Skip to main content
Log in

Serum Ionised Calcium and Cardiovascular Disease in 45-years Old Men and Women Followed for 18 Years

  • Cardiovascular Diseases
  • Published:
European Journal of Epidemiology Aims and scope Submit manuscript

Abstract

High level of total serum calcium within the normal range has been associated with increased cardiovascular risk. We wanted to evaluate whether the physiological active ionised form of calcium also was a risk factor for cardiovascular disease (CVD). Methods: A total of 974 participants from a health survey in 1981 in Copenhagen had ionised serum calcium and different cardiovascular risk factors measured. The participants were followed until 1999 in The National Hospital Patients Registry and The National Death Registry in Denmark regarding the diagnosis ischemic heart disease (IHD) and a broader definition of CVD. Persons with ionised serum calcium in the highest quintile were compared with persons in the lower four quintiles. Results: In a univariate analysis persons with ionised serum calcium in the highest quintile had increased risk of IHD (p = 0.001) and CVD (p = 0.02) compared to persons in the lower quintiles. The increased risk disappeared when gender and cardiovascular confounders were included in a Cox proportional hazards analysis (p = 0.20 for IHD and p = 0.50 for CVD, respectively). In a separate analysis of men and IHD the result remained insignificant (p = 0.07). Conclusions: Serum ionised calcium in the upper quintile in women and men together did not seem to be a risk factor in development of IHD and CVD, but a non-significant tendency towards increased risk of IHD was observed in men with ionised calcium in the upper quintile compared to men in the lower four quintiles.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Reference

  1. G Hedback A Oden (1998) ArticleTitleIncreased risk of death from primary hyperparathyroidism – an update Eur J Clin Invest 28 IssueID4 271–276 Occurrence Handle10.1046/j.1365-2362.1998.00289.x Occurrence Handle1:STN:280:DyaK1c3nvVWgtA%3D%3D Occurrence Handle9615902

    Article  CAS  PubMed  Google Scholar 

  2. IL Nilsson L Yin E Lundgren J Rastad A Ekbom (2002) ArticleTitleClinical presentation of primary hyperparathyroidism in Europe – nationwide cohort analysis on mortality from nonmalignant causes J Bone Miner Res 17 IssueIDSuppl 2 N68–N74 Occurrence Handle12412780

    PubMed  Google Scholar 

  3. CG Ogard G Engholm TP Almdal H Vestergaard (2004) ArticleTitleIncreased mortality in patients hospitalized with primary hyperparathyroidism during the period 1977–1993 in Denmark World J Surg 28 IssueID1 108–111 Occurrence Handle14648050

    PubMed  Google Scholar 

  4. E Hagstrom E Lundgren H Lithell et al. (2002) ArticleTitleNormalized dyslipidaemia after parathyroidectomy in mild primary hyperparathyroidism: population-based study over five years Clin Endocrinol (Oxf) 56 IssueID2 253–260 Occurrence Handle10.1046/j.0300-0664.2001.01468.x

    Article  Google Scholar 

  5. IL Nilsson J Aberg J Rastad L Lind (1999) ArticleTitleEndothelial vasodilatory dysfunction in primary hyperparathyroidism is reversed after parathyroidectomy Surgery 126 IssueID6 1049–1055 Occurrence Handle10.1067/msy.2099.101422 Occurrence Handle1:STN:280:DC%2BD3c%2Fms1Wgtg%3D%3D Occurrence Handle10598187

    Article  CAS  PubMed  Google Scholar 

  6. A Piovesan N Molineri F Casasso et al. (1999) ArticleTitleLeft ventricular hypertrophy in primary hyperparathyroidism. Effects of successful parathyroidectomy Clin Endocrinol (Oxf) 50 IssueID3 321–328 Occurrence Handle10.1046/j.1365-2265.1999.00651.x Occurrence Handle1:STN:280:DyaK1Mzmtl2itw%3D%3D

    Article  CAS  Google Scholar 

  7. JC Smith MD Page R John et al. (2000) ArticleTitleAugmentation of central arterial pressure in mild primary hyperparathyroidism J Clin Endocrinol Metab 85 IssueID10 3515–3519 Occurrence Handle10.1210/jc.85.10.3515 Occurrence Handle1:CAS:528:DC%2BD3cXnsFOgsb0%3D Occurrence Handle11061493

    Article  CAS  PubMed  Google Scholar 

  8. T Stefenelli C Abela H Frank et al. (1997) ArticleTitleCardiac abnormalities in patients with primary hyperparathyroidism: implications for follow-up J Clin Endocrinol Metab 82 IssueID1 106–112 Occurrence Handle10.1210/jc.82.1.106 Occurrence Handle1:CAS:528:DyaK2sXkt1Squg%3D%3D Occurrence Handle8989242

    Article  CAS  PubMed  Google Scholar 

  9. S Valdemarsson P Lindblom A Bergenfelz (1998) ArticleTitleMetabolic abnormalities related to cardiovascular risk in primary hyperparathyroidism: effects of surgical treatment J Intern Med 244 IssueID3 241–249 Occurrence Handle10.1046/j.1365-2796.1998.00366.x Occurrence Handle1:STN:280:DyaK1cvhvVGiuw%3D%3D Occurrence Handle9747747

