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Pregnancy increases urinary loss of carnitine and reduces plasma carnitine in Korean women

Published online by Cambridge University Press:  08 March 2007

Sang-Woon Cho
Affiliation:
Department of Food Science & Research Institute of Human Ecology, Chonbuk National University, Jeonju, 561-756, Korea
Youn-Soo Cha*
Affiliation:
Department of Food Science & Research Institute of Human Ecology, Chonbuk National University, Jeonju, 561-756, Korea
*
*Corresponding author: Dr Y.-S. Cha, fax +82 63 270 3854, email Cha8@chonbuk.ac.kr
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Abstract

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This study compared plasma and urinary carnitine concentrations in pregnant and non-pregnant Korean women. The subjects were fifty pregnant women and thirty non-pregnant women aged 24–28 years. During the first trimester, dietary carnitine intakes in the pregnant women were much lower than in non-pregnant women (70·00 (sd 29·22) μmol/d), but over the course of pregnancy carnitine intake increased from 44·64 (sd 24·84) μmol/d during the first trimester to 96·11 (sd 36·56) μmol/d during the third trimester. Pregnant women had a significantly lower plasma carnitine concentration than non-pregnant women. Plasma concentrations of non-esterified carnitine, acid-soluble acylcarnitine and total carnitine were significantly lower during the second and third trimesters than the first. Plasma acid-insoluble acylcarnitine levels, which tended to be higher in the non-pregnant women compared with the pregnant women, increased significantly as gestation proceeded. The urinary excretion of non-esterified carnitine, acid-soluble acylcarnitine and total carnitine was significantly higher in the pregnant women during the first and second trimesters than in non-pregnant women and decreased significantly as gestation proceeded. We found that there was a significant decrease in plasma carnitine level even though dietary carnitine intake increased as gestation proceeded. The low urinary excretion of carnitine in late pregnancy may be caused by an increased demand during pregnancy.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2005

