Abstract
Objective
The aims of this study were to measure serum levels of calcium and magnesium in preeclamptic pregnancies and to compare them with those in normal pregnancies.
Materials and methods
We collected venous serum samples from 40 preeclamptic pregnant women and 40 normal pregnant women. The blood samples were analyzed for calcium and magnesium, using a colorimetric analyzer. The data were analyzed using the Student’s t-test, χ 2-test or Fisher exact tests when appropriate.
Results
The serum calcium concentration in preeclamptic pregnant women is significantly lower than that in normal pregnant women (9.0±0.4 mg/dl vs. 9.7±0.7 mg/dl, p<0.0001). Like serum calcium, serum magnesium concentration in preeclamptic women is significantly lower than that in normal pregnant women (0.77±0.08 mmol/l vs. 0.85±0.09 mmol/l, p=0.001).
Conclusion
This study shows that both serum calcium and serum magnesium levels in preeclamptic pregnant women are lower than in normal pregnant women. These findings support the hypothesis that hypocalcemia and hypomagnesemia are possible etiologies of preeclampsia.
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References
ACOG (2001) Intrauterine growth restriction. Clinical management guidelines for obstetrician–gynecologists. American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet 72:85–96
ACOG (2002) Diagnosis and management of preeclampsia and eclampsia. ACOG practical bulletin. Clinical management guidelines for obstetrician–gynecologists Number 33, January 2002. Obstet Gynecol 99:159–166
Akyol D, Mungan T, Gorkemli H, Nuhoglu G (2000) Maternal levels of vitamin E in normal and preeclamptic pregnancy. Arch Gynecol Obstet 263:151–155
Atallah AN, Hofmeyr GJ, Duley L (2002) Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems. Cochrane Database Syst Rev CD001059
Baker PN (1995) Possible dietary measures in the prevention of pre-eclampsia and eclampsia. Baillieres Clin Obstet Gynaecol 9:497–507
Bussen S, Sutterlin M, Steck T (1999) Plasma endothelin and big endothelin levels in women with severe preeclampsia or HELLP-syndrome. Arch Gynecol Obstet 262:113–119
Conradt A (1985) Pathophysiology and clinical aspects of pre-eclampsia. Z Geburtshilfe Perinatol 189:149–161
Cunningham FG, Gant NF, Leveno KJ, Gilstrap LCI, Hauth JC, Wenstrom KD (2001) Williams obstetrics, 21st edn. McGraw-Hill, New York
Frenkel Y, Weiss M, Shefi M, Lusky A, Mashiach S, Dolev E (1994) Mononuclear cell magnesium content remains unchanged in various hypertensive disorders of pregnancy. Gynecol Obstet Invest 38:220–222
Hamet P (1995) The evaluation of the scientific evidence for a relationship between calcium and hypertension. J Nutr 125:311S–400S
Handwerker SM, Altura BT, Altura BM (1995) Ionized serum magnesium and potassium levels in pregnant women with preeclampsia and eclampsia. J Reprod Med 40:201–208
Handwerker SM, Altura BT, Altura BM (1997) Serum ionized magnesium levels in normal and preeclamptic gestation. Obstet Gynecol 89:1051–1052
Hanisch CG, Pfeiffer KA, Schlebusch H, Schmolling J (2003) Adhesion molecules, activin and inhibin-candidates for the biochemical prediction of hypertensive diseases in pregnancy? Arch Gynecol Obstet DOI 10.1007/s00404-003-0514-9
Hassan TJ, Sadaruddin A, Jafarey SN (1991) Serum calcium, urea and uric acid levels in pre-eclampsia. J Pak Med Assoc 41:183–185
Kisters K, Barenbrock M, Louwen F, Hausberg M, Rahn KH, Kosch M (2000) Membrane, intracellular, and plasma magnesium and calcium concentrations in preeclampsia. Am J Hypertens 13:765–769
Kosch M, Hausberg M, Louwen F, Barenbrock M, Rahn KH, Kisters K (2000) Alterations of plasma calcium and intracellular and membrane calcium in erythrocytes of patients with pre-eclampsia. J Hum Hypertens 14:333–336
Kulier R, de Onis M, Gulmezoglu AM, Villar J (1998) Nutritional interventions for the prevention of maternal morbidity. Int J Gynaecol Obstet 63:231–246
Levine RJ, Hauth JC, Curet LB, Sibai BM, Catalano PM, Morris CD, DerSimonian R, Esterlitz JR, Raymond EG, Bild DE, Clemens JD, Cutler JA (1997) Trial of calcium to prevent preeclampsia. N Engl J Med 337:69–76
Lorenz-Eberhardt G, Kainer F, Sabin K, Haas J (1993) Magnesium content of serum in pregnancy-induced hypertension. Gynakol Geburtshilfliche Rundsch 33:92–93
Makrides M, Crowther CA (2001) Magnesium supplementation in pregnancy. Cochrane Database Syst Rev CD000937
Malas NO, Shurideh ZM (2001) Does serum calcium in pre-eclampsia and normal pregnancy differ? Saudi Med J 22:868–871
Martinez-Abundis E, Gonzalez-Ortiz M, Pascoe-Gonzalez S (2000) Serum leptin levels and the severity of preeclampsia. Arch Gynecol Obstet 264:71–73
