Serum concentration of calcium, magnesium and zinc in normotensive versus preeclampsia pregnant women: A descriptive study in women of Kerman province of Iran.

Homeira Vafaei, Maryam Dalili, Seyed Amin Hashemi
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Abstract

Background: Preeclampsia is a disorder of pregnancy without any specific reasons that characterized by high blood pressure and large amounts of protein in the urine. This disorder is caused by multiple factors and finding any factor related to this disorder can help on time prevention of this disease.

Objective: In this study, serum levels of calcium (Ca), magnesium (Mg) and zinc (Zn) were evaluated in preeclampsia women and compared to normotensive ones.

Materials and methods: This was a case-control study on 40 normotensive pregnancies as controls, 20 mild and 20 severe preeclamptic pregnancies as case groups. The women were studied in their 28-40 weeks of pregnancy. Simple random sampling was done based on inclusion and exclusion criteria and data were collected by blood sampling.

Results: The serum Ca levels of 4.96±0.62, 4.89±0.34, 5.05±0.35 mg/dL, Mg levels of 0.83±0.08, 0.85±0.11, 0.84±0.11 mg/dL and Zn levels of 107.55±22.74, 108.00±22.40, 107.50±22.30 mg/dL was detected in normotensive, mild and severe preeclampsia, respectively. Statistical analysis revealed that there were no significant differences between three groups in serum levels of Ca (p=0.6), Mg (p=0.827) and Zn (p=0.997).

Conclusion: The findings of this study showed that the assessment of serum Ca, Mg and Zn levels does not have any clinical values for predicting and/or managing of preeclampsia. However, based on the positive relationship between serum Ca and Mg concentration and the severity of preeclampsia in this study, we recommend assessment of serum levels of these two mineral elements as indices of the severity of preeclampsia.

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血压正常与子痫前期孕妇血清钙、镁、锌浓度:伊朗克尔曼省妇女的一项描述性研究
背景:子痫前期是一种无特殊原因的妊娠疾病,以高血压和尿中大量蛋白质为特征。这种疾病是由多种因素引起的,发现任何与这种疾病有关的因素都有助于及时预防这种疾病。目的:评价子痫前期妇女血清钙(Ca)、镁(Mg)、锌(Zn)水平,并与血压正常者进行比较。材料与方法:以40例正常妊娠为对照,20例轻度和20例重度子痫前期妊娠为病例组。研究对象是怀孕28-40周的女性。根据纳入标准和排除标准进行简单随机抽样,采用采血法收集资料。结果:正常、轻度、重度子痫前期患者血清Ca水平分别为4.96±0.62、4.89±0.34、5.05±0.35 mg/dL, mg水平分别为0.83±0.08、0.85±0.11、0.84±0.11 mg/dL, Zn水平分别为107.55±22.74、108.00±22.40、107.50±22.30 mg/dL。经统计学分析,三组患者血清Ca (p=0.6)、Mg (p=0.827)、Zn (p=0.997)水平差异均无统计学意义。结论:本研究结果表明,血清Ca, Mg和Zn水平的评估对预测和/或治疗子痫前期没有任何临床价值。然而,基于本研究中血清Ca和Mg浓度与子痫前期严重程度的正相关,我们建议评估这两种矿物质元素的血清水平作为子痫前期严重程度的指标。
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93
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6-12 weeks
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