Assessment of Zinc Deficiency and Nutritional Status among Pregnant Women from District Mardan, KP Pakistan

Authors

  • Sara Noor Department of Human Nutrition and Dietetics, Women University Mardan, KP, Pakistan.
  • Shujaat Faqir Institute of Public Health and Social Sciences, Khyber Medical University, Peshawar, KP, Pakistan.
  • Fatima Ijaz Department of Human Nutrition, Bacha Khan University, Charsadda, KP, Pakistan.
  • Irfan Sattar Institute of Public Health and Social Sciences, Khyber Medical University, Peshawar, KP, Pakistan.
  • Ayesha Bibi Department of Human Nutrition and Dietetics, Women University Mardan, KP, Pakistan.
  • Fawad Ali Institute of Biotechnology and Microbiology, Bacha Khan University, Charsadda, KP, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i2.641

Keywords:

Pregnant Women, Nutritional Status, Micronutrients, Zinc Deficiency

Abstract

Pregnancy-related zinc deficiency (ZD) has detrimental consequences on both the mother and the fetus, as well as subsequent implications on birth.  It is estimated that 82% of all pregnant women in the world suffers from zinc deficiency.  Lack of information on the zinc status of the population has significantly limited the adoption of strategies to control zinc. Assessment of the overall nutritional status, dietary intake and prevalence of zinc deficiency of pregnant women in District Mardan was measured.  The study included 200 pregnant women from various hospitals of District Mardan. A pre-planned questionnaire was used to gather information. Statistical Package for Social Sciences (SPSS) was used to analyze the data. The mean age of the subjects was 35 years. Majority (65.5%) and (63%) had low hemoglobin and zinc level. Majority of the subjects were experiencing hair loss, changes in nails, diarrhea, nausea and vomiting. Exercise of daily basis was recorded for only (6.5%) of the subjects. Most (52.5%) of the subjects were having 1 to 3 hours of sleep. Zinc rich foods like Oat, egg yolk, kidney bean, Peanut, yogurt and chicken were consumed by majority of respondents.  Food dense in macro and micronutrients should be consumed by respondents. Nutritional interventions should target pregnant women to improve maternal nutritional status to overcome maternal and fetus health issues.

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References

Adikari, A. M., Sivakanesan, R., Wijesinghe, D. G., & Liyanage, C. (2016). Assessment of nutritional status of pregnant women in a rural area in Sri Lanka. Tropical Agricultural Research, 27(2), 203. https://doi.org/10.4038/tar.v27i2.8168

Aydemir, F., Çavdar, A. O., Söylemez, F., & Cengiz, B. (2003). Plasma zinc levels during pregnancy and its relationship to maternal and neonatal characteristics: A longitudinal study. Biological Trace Element Research, 91(3), 193-202. https://doi.org/10.1385/bter:91:3:193

Allen, L. H. (2000). Anemia and iron deficiency: Effects on pregnancy outcome. The American Journal of Clinical Nutrition, 71(5), 1280S-1284S. https://doi.org/10.1093/ajcn/71.5.1280s

Arast, Y., Rezaei, M., & Sabet Birjandi, S. Serum zinc level in third trimester of pregnant women. Hormozgan Medical, 1389(4), 2.

Christian, P. (2003). Micronutrients and reproductive health issues: An international perspective. The Journal of Nutrition, 133(6), 1969S-1973S. https://doi.org/10.1093/jn/133.6.1969s

Bakouei, S., Bakouei, F., Reisian, F., & Goshtasebi, A. (2015). Zinc in pregnancy, associated with prolonged labor. Caspian Journal of Reproductive Medicine, 1(3), 21-25. https://caspjrm.ir/article-1-72-en.html

Basdevant A, Lavelle M, Leeboards E, per edition, edition Flammarion, French (2001) ; 723p ; 283- 291.

