Clin Nutr Res.  2017 Jan;6(1):47-54. 10.7762/cnr.2017.6.1.47.

Dietary Antioxidant Capacity and Its Association with Preeclampsia

Affiliations
  • 1Department of Food and Nutrition Policy, Health Deputy, Zahedan University of Medical Sciences, Zahedan 98167-43175, Iran.
  • 2Department of Clinical Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan 81746-73461, Iran. paknahad@hlth.mui.ac.ir

Abstract

Preeclampsia (PE) is one of the major disorders in pregnancy leading to many adverse maternal outcomes. Although the etiology of PE is not fully understood, resent studies suggest that an imbalance between free radicals production and the antioxidant defense system might have key role. Our aim of the current study was to evaluate the association between dietary total antioxidant capacity (TAC), serum TAC and risk of PE in women with preeclampsia and normal pregnancy. This case-control study conducted on 55 women with preeclampsia and 93 with normal pregnancy. Dietary intakes were obtained by a semi-quantitative food frequency questionnaire (FFQ) with 168 itmes. Dietary TAC was assessed according to United States Department of Agriculture (USDA) Database for oxygen radical absorbance capacity (ORAC), Release 2. Serum TAC was measured by a double-antibody sandwich enzyme-linked immunesorbent assay (ELISA). After adjusting for energy, pre-pregnant body mass index (BMI) and history of PE, no relationship was found between intake of hydrophilic-ORAC (H-ORAC), lipophilic-ORAC (L-ORAC), total phenolics (TP), total-ORAC (T-ORAC), and PE risk. However, serum TAC had a significant positive relationship with the risk of PE after adjusting for energy (odds ratio [OR], 0.07; 95% confidence interval [CI], 0.16-0.35), BMI and history of PE (OR, 0.04; 95% CI, 0.01-0.32). Findings of this study indicate that serum TAC is positively associated with the risk of PE but no association was found between intake of antioxidant indices and PE risk.

Keyword

Dietary total antioxidant capacity; Nutrient intake; Antioxidant status; Serum total antioxidant capacity; Preeclampsia

MeSH Terms

Body Mass Index
Case-Control Studies
Female
Free Radicals
Humans
Oxygen
Phenol
Pre-Eclampsia*
Pregnancy
United States Department of Agriculture
Free Radicals
Oxygen
Phenol