    Article  CAS  PubMed  Google Scholar 

  10. H Vestergaard LØ Kristensen (2002) ArticleTitleNormocalcemia and persistent elevated serum concentrations of 1–84 parathyroid hormone after operation for sporadic parathyroid adenoma: evidence of increased morbidity from cardiovascular disease World J Surg 26 IssueID6 657–660 Occurrence Handle10.1007/s00268-001-0285-z Occurrence Handle12053214

    Article  PubMed  Google Scholar 

  11. BG Leifsson B Ahren (1996) ArticleTitleSerum calcium and survival in a large health screening program J Clin Endocrinol Metab 81 IssueID6 2149–2153 Occurrence Handle10.1210/jc.81.6.2149 Occurrence Handle1:CAS:528:DyaK28XjsFyks7o%3D Occurrence Handle8964843

    Article  CAS  PubMed  Google Scholar 

  12. L Lind E Skarfors L Berglund H Lithell S Ljunghall (1997) ArticleTitleSerum calcium: a new, independent, prospective risk factor for myocardial infarction in middle-aged men followed for 18 years J Clin Epidemiol 50 IssueID8 967–973 Occurrence Handle10.1016/S0895-4356(97)00104-2 Occurrence Handle1:STN:280:ByiH3sjjsFQ%3D Occurrence Handle9291883

    Article  CAS  PubMed  Google Scholar 

  13. N Fogh-Andersen L Hedegaard J Thode O Siggaard-Andersen (1984) ArticleTitleSex-dependent relation between ionized calcium in serum and blood pressure Clin Chem 30 IssueID1 116–118 Occurrence Handle1:CAS:528:DyaL2cXotleqsQ%3D%3D Occurrence Handle6690114

    CAS  PubMed  Google Scholar 

  14. H Hollnagel (1980) ArticleTitleThe health structure of 40-year-old men and women in the Glostrup area, Denmark – an epidemiological survey. General design, sampling results and referrals for further medical care Dan Med Bull 27 IssueID3 121–130 Occurrence Handle1:STN:280:Bi6D28rpslI%3D Occurrence Handle7438796

    CAS  PubMed  Google Scholar 

  15. R Jorde J Sundsfjord P Fitzgerald KH Bonaa (1999) ArticleTitleSerum calcium and cardiovascular risk factors and diseases: the Tromso study Hypertension 34 IssueID3 484–490 Occurrence Handle1:STN:280:DyaK1MvitVCrsg%3D%3D Occurrence Handle10489398

    CAS  PubMed  Google Scholar 

  16. M Walser (1961) ArticleTitleIon association. VI. Interactions between calcium, magnesium, inorganic phosphate, citrate and protein in normal human plasma J Clin Invest 40 723–730 Occurrence Handle1:CAS:528:DyaF3MXhtVSnt7o%3D Occurrence Handle13782899

    CAS  PubMed  Google Scholar 

  17. P McNair SL Nielsen C Christiansen C Axelsson (1979) ArticleTitleGross errors made by routine blood sampling from two sites using a tourniquet applied at different positions Clin Chim Acta 98 IssueID1–2 113–118 Occurrence Handle1:CAS:528:DyaL3cXivVWg Occurrence Handle498522

    CAS  PubMed  Google Scholar 

  18. RF Gillum (1993) ArticleTitleThe association between serum albumin and HDL and total cholesterol J Natl Med Assoc 85 IssueID4 290–292 Occurrence Handle1:STN:280:ByyB2c%2FlslA%3D Occurrence Handle8478970

    CAS  PubMed  Google Scholar 

  19. H Hu D Sparrow S Weiss (1992) ArticleTitleAssociation of serum albumin with blood pressure in the normative aging study Am J Epidemiol 136 IssueID12 1465–1473 Occurrence Handle1:STN:280:ByyC28jitFA%3D Occurrence Handle1288276

    CAS  PubMed  Google Scholar 

  20. LH Kuller JE Eichner TJ Orchard GA Grandits L McCallum RP Tracy (1991) ArticleTitleThe relation between serum albumin levels and risk of coronary heart disease in the Multiple Risk Factor Intervention Trial Am J Epidemiol 134 IssueID11 1266–1277 Occurrence Handle1:STN:280:By2D1MrivFw%3D Occurrence Handle1755441

    CAS  PubMed  Google Scholar 

  21. L Lind S Jakobsson H Lithell B Wengle S Ljunghall (1988) ArticleTitleRelation of serum calcium concentration to metabolic risk factors for cardiovascular disease Br Med J 297 IssueID6654 960–963 Occurrence Handle1:STN:280:BiaD2M7jt1Q%3D

    CAS  Google Scholar 

  22. AN Phillips AG Shaper (1991) ArticleTitleSerum calcium and blood pressure J Hum Hypertens 5 IssueID6 479–484 Occurrence Handle1:STN:280:By2C28jitFA%3D Occurrence Handle1791606

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christina Gerlach Øgard.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Øgard, C.G., Petersen, J., Jørgensen, T. et al. Serum Ionised Calcium and Cardiovascular Disease in 45-years Old Men and Women Followed for 18 Years. Eur J Epidemiol 21, 123–127 (2006). https://doi.org/10.1007/s10654-005-5438-1

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10654-005-5438-1

Keywords

Navigation