Beaton, G., Kelly, A., Kevany, J., Martorell, R., & Mason, J. (1990). Appropriate uses of anthropometric indices in children. A report based on an ACC/SCN Workshop. Nutrition Policy Discussion Paper (UN/ACC). no. 7. https://agris.fao.org/search/en/providers/123819/records/6473581a2c1d629bc97ab2e7

Berhe, K., Gebrearegay, F., & Gebremariam, H. (2019). Prevalence and associated factors of zinc deficiency among pregnant women and children in Ethiopia: A systematic review and meta-analysis. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7979-3

Bhaskaram, P. (2002). Micronutrient malnutrition, infection, and immunity: An overview. Nutrition Reviews, 60(suppl_5), S40-S45. https://doi.org/10.1301/00296640260130722

Bardosono, S. (2016). Maternal micronutrient deficiency during the first trimester among Indonesian pregnant women living in Jakarta. eJournal Kedokteran Indonesia, 4(2). https://doi.org/10.23886/ejki.4.6281.76-81

Bhowmik, B., Siddique, T., Majumder, A., Mdala, I., Hossain, I. A., Hassan, Z., Jahan, I., Moreira, N. C., Alim, A., Basit, A., Hitman, G. A., Khan, A. K., & Hussain, A. (2019). Maternal BMI and nutritional status in early pregnancy and its impact on neonatal outcomes at birth in Bangladesh. BMC Pregnancy and Childbirth, 19(1). https://doi.org/10.1186/s12884-019-2571-5

Brown, K. H., & Hess, S. Y. (2009). International Zinc Nutrition Consultative Group Technical Document: Systematic Reviews of Zinc Intervention Strategies. International Nutrition Foundation for the United Nations University Press.

Carpenter. B. M, Diététique pour l'aidesoignant et l'auxiliaire de puériculture, éditionMasson; 2002, 144p ; 50.

Ezzati, M. (2004). Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors. World Health Organization.

Cunningham FIG, Williams, Levine KJ, Bloom S, Haut JC. Williams Obstetrics. 23rd Ed. New York: McGraw-Hill; 2010.

Nguyen, V. Q., Lam, P. V., Goto, A., Nguyen, T. V. T., Vuong, T. N. T., Nguyen, T. M., ... & Vo, C. D. (2021). Prevalence and correlates of zinc deficiency among Vietnamese women of reproductive age in Ho Chi Minh City: A single hospital-based survey. Frontiers in Global Women's Health, 2, 733191. https://www.frontiersin.org/journals/global-womens-health/articles/10.3389/fgwh.2021.733191/full

DiSilvestro, R. A. (2000). Zinc in relation to diabetes and oxidative disease. The Journal of Nutrition, 130(5), 1509S-1511S. https://doi.org/10.1093/jn/130.5.1509s

Diddana, T. Z. (2019). Factors associated with dietary practice and nutritional status of pregnant women in Dessie town, northeastern Ethiopia: A community-based cross-sectional study. BMC Pregnancy and Childbirth, 19(1). https://doi.org/10.1186/s12884-019-2649-0

Habicht, J., & Pelletier, D. L. (1990). The importance of context in choosing nutritional indicators. The Journal of Nutrition, 120, 1519-1524. https://doi.org/10.1093/jn/120.suppl_11.1519

Harika, R., Faber, M., Samuel, F., Kimiywe, J., Mulugeta, A., & Eilander, A. (2017). Micronutrient status and dietary intake of iron, vitamin A, iodine, folate and zinc in women of reproductive age and pregnant women in Ethiopia, Kenya, Nigeria and South Africa: A systematic review of data from 2005 to 2015. Nutrients, 9(10), 1096. https://doi.org/10.3390/nu9101096

Hasan, S. M., Hossain, D., Ahmed, F., Khan, M. A., Begum, F., & Ahmed, T. (2021). Association of household food insecurity with nutritional status and mental health of pregnant women in rural Bangladesh. Nutrients, 13(12), 4303. https://doi.org/10.3390/nu13124303

Joint, F. A. O. (2004). Vitamin and mineral requirements in human nutrition. https://www.sidalc.net/search/Record/unfao:662318/Description

Jyotsna, S. (2015). Study of serum zinc in low birth weight neonates and its relation with maternal zinc. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. https://doi.org/10.7860/jcdr/2015/10449.5402

Karimi, A., Bagheri, S., Nematy, M., & Saeidi, M. (2012). Zinc deficiency in pregnancy and fetal-neonatal outcomes and impact of the supplements on pregnancy outcomes. Iranian Journal of neonatology, 3(2), 77-83.

