant, Newborn; Iron; Male; Mother-Child Relations; Obesity; Phosphorus; Socioeconomic Factors; United States; Vitamins

Topics: Adolescent; Ascorbic Acid; Birth Weight; Body Weight; Calcium, Dietary; Diet Therapy; Dietary Proteins; Educational Status; Ethnicity; Family Characteristics; Female; Humans; Iron; Menarche; Nutritional Physiological Phenomena; Nutritional Requirements; Phosphorus; Pregnancy; Pregnancy Complications; Prenatal Care; Socioeconomic Factors; Time Factors; Vitamin A; Vitamin B Complex

Topics: Ascorbic Acid; Attention Deficit Disorder with Hyperactivity; Birth Weight; Child; Dietary Proteins; Female; Follow-Up Studies; Gestational Age; Humans; Infant; Infant, Newborn; Infant, Premature; Intelligence; Intelligence Tests; Learning Disabilities; Male; Perceptual Disorders; Psychological Tests; Tyrosine

Topics: Ascorbic Acid; Birth Weight; Breast Feeding; Gastroenteritis; Humans; Hypernatremia; Infant Food; Infant Nutrition Disorders; Infant Nutritional Physiological Phenomena; Infant, Newborn; Infant, Newborn, Diseases; Metabolism, Inborn Errors; Respiratory Tract Infections; Tetany; Vitamin A; Vitamin D; Vitamin K; Vomiting

Topics: Ascorbic Acid; Birth Weight; Breast Feeding; Diagnosis, Differential; Humans; Infant; Infant Nutritional Physiological Phenomena; Infant, Newborn; Milk, Human; Osteoporosis; Prognosis; Radiography; Rickets; Scurvy; Syphilis, Congenital

Topics: Anabolic Agents; Ascorbic Acid; Birth Weight; Body Weight; Female; Humans; Infant Nutritional Physiological Phenomena; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Pediatric Nursing; Thiamine

Topics: Ascorbic Acid; Birth Weight; Capillaries; Female; Fluorometry; Humans; Indicators and Reagents; Infant, Newborn; Male; Milk, Human; Phenylalanine

Topics: Amino Acid Metabolism, Inborn Errors; Ascorbic Acid; Birth Weight; Blood; Female; Humans; Hydroxyindoleacetic Acid; Infant, Newborn; Infant, Premature, Diseases; Male; Phenylalanine; Tyrosine; Urine

Topics: Ascorbic Acid; Birth Weight; Blood; Dietary Proteins; Humans; Infant; Infant, Newborn; Infant, Premature; Leukocytes; Proteins; Twins; Tyrosine