More C, Bhattoa HP, Bettembuk P, Balogh A (2003) The effects of pregnancy and lactation on hormonal status and biochemical markers of bone turnover. Eur J Obstet Gynecol Reprod Biol 106:209–213
Norwitz ER, Robinson JN, Repke JT (1999) Prevention of preeclampsia: is it possible? Clin Obstet Gynecol 42:436–454
Orhan H, Onderoglu L, Yucel A, Sahin G (2003) Circulating biomarkers of oxidative stress in complicated pregnancies. Arch Gynecol Obstet 267:189–195
Osmanagaoglu MA, Topcuoglu K, Ozeren M, Bozkaya H (2004) Coagulation inhibitors in preeclamptic pregnant women. Arch Gynecol Obstet DOI 10.1007/s00404-003-0596-4
Pedersen EB, Johannesen P, Kristensen S, Rasmussen AB, Emmertsen K, Moller J, Lauritsen JG, Wohlert M (1984) Calcium, parathyroid hormone and calcitonin in normal pregnancy and preeclampsia. Gynecol Obstet Invest 18:156–164
Phupong V, Dejthevaporn T, Tanawattanacharoen S, Manotaya S, Tannirandorn Y, Charoenvidhya D (2003) Predicting the risk of preeclampsia and small for gestational age infants by uterine artery Doppler in low-risk women. Arch Gynecol Obstet 268:158–161
Power ML, Heaney RP, Kalkwarf HJ, Pitkin RM, Repke JT, Tsang RC, Schulkin J (1999) The role of calcium in health and disease. Am J Obstet Gynecol 181:1560–1569
Repke JT, Villar J (1991) Pregnancy-induced hypertension and low birth weight: the role of calcium. Am J Clin Nutr 54:237S–241S
Richards SR, Nelson DM, Zuspan FP (1984) Calcium levels in normal and hypertensive pregnant patients. Am J Obstet Gynecol 149:168–171
Ritchie LD, Fung EB, Halloran BP, Turnlund JR, Van Loan MD, Cann CE, King JC (1998) A longitudinal study of calcium homeostasis during human pregnancy and lactation and after resumption of menses. Am J Clin Nutr 67:693–701
Roberts JM, Balk JL, Bodnar LM, Belizan JM, Bergel E, Martinez A (2003) Nutrient involvement in preeclampsia. J Nutr 133:1684S–1692S
Sanders R, Konijnenberg A, Huijgen HJ, Wolf H, Boer K, Sanders GT (1999) Intracellular and extracellular, ionized and total magnesium in pre-eclampsia and uncomplicated pregnancy. Clin Chem Lab Med 37:55–59
Serdar Z, Gur E, Colakoethullary M, Develioethlu O, Sarandol E (2003) Lipid and protein oxidation and antioxidant function in women with mild and severe preeclampsia. Arch Gynecol Obstet 268:19–25
Seydoux J, Girardin E, Paunier L, Beguin F (1992) Serum and intracellular magnesium during normal pregnancy and in patients with pre-eclampsia. Br J Obstet Gynaecol 99:207–211
Sibai BM, Villar MA, Bray E (1989) Magnesium supplementation during pregnancy: a double-blind randomized controlled clinical trial. Am J Obstet Gynecol 161:115–119
Standley CA, Whitty JE, Mason BA, Cotton DB (1997) Serum ionized magnesium levels in normal and preeclamptic gestation. Obstet Gynecol 89:24–27
Sulaiman S, Adeeb N, Muslim N, Ho CM (1995) Determination of mineral, parathyroid hormone, and 6-keto-prostaglandin-F1 alpha levels in pregnant women with hypertension and pre-eclampsia. Singapore Med J 36:637–640
Touyz RM (2003) Role of magnesium in the pathogenesis of hypertension. Mol Aspects Med 24:107–136
US Department of Health and Human Services, Public Health Service, National Institutes of Health (1994) Consensus development conference statement. Optimal calcium intake, vol 12. NIH, Bethesda, MD, pp 1–31
Var A, Kuscu NK, Koyuncu F, Uyanik BS, Onur E, Yildirim Y, Oruc S (2003) Atherogenic profile in preeclampsia. Arch Gynecol Obstet 268:45–47
Wongkitisophon K, Phupong V, Yamasmit W, Pansin P, Tannirandorn Y, Charoenvidhya D (2003) Correlation of 4- and 24-hour urine protein in women with initially diagnosed hypertensive disorders in pregnancy. J Med Assoc Thai 86:529–534
Zeni SN, Ortela Soler CR, Lazzari A, Lopez L, Suarez M, Di Gregorio S, Somoza JI, de Portela ML (2003) Interrelationship between bone turnover markers and dietary calcium intake in pregnant women: a longitudinal study. Bone 33:606–613
Zhao F (1989) Ca, Mg, Cu and Zn contents of the maternal and umbilical cord serum in pregnancy-induced hypertension. Zhonghua Fu Chan Ke Za Zhi 24:212–214; comment 252
Acknowledgements
The authors are grateful to Prof. Navapun Charuraks for technical assistance. This work is supported by grant number PP23, of the Ratchadapiseksompotch Fund, Faculty of Medicine, Chulalongkorn University.
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Sukonpan, K., Phupong, V. Serum calcium and serum magnesium in normal and preeclamptic pregnancy. Arch Gynecol Obstet 273, 12–16 (2005). https://doi.org/10.1007/s00404-004-0672-4
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DOI: https://doi.org/10.1007/s00404-004-0672-4