Kahanya, K. W. (2016). Dietary diversity, nutrient intake and nutritional status among pregnant women in Laikipia County, Kenya. International Journal of Health Sciences & Research, 6. https://ir-library.ku.ac.ke/server/api/core/bitstreams/f94fa9a6-50b1-4e2c-a847-71c5ba143160/content

Kapil, U., Singh, P., & Pathak, P. (2003). Serum zinc levels amongst tribal population in a district of Jharkhand State, India: A pilot study. Eastern Journal of Medicine, 8(2), 33-34. https://jag.journalagent.com/ejm/pdfs/EJM_8_2_33_34.pdf

Khalid, N., Ahmed, A., Bhatti, M. S., Randhawa, M. A., Ahmad, A., & Rafaqat, R. (2014). A question mark on zinc deficiency in 185 million people in Pakistan-Possible way out. Critical Reviews in Food Science and Nutrition, 54(9), 1222-1240. https://doi.org/10.1080/10408398.2011.630541

Khalid, R. U. K. H. S. H. A. N. D. A., Irshad, J., Saleem, A., & Ashraf, S. A. N. A. (2017). Risk factors for anemia in pregnant women in a rural area of Bahawalnagar Pakistan-A descriptive cross sectional study. Pakistan journal of medical and health sciences, 11(4), 1238-1242.

Kuche, D., Singh, P., Moges, D., & Belachew, T. (2015). Nutritional status and associated factors among pregnant women in Wondo Genet District, Southern Ethiopia. J Food Sci Eng, 5(2), 85-94. https://www.semanticscholar.org/paper/Nutritional-Status-and-Associated-Factors-among-in-Desalegn-Kuche/2e4c9bc2f75e20290f6b3e6707ee606374f886ba?p2df

Ma, A. G., Chen, X. C., Xu, R. X., Zheng, M. C., Wang, Y., & Li, J. S. (2004). Comparison of serum levels of iron, zinc and copper in anaemic and non-anaemic pregnant women in China. Asia Pacific journal of clinical nutrition, 13(4). https://apjcn.qdu.edu.cn/13_4_13.pdf

Ota, E., Mori, R., Middleton, P., Tobe?Gai, R., Mahomed, K., Miyazaki, C., & Bhutta, Z. A. (2015). Zinc supplementation for improving pregnancy and infant outcome. Cochrane Database of Systematic Reviews, (2). https://doi.org/10.1002/14651858.CD000230.pub5

Marmi. (2013). GiziDalam Kesehatan Reproduces. Yogyakarta: Partake Moshe enmity, Fatimah Nobakht, Miriam SaberyKarimian, Ali Babe, Mohammad Safari an. Investigation of micronutrients

Wang, H., Hu, Y. F., Hao, J. H., Chen, Y. H., Su, P. Y., Wang, Y., ... & Xu, D. X. (2015). Maternal zinc deficiency during pregnancy elevates the risks of fetal growth restriction: a population-based birth cohort study. Scientific reports, 5(1), 11262. https://www.nature.com/articles/srep11262

Muti, M., Tshimanga, M., Notion, G. T., Bangure, D., & Chonzi, P. (2015). Prevalence of pregnancy induced hypertension and pregnancy outcomes among women seeking maternity services in Harare, Zimbabwe. BMC cardiovascular disorders, 15, 1-8. https://doi.org/10.1186/s12872-015-0110-5

National Research Council, Commission on Life Sciences, & Subcommittee on the Tenth Edition of the Recommended Dietary Allowances. (1989). Recommended dietary allowances. http://www.nap. eddo/books/0309046335.html

Nguyen, Q. V., Lam, P. V., Got, A., Nguyen, T. V. T., Vuong, T. N. T., Nguyen, M. T., ... & Vo, C. iron, zinc and selenium - in Mashhad central prison. International Congress of Nutrition, 4-9 October 2009, Bangkok, Thailand. Poster presentation.

Noor, R., Shamas, S., Arshad, M., Amjad, N., Asif, A., Shah, T., ... & Maryam, R. (2021). Serum Concentration of Trace Elements (Fe, Cu and Zn) in Unmarried, Pregnant and Lactating Females in Rural and Urban Areas of Sargodha, Pakistan. Transactions, 1(1), 13-26.

