Studies on Haemoglobin, Serum Calcium and Ascorbic Acid Level in Normal Pregnant, Pre-Eclamptic and Eclamptic Patients

Jahan, Khurshid; Parvin, Maksuda; Mafiz, Abdullah Ibn

doi:10.3329/bjnut.v24i0.14032

Cited by 1 publication

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References 4 publications

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“…6 Local substantiation of the link between calcium and preeclampsia in Bangladesh is provided by a recent series of independent hospital-based cross-sectional and case-control studies (Supplemental Table 2). [65][66][67][68][69][70][71][72][73][74][75] Most studies have involved selection of cases with preeclampsia and eclampsia and matched normotensive controls, for whom paired serum or urinary calcium measurements were taken at either the same gestational duration or within the same time frame before delivery. Collectively, these studies suggest a decrease in total serum calcium during the third trimester, a cross-sectional association between lower calcium status and preeclampsia, and a doseresponse relationship between severity of deficiency and severity of disease.…”

Section: Hypertensive Disorders Of Pregnancymentioning

confidence: 99%

Calcium Deficiency in Bangladesh

2016

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Background Bangladesh incurs among the highest prevalence of stunting and micronutrient deficiencies in the world, despite efforts against diarrheal disease, respiratory infections, and protein energy malnutrition which have led to substantial and continuous reductions in child mortality over the past 35 years. Although programs have generally paid more attention to other micronutrients, the local importance of calcium to health has been less recognized. Objective To synthesize available information on calcium deficiency in Bangladesh in order to inform the design of an effective national calcium program. Methods We searched 3 online databases and a multitude of survey reports to conduct a narrative review of calcium epidemiology in Bangladesh, including population intake, determinants and consequences of deficiency, and tested interventions, with particular reference to young children and women of childbearing age. This was supplemented with secondary analysis of a national household survey in order to map the relative extent of calcium adequacy among different demographics. Results Intake of calcium is low in the general population of Bangladesh, with potentially serious and persistent effects on public health. These effects are especially pertinent to young children and reproductive-age women, by virtue of increased physiologic needs, disproportionately poor access to dietary calcium sources, and a confluence of other local determinants of calcium status in these groups. Conclusion A tablet supplementation program for pregnant women is an appealing approach for the reduction in preeclampsia and preterm birth. Further research is warranted to address the comparative benefit of different promising approaches in children for the prevention of rickets.

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