Reference

1. Martínez-Varea A, Pellicer B, Perales-Marín A, Pellicer A. Relationship between maternal immunological response during pregnancy and onset of preeclampsia. J Immunol Res. 2014; 2014:210241.
Article
2. Kirbas A, Ersoy AO, Daglar K, Dikici T, Biberoglu EH, Kirbas O, Danisman N. Prediction of preeclampsia by first trimester combined test and simple complete blood count parameters. J Clin Diagn Res. 2015; 9:QC20–3.
Article
3. Steegers EA, von Dadelszen P, Duvekot JJ, Pijnenborg R. Pre-eclampsia. Lancet. 2010; 376:631–644.
Article
4. Wu F, Tian FJ, Lin Y, Xu WM. Oxidative stress: placenta function and dysfunction. Am J Reprod Immunol. 2016; 76:258–271.
Article
5. Souza JP, Cecatti JG, Faundes A, Morais SS, Villar J, Carroli G, Gulmezoglu M, Wojdyla D, Zavaleta N, Donner A, Velazco A, Bataglia V, Valladares E, Kublickas M, Acosta A; World Health Organization 2005 Global Survey on Maternal and Perinatal Health Research Group. Maternal near miss and maternal death in the World Health Organization’s 2005 global survey on maternal and perinatal health. Bull World Health Organ. 2010; 88:113–119.
Article
6. Wu CS, Nohr EA, Bech BH, Vestergaard M, Catov JM, Olsen J. Health of children born to mothers who had preeclampsia: a population-based cohort study. Am J Obstet Gynecol. 2009; 201:269.e1–269.10.
Article
7. Roggensack AM, Zhang Y, Davidge ST. Evidence for peroxynitrite formation in the vasculature of women with preeclampsia. Hypertension. 1999; 33:83–89.
Article
8. Raijmakers MT, Dechend R, Poston L. Oxidative stress and preeclampsia: rationale for antioxidant clinical trials. Hypertension. 2004; 44:374–380.
9. Vanderlelie J, Venardos K, Clifton VL, Gude NM, Clarke FM, Perkins AV. Increased biological oxidation and reduced anti-oxidant enzyme activity in pre-eclamptic placentae. Placenta. 2005; 26:53–58.
Article
10. Chaiworapongsa T, Chaemsaithong P, Yeo L, Romero R. Pre-eclampsia part 1: current understanding of its pathophysiology. Nat Rev Nephrol. 2014; 10:466–480.
Article
11. D’Souza V, Rani A, Patil V, Pisal H, Randhir K, Mehendale S, Wagh G, Gupte S, Joshi S. Increased oxidative stress from early pregnancy in women who develop preeclampsia. Clin Exp Hypertens. 2016; 38:225–232.
Article
12. Rumbold AR, Maats FH, Crowther CA. Dietary intake of vitamin C and vitamin E and the development of hypertensive disorders of pregnancy. Eur J Obstet Gynecol Reprod Biol. 2005; 119:67–71.
Article
13. Negi R, Pande D, Karki K, Kumar A, Khanna RS, Khanna HD. Trace elements and antioxidant enzymes associated with oxidative stress in the pre-eclamptic/eclamptic mothers during fetal circulation. Clin Nutr. 2012; 31:946–950.
Article
14. Brantsaeter AL, Haugen M, Samuelsen SO, Torjusen H, Trogstad L, Alexander J, Magnus P, Meltzer HM. A dietary pattern characterized by high intake of vegetables, fruits, and vegetable oils is associated with reduced risk of preeclampsia in nulliparous pregnant Norwegian women. J Nutr. 2009; 139:1162–1168.
Article
15. Puchau B, Zulet MA, de Echávarri AG, Hermsdorff HH, Martínez JA. Dietary total antioxidant capacity: a novel indicator of diet quality in healthy young adults. J Am Coll Nutr. 2009; 28:648–656.
Article
16. Garcia-Benavides L, Guzman-Sanchez A, Hernandez-Mora FJ, Muro-Gomez AM, Gomez-Martinez ML, Siller-Lopez FR. PP078. Total antioxidant capacity in patients with pregnancy induced hypertension: its relation to maternal and/or perinatal complications. Pregnancy Hypertens. 2012; 2:282–283.
Article
17. Yang M, Chung SJ, Floegel A, Song WO, Koo SI, Chun OK. Dietary antioxidant capacity is associated with improved serum antioxidant status and decreased serum C-reactive protein and plasma homocysteine concentrations. Eur J Nutr. 2013; 52:1901–1911.
Article
18. Serafini M, Del Rio D. Understanding the association between dietary antioxidants, redox status and disease: is the total antioxidant capacity the right tool? Redox Rep. 2004; 9:145–152.
Article
19. Haytowitz DB, Bhagwat S. USDA database for the oxygen radical absorbance capacity (ORAC) of selected foods, release 2 [Internet]. 2010. Available from http://www.orac-info-portal.de/download/ORAC_R2.pdf.
20. Limberaki E, Eleftheriou P, Vagdatli E, Kostoglou V, Petrou C. Serum antioxidant status among young, middle-aged and elderly people before and after antioxidant rich diet. Hippokratia. 2012; 16:118–123.
21. Esmaillzadeh A, Azadbakht L. Major dietary patterns in relation to general obesity and central adiposity among Iranian women. J Nutr. 2008; 138:358–363.
Article
22. Mirmiran P, Azadbakht L, Azizi F. Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge. Public Health Nutr. 2007; 10:897–901.
Article
23. Willett W. Nutritional epidemiology. New York (NY): Oxford University Press;1998.
24. Ozturk E, Balat O, Acılmıs YG, Ozcan C, Pence S, Erel Ö. Measurement of the placental total antioxidant status in preeclamptic women using a novel automated method. J Obstet Gynaecol Res. 2011; 37:337–342.
Article
25. Mert I, Oruc AS, Yuksel S, Cakar ES, Buyukkagnici U, Karaer A, Danisman N. Role of oxidative stress in preeclampsia and intrauterine growth restriction. J Obstet Gynaecol Res. 2012; 38:658–664.
Article
26. Fenzl V, Flegar‑Meštrić Z, Perkov S, Andrišić L, Tatzber F, Žarković N, Duić Ž. Trace elements and oxidative stress in hypertensive disorders of pregnancy. Arch Gynecol Obstet. 2013; 287:19–24.
Article
27. Longo-Mbenza B, Tshimanga KB, Buassa-bu-Tsumbu B, Kabangu MJ. Diets rich in vegetables and physical activity are associated with a decreased risk of pregnancy induced hypertension among rural women from Kimpese, DR Congo. Niger J Med. 2008; 17:265–269.
Article
28. Sheykhi M, Paknahad Z, Hasanzadeh A. Dietary nutrient intake and antioxidant status in preeclamptic women. Adv Biomed Res. 2015; 4:183.
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