Oguizu, A. D. (2015). Assessment of iron, selenium and zinc status of pregnant women in Obio-Akpor LGA rivers state. Pakistan Journal of Nutrition, 14(1), 1. https://www.cabidigitallibrary.org/doi/full/10.5555/20153045783

Pathak, P., Kapil, U., Kapoor, S. K., Dwivedi, S. N., & Singh, R. (2003). Magnitude of zinc deficiency among nulliparous nonpregnant women in a rural community of Haryana State, India. Food Nutria Bull. 24(4), 368-71

Pathak, P., Kapil, U., Dwivedi, S. N., & Singh, R. (2008). Serum zinc levels amongst pregnant women in a rural block of Haryana state, India. Asia Pacific journal of clinical nutrition, 17(2), 276-279. https://apjcn.nhri.org.tw/server/APJCN/17/2/276.pdf

Peres, G., Mariana, M., & Cairrão, E. (2018). Pre-Eclampsia and Eclampsia: An Update on the Pharmacological Treatment Applied in Portugal. Journal of Cardiovascular Development and Disease, 5(1), 3. https://doi.org/10.3390/jcdd5010003

Prasad, A. S. (2013). Discovery of human zinc deficiency: Its impact on human health and disease. Advances in Nutrition, 4(2), 176-190. https://doi.org/10.3945/an.112.003210

Roohani, N., Hurrell, R., Kelishadi, R., & Schulin, R. (2013). Zinc and its importance for human health: An integrative review. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 18(2), 144. https://pmc.ncbi.nlm.nih.gov/articles/PMC3724376/

Roy, A., Evers, S. E., & Campbell, M. K. (2012). Dietary supplement use and iron, zinc and folate intake in pregnant women in London, Ontario. Chronic Dis Inj Can, 32(2), 76-83. https://www.canada.ca/content/dam/phac-aspc/migration/phac-aspc/publicat/hpcdp-pspmc/32-2/assets/pdf/ar-03-eng.pdf

Shah, D., & Sachdev, H. S. (2001). Effect of gestational zinc deficiency on pregnancy outcomes: summary of observation studies and zinc supplementation trials. British Journal of Nutrition, 85(S2), S101-S108.. https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/effect-of-gestational-zinc-deficiency-on-pregnancy-outcomes-summary-of-observation-studies-and-zinc-supplementation-trials/A6BDF3C24XYgs9nHBDE5BZLJvq418hzuJuwGSC3

Shemsu, S., Argaw, A., & Zinab, B. (2020). Dietary practice and nutritional status among pregnant women attending antenatal care at Mettu Karl referral hospital, southwest Ethiopia. The Open Public Health Journal, 13(1). https://benthamopen.com/FULLTEXT/TOPHJ-13-538/

SMR.Mohajeri, M.Nematy. M.Safarian, M.SaberyKarimian, Ababa, S.Akhlaghi, A. Shapiro- Moghadam, F. Nobakht. Investigation of micronutrients- iron, zinc and selenium - in Mashhad central prison. 12th Iranian Congress of Biochemistry & 4th International Congress of Biochemistry and Molecular Biology, Mashhad, Iran. Sep 6-9 2011. Poster

Tamang, M. K., Yadav, U. N., Acharya, A., & Lamsal, M. (2019). Assessment of zinc status among pregnant women attending a tertiary level hospital of Sunsari District, Nepal. J. Nepal Health Res. Count, 17, 468-473. https://elibrary.nhrc.gov.np/handle/20.500.14356/1348

Tripathi, R. R., Rifas?Shiman, S. L., Hawley, N., Hivert, M., & Oken, E. (2018). Hypertensive Disorders of Pregnancy and Offspring Cardiometabolic Health at Midchildhood: Project Viva Findings. Journal of the American Heart Association, 7(3). https://doi.org/10.1161/jaha.117.007426

Warriner, K., Sibiya, M. N., Reddy, P., & Napier, C. (2019). Nutritional status and dietary diversity of pregnant women in rural KwaZulu-Natal, South Africa. Health SA Gesondheid, 24(1), 1-8. https://journals.co.za/doi/abs/10.4102/hsag.v24i0.1114

Wessells, K. R., & Brown, K. H. (2012). Estimating the global prevalence of zinc deficiency: results based on zinc availability in national food supplies and the prevalence of stunting. PloS one, 7(11), e50568. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0050568

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Published

2025-02-28

How to Cite

Assessment of Zinc Deficiency and Nutritional Status among Pregnant Women from District Mardan, KP Pakistan. (2025). Indus Journal of Bioscience Research, 3(2), 705-712. https://doi.org/10.70749/ijbr.v3i2.641