Abstract
Background: Menopause is marked by decreased female sex hormones and many of the symptoms experienced during this phase may be related to changes in serum levels of certain trace minerals especially calcium and magnesium.
Aim: The main purpose of the study was to measure serum calcium and magnesium in postmenopausal women and to compare with that in pre-menopausal women.
Methods: Serum calcium and magnesium were estimated in 30 postmenopausal women and 30 premenopausal women, who were selected following inclusion and exclusion criteria. Statistical analysis was done by using Graph pad Quickcalcs calculator. Student's unpaired t test was done to compare between both groups and p-value was determined to know the statistical significance.
Results: Postmenopausal women were found to have lower serum calcium (8.659±0.91) and serum magnesium (1.63±0.16) when compared to premenopausal women who had serum calcium of (9.604 ± 0.70) and serum magnesium (2.48±0.55). The lowered calcium and magnesium levels were found to be extremely statistically significant with a p-value of <0.0001.
Conclusion: Serum calcium and magnesium were decreased in post-menopausal women when compared to pre-menopausal women, which needs to be corrected to avoid certain postmenopausal symptoms and other serious health problems. This may improve cardiovascular and bone health in post menopausal women.
References
- Masi, L. and Bilezikian, J.P. Osteoporosis: New hope for the future. Int. J. Fertil. Wom. Med., 1997, 42. 245-254.
- Motor Y,Shoya S. Ushimi C. Clinico- biochemical studies on flattening cattle with stiff gait as main symptom in Japan. Nat. inst Anim Health q (Tokyo)1980 Spring:20(1):23-29.
- Buda S, Stompor T, Sulowicz W. Kopec J, Szymczakiewicz- Multanowska A Janion M. The impact of changes in levels of calcium,phosphate and magnesium during hemodialysis on autonomic system reactivity as measured by heart rate variability analysis.PrzeglLek.2000;57(6):340-345
- Manios Y, Moschonis G, Grammatikaki E, Katsaroli I, Kanelou P, Tanagra S, Nutrition education in postmenopausal women: changes in dietary and cardiovascular indices.Maturitas. 2006 Nov 20; 55(4):338-347
- Gallagher, J.C., Kin, Yamu, H.K., Fowler, S.E., Dawson-Hughes, B., Dalsky, G.P. and Sherman, S.S. Calcitropic hormones and bone marker in the elderly. T. Bone Miner Res., 1998, 13, 475-482.
- Haris, S. and Dawson – Hughes, B. Rates of changes in bone mineral density of spine, heel, femoral neck and radius in healthy post menopausal women. Bone Miner., 1992, 17, 87-95.
- Moon, J., Bandy, B. and Dovison, A.J. Hypothesis: Etiology of arteriosclerosis. J. Am. Clin. Nutr., 1992, 11, 567-583.
- Dreosti and Ivore. Nutr. Rev., 1995, 53, 523 -527.
- Dimai, H.P. et al, J. Clin. Endocrino.l Metab.,. 1998, 83, 2742-2748.
- Saltman, P.D. and Strause, L.G. The role of trace minerals in osteoporosis. J. Am. Coll. Nutr., 1993, 12,384-389.
- Adriana VP, Gabriela P, Agata RC, Maria AR, Maria EPL, Nori GT. Mini review on Regulation of Intestinal calcium Absorption-Emphasis on Molecular Mechanisms of Transcellular Pathway. Digestion 2008; 77:22-34.
- Louis VA, Joseph EM, Sook WL. The Influence of age on the intestinal absorption of 47Ca in women and its relation to 47Ca absorption in postmenopausal osteoporosis. Journal of Clinical Investigation. 1965; 44(12):1960-1967.
- Arthur DC. Regulation of calcium and phosphate metabolism. In: Angelo A. L, Edgar V. L editor. Diseases of the parathyroid glands. New York: Springer publications; 2012. p 13-51.
- Nordin BE, Need AG, Morris HA, Horowitz M, Robertson WG. Evidence for a renal calcium leak in postmenopausal women. Journal of ClinicalEndocrinology and Metabolism. Feb 1991; 72(2):401- 407.
- Anke M. Role of trace elements in the dynamics of arteriosclerosis. Z Gesamte Inn Med. 1986;41(4):105-111.
- Groenestege WTM, Hoenderop JG, Lambertus VDH, Nine K, Bindels RJ. The Epithelial magnesium2+ channel transient receptor potential melastatin6 is regulated by dietary magnesium 2+ content and estrogens. Journal of American Society of Nephrology. 2006; 17:1035–1043.
- McNair P, Christiansen C, Transbol I. Effect of menopause and estrogen substitution therapy on magnesium metabolism. 1984; 10(2):84-87.
- Krumhar, Kim C., and Holly A. Johnson. "Composition for promoting healthy bone structure." U.S. Patent No. 6,447,809. 10 Sep. 2002.
- Anita Kumari, Vinita Kumari, Ratan Kumar, Kumari Rekha. Study of serum calcium level in pre and post menopausal women of Jamshedpur, Jharkhand. International Journal of of Scientific Study. September 2018;6(6):18-20.
- Naveenta G & Khushdeep SA. The Status of Trace Elements after Menopause: a comparative study. Journal of Clinical and Diagnostic Research. 2011;5(4):795-797.
- Sonu Yeldose1, Avinash S S2,*, Sreekantha3, Arun Kumar K4, Malathi M5, Shivashankara A R6Altered Levels of Serum and Urinary Calcium, Phosphate and Magnesium in Natural Menopausal Versus Surgical Menopausal South Indian Women: A Case Control Study. International Journal of Clinical Biochemistry and Research 2015;2(3):177-181
- Neale WM, Roberto P. Estrogen deficiency and bone loss: an inflammatory tale. Journal of Clinical Investigation. 2006; 116:1186–1194.
- Haris, S. and Dawson – Hughes, B. Rates of changes in bone mineral density of spine, heel, femoral neck and radius in healthy post menopausal women. Bone Miner., 1992, 17, 87-95.
- Mutlu M, Argun M, Kilic E, Saraymen R, Yazar S. Magnesium, zinc and copper status in osteoporotic, osteopenic and normal post-menopausal women. J Int Med Res. 2007; 35(5):692-695
- Fazlini, M.F. Suriah, A.R., Zaitun, Y.,Kandiah,M., Chee, W.S.S., Chan,Y.M. and Chan ,S.P. Calcium supplementation amongst postmenopausal women:Effect on serum calcium, phosphorus and magnesium level. International Food Research Journal. 2013; 20(1):477-480
- Héctor Vázquez-Lorente 1,* Lourdes Herrera-Quintana ¹, Jorge Molina-López 20, Yenifer Gamarra-Morales 1*, Beatriz López-González ¹, Claudia Miralles-Adell ¹ and Elena Planells Response of Vitamin D after Magnesium Intervention in a Postmenopausal Population from the Province of Granada, Spain. Nutrients 2020,12(08),2283
Corresponding Author
Dr. Lanke Vani
Department of Physiology, Government Medical College, Machilipatnam, Andhra Pradesh, India