OBJECTIVE: Trace elements are essential for the biochemistry of the cell. Their reference values have been found to differ considerably in pregnant women stratified by age, place of residence, anthropometric status, and length of pregnancy. In optimal amounts, these elements reduce the risk of pregnancy complications. Subclinical hypothyroidism in pregnancy is associated with adverse maternal and neonatal outcomes. The aim of the study was to determine the effects of zinc (Zn), copper (Cu), magnesium (Mg), and rubidium (Rb) on pregnant women in an iodine deficiency region and find the relationship with the thyroid status and nutrition. METHODS: We evaluated the iodine status of 61 healthy pregnant women from an iodine deficient region in Bulgaria. Thyroid stimulating hormone (TSH) and thyroxin free (FT4) levels were measured using ELISA. RESULTS: We found elevated levels of copper that differed the most between the first and second trimesters; Cu and TSH were found to be positively correlated (р < 0.05). Lower Cu levels were found in pregnant women consuming pulses more than 2-3 times a week (р = 0.033). The women consuming fish more than 2-3 times a week had higher levels of Rb. We found a pronounced iodine deficiency in more than half of the examined women in the first to third trimesters, without any effect of pregnancy on the ioduria (р=0.834). All second and third trimester cases were associated with severe ioduria (< 150 µg/L). CONCLUSION: The high Cu levels were associated with subclinical hypothyroidism (SCH) and less pulse consumption during pregnancy in an iodine deficiency endemic area. SCH was found in 24% of the pregnant women in such an area while in 13% of them SCH had progressed to overt hypothyroidism.

• Klíčová slova
• iodine-endemic area, pregnant women, subclinical hypothyroidism, trace elements,
• MeSH
• dospělí MeSH
• hořčík krev   analýza   aplikace a dávkování   MeSH
• hypotyreóza epidemiologie   MeSH
• jod * nedostatek   aplikace a dávkování   MeSH
• komplikace těhotenství epidemiologie   MeSH
• lidé MeSH
• měď * nedostatek   krev   MeSH
• nutriční stav * MeSH
• stopové prvky nedostatek   MeSH
• těhotenství MeSH
• thyreotropin krev   MeSH
• zinek * nedostatek   krev   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Bulharsko epidemiologie   MeSH
• Názvy látek
• hořčík MeSH
• jod * MeSH
• měď * MeSH
• stopové prvky MeSH
• thyreotropin MeSH
• zinek * MeSH