Longitudinal assessment of calcium and magnesium levels in women with preeclampsia
Longitudinal assessment of calcium and magnesium levels in women with preeclampsia
The present study reports the levels of maternal serum calcium and magnesium from early pregnancy until delivery, along with cord levels, in women who developed preeclampsia (PE) and compares them with those without PE. A total of 324 pregnant women (216 non-PE and 108 PE women) were included in this retrospective case-control study of prospectively collected data nested in an observational cohort study. Maternal blood was collected at 4 time points during pregnancy (V1 = 11-14 weeks, V2 = 18-22 weeks, V3 = 26-28 weeks, and V4 = at delivery) and umbilical cord blood at delivery. Independent t tests were used to compare calcium, magnesium, and their ratio between two groups, and their associations with PE were studied using regression models. Calcium levels were similar between groups at all time points. Magnesium levels were lower (p = 0.021) at V2 in PE group as compared with non-PE group. Maternal calcium and magnesium levels were negatively associated, with blood pressure in early pregnancy. In fully adjusted logistic regression analysis, lower magnesium levels were associated with an increased risk of PE at V2 (OR 0.25 [95% CI 0.07, 0.94] p = 0.04). Lower magnesium in mid-pregnancy was associated with higher risk of PE. These changes were observed before the diagnosis of PE, thereby suggesting that they may have a role in the etiology of PE.
Blood pressure, Calcium, Magnesium, Preeclampsia, Prospective study
Wadhwani, Nisha
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Dangat, Kamini
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Randhir, Karuna
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Poddar, Anupam
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Joshi, Prachi
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Pisal, Hemlata
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Kadam, Vrushali
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Bakshi, Ravleen
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Chandhiok, Nomita
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Lalwani, Sanjay
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Mehendale, Savita
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Wagh, Girija
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Gupte, Sanjay
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Sachdev, Harshpal Singh
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Fall, Caroline
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Joshi, Sadhana
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Wadhwani, Nisha
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Dangat, Kamini
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Randhir, Karuna
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Poddar, Anupam
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Joshi, Prachi
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Pisal, Hemlata
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Kadam, Vrushali
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Bakshi, Ravleen
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Chandhiok, Nomita
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Lalwani, Sanjay
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Mehendale, Savita
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Wagh, Girija
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Gupte, Sanjay
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Sachdev, Harshpal Singh
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Fall, Caroline
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Joshi, Sadhana
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Wadhwani, Nisha, Dangat, Kamini, Randhir, Karuna, Poddar, Anupam, Joshi, Prachi, Pisal, Hemlata, Kadam, Vrushali, Bakshi, Ravleen, Chandhiok, Nomita, Lalwani, Sanjay, Mehendale, Savita, Wagh, Girija, Gupte, Sanjay, Sachdev, Harshpal Singh, Fall, Caroline and Joshi, Sadhana
(2022)
Longitudinal assessment of calcium and magnesium levels in women with preeclampsia.
Biological trace element research.
(doi:10.1007/s12011-022-03440-y).
Abstract
The present study reports the levels of maternal serum calcium and magnesium from early pregnancy until delivery, along with cord levels, in women who developed preeclampsia (PE) and compares them with those without PE. A total of 324 pregnant women (216 non-PE and 108 PE women) were included in this retrospective case-control study of prospectively collected data nested in an observational cohort study. Maternal blood was collected at 4 time points during pregnancy (V1 = 11-14 weeks, V2 = 18-22 weeks, V3 = 26-28 weeks, and V4 = at delivery) and umbilical cord blood at delivery. Independent t tests were used to compare calcium, magnesium, and their ratio between two groups, and their associations with PE were studied using regression models. Calcium levels were similar between groups at all time points. Magnesium levels were lower (p = 0.021) at V2 in PE group as compared with non-PE group. Maternal calcium and magnesium levels were negatively associated, with blood pressure in early pregnancy. In fully adjusted logistic regression analysis, lower magnesium levels were associated with an increased risk of PE at V2 (OR 0.25 [95% CI 0.07, 0.94] p = 0.04). Lower magnesium in mid-pregnancy was associated with higher risk of PE. These changes were observed before the diagnosis of PE, thereby suggesting that they may have a role in the etiology of PE.
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REVAMP study Calcium Magnesium accepted version
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Accepted/In Press date: 3 October 2022
e-pub ahead of print date: 10 October 2022
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© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Keywords:
Blood pressure, Calcium, Magnesium, Preeclampsia, Prospective study
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Local EPrints ID: 473431
URI: http://eprints.soton.ac.uk/id/eprint/473431
ISSN: 0163-4984
PURE UUID: 99e2ace8-3cb6-4b60-9691-897f4266801a
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Date deposited: 18 Jan 2023 17:31
Last modified: 17 Mar 2024 07:34
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Contributors
Author:
Nisha Wadhwani
Author:
Kamini Dangat
Author:
Karuna Randhir
Author:
Anupam Poddar
Author:
Prachi Joshi
Author:
Hemlata Pisal
Author:
Vrushali Kadam
Author:
Ravleen Bakshi
Author:
Nomita Chandhiok
Author:
Sanjay Lalwani
Author:
Savita Mehendale
Author:
Girija Wagh
Author:
Sanjay Gupte
Author:
Harshpal Singh Sachdev
Author:
Sadhana Joshi
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