Effect of oral supplementation of calcium and conjugated linoleic acid in high risk
Titel:
Effect of oral supplementation of calcium and conjugated linoleic acid in high risk
Auteur:
Herrera Julián Alberto Shahabuddin AKM Faisal Mohamad Ersheng Gao
Verschenen in:
Colombia médica
Paginering:
Jaargang 35 (2004) nr. 1 pagina's 31-37
Jaar:
2004
Inhoud:
Objective: To determine the effect of low doses of conjugated linoleic acid (CLA) and calcium on plasma levels of thromboxane B2, insulin, aldosterone, ultrasensisitive C reactive protein, cyclic GMP, and the efficacy of this treatment in the prevention of pregnancy-induced hypertension. Methods: In a randomized, double-blind, placebo-controlled study 48 primigravidas with high risk for developing preeclampsia (diastolic notch in uterine or arcuate arteries) were treated with daily doses of 450 mg conjugated linoleic acid (CLA) and 600 mg elemental calcium (n=24) or 450 mg starch and 600 mg lactose placebo (n=24) from 18-22 weeks gestation until birth. Results: Two women in the experimental group (8.3%) developed pregnancy-induced hypertension (PIH) compared with 10 (41.7%) controls (relative risk 0.20, 95% CI 0.05-0.82, p=0.01). There were no significant differences between the serum levels of thromboxane B2, insulin, aldosterone, cyclic GMP, ultrasensisitive C reactive protein after 4 weeks of treatment in both groups. There were no serious maternal or neonatal side effects in either group. Conclusions: The administration of low daily doses of conjugated linoleic acid and calcium early in the pregnancy reduced the incidence of PIH significantly in women at high risk without effects on plasma levels of thromboxane B2, insulin, aldosterone, cyclic GMP, or inflammatory response and with adequate pharmacology tolerance.
Uitgever:
Corporación Editora Médica del Valle (provided by DOAJ)