References

Akisu, M, Belker, C, Yalar, M, Huseyinov, A & & Kulbursay, N (2001) Free carnitine concentrations in cord blood in preterm and full-term infants with intrauterine growth retardation. Pediatr Int 43, 107108.CrossRefGoogle ScholarPubMed
Bargen-Lockner, C, Hahn, P & Wittman, B (1981) Plasma carnitine in pregnancy. Am J Obstet Gynecol 140, 412414.CrossRefGoogle ScholarPubMed
Bayes, R, Campony, C, Molina-Font, JA (1990) Plasma lipid changes in the neonatal period. Int Pediatr 5, 360365.Google Scholar
Borum, PR (1980) Regulation of the carnitine concentration in plasma. In Carnitine Biosynthesis, Metabolism and Function, pp. 115126 [Frenkel, RA, McGarry, JD, editors]. New York: Academic Press.CrossRefGoogle Scholar
Borum, PR (1995) Role of carnitine during development. Can J Physiol Pharmacol 63, 571576.CrossRefGoogle Scholar
Boulat, O, Janin, B, Francioli, P & Bachmann, C (1993) Plasma carnitines: reference values in an ambulatory population. Eur J Clin Chem Clin Biochem 31, 585589.Google Scholar
Bremer, J (1983) Carnitine–metabolism and functions. Physiol Rev 63 4 14201480.CrossRefGoogle ScholarPubMed
Butte, NF (2000) Carbohydrate and lipid metabolism in pregnancy: normal compared with gestational diabetes mellitus. Am J Clin Nutr 71, Suppl.1256S1261S.CrossRefGoogle ScholarPubMed
Campony, C, Bayes, R, Molina-Font, JA (1991) Energetic and metabolic adaptation at birth of the premature newborn infant. Riv Pediatr Prev Soc 41, 193198.Google Scholar
Campony, C, Bayes, R, Molina-Font, JA (1992) Adaptative changes of energy substrata in neonatal period. J Perinat Med 20, Suppl. 1167Google Scholar
Campony, C, Liemalahi, S, Rivero, M, Lopez, C & Bayes, R (1996) Capacity for fatty acid oxidation in neonatal period. J Perinat Med 1 Suppl. 1366Google Scholar
Cederblad, G (1976) Plasma carnitine and body composition. Clin Chim Acta 67, 207212.CrossRefGoogle ScholarPubMed
Cederblad, G (1987) Effect of diet on plasma carnitine levels and urinary carnitine excretion in humans. Am J Clin Nutr 45, 725729.CrossRefGoogle ScholarPubMed
Cederblad, G & Lindstedt, S (1972) A method for determination of carnitine in picomole range. Clin Chim Acta 37, 235243.CrossRefGoogle ScholarPubMed
Cederblad, G, Fahraeus, L & Lindgren, K (1986) Plasma carnitine and renal carnitine clearance during pregnancy. Am J Clin Nutr 44, 379383.CrossRefGoogle ScholarPubMed
Cederblad, G, Niklasson, A & Rydgren, B (1985) Carnitine in maternal and neonatal plasma. Acta Ped Scand 74, 500504.CrossRefGoogle ScholarPubMed
Cha, YS, Li, B, Sachan, DS & Whelan, J (1997) Dietary docosahexaenoic acid decreases plasma triglycerides with mixed effects on indices of β-oxidation. Korean J Nutr 30, 10671072.Google Scholar
Chalmers, RA, Roe, CR & Tracey, BM (1983) Secondary carnitine insufficiency in disorders of organic-acid metabolism; modulation of acyl-CoA/CoA ratios by l -carnitine in vivo. Bioch Soc Trans 11, 724CrossRefGoogle Scholar
Chen, SH & Lincoln, SD (1977) Increased serum carnitine concentration in renal insufficiency. Clin Chen 23, 278280.CrossRefGoogle ScholarPubMed
Chiang, AN, Yang, ML, Hung, JH, Chou, P, Shyn, SK & Ng, HT (1995) Alterations of serum lipid levels and their biological relevances during and after pregnancy. Life Sci 26, 23672375.Google Scholar
Desoye, G, Schweditsch, MO, Pfeiffer, KP, Zechner, R & Kostner, GM (1987) Correlation of hormones with lipid and lipoprotein levels during normal pregnancy and postpartum. J Clin Endocrinol Metab 64, 704712.CrossRefGoogle ScholarPubMed
DiMauro, S, Scott, C, Penn, AS & Rowland, LP (1973) Serum carnitine. Arch Neurol 28, 186190.CrossRefGoogle ScholarPubMed
Friedewald, WT, Levy, RI & Fedrickson, DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma without the use of the preparative ultracentrifuge. Clin Chem 18, 499502.CrossRefGoogle ScholarPubMed
Frohlich, J, Seccombe, DW, Hahn, P, Dodek, P & Hynie, I (1978) Effect of fasting on free and esterified carnitine levels in human serum and urine: correlation with serum levels of free fatty acids and β-hydroxybutyrate. Metabolism 27, 555561.CrossRefGoogle ScholarPubMed
Fuller, RK & Hoppel, CL (1983) Elevated plasma carnitine in hepatic cirrhosis. Hepatology 3, 554558.CrossRefGoogle ScholarPubMed
Giovannini, M, Agostoni, EC & Salar, PC (1991) Is carnitine essential in children?. J Int Med Res 19, 88102.CrossRefGoogle ScholarPubMed
Hahn, P & Skala, J (1975) The role of carnitine in brown adipose tissue of suckling rats. Comp Biochem Physiol 51, 507515.Google ScholarPubMed
Hahn, P, Skala, J, Seccombe, DW, Frohlich, J, Penn-Walker, D, Novak, M, Hynie, I & Towell, ME (1977) Carnitine content of blood and amniotic fluid. Pediatr Res 11, 878880.CrossRefGoogle ScholarPubMed
Harpey, JP, Charpentier, C, Coude, M, Divry, P, Paturneau-Jouas, M (1987) Sudden infant death syndrome and multiple acyl-coenzyme A dehydrogenase deficiency, ethylmalonic-adipic aciduria, or systemic carnitine deficiency. J Pediatr 110, 881884.CrossRefGoogle ScholarPubMed
Henry, RJ (1967) Determination of creatine and creatinine. In Clinical Chemistry: Principles and Technique, p. 292 [Henry, RJ, editors]. New York: Harper & Row.Google Scholar
Hoppel, CL & Genuth, SM (1980) Carnitine metabolism in normal weight and obese human subjects during fasting. Am J Physiol 238, E409E415.Google ScholarPubMed
Khan-Siddiqui, L & Banji, MS (1980) Plasma carnitine levels in adult males in India: effects of high cereal, low fat diet, fat supplementation, and nutrition status. Am J Clin Nutr 33, 12591263.CrossRefGoogle ScholarPubMed
King, JC (2000) Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr 71 Suppl.1218S1225S.CrossRefGoogle ScholarPubMed
Lambert, ME, Shipley, K, Holbrook, I, Faragher, EB & Irving, MH (1988) Serum carnitine levels in normal individuals. J Parent Ent Nutr 12, 143146.CrossRefGoogle ScholarPubMed
Lee, YK, Park, YO & Cha, YS (2002) Carnitine content of common Korean foods. J Nutraceuticals Food 7, 293298.Google Scholar
Lombard, KA, Olson, AL, Nelson, SE & Rebouche, CJ (1989) Carnitine status of lactoovovegetarians and strict vegetarian adults and children. Am J Clin Nutr 50, 301306.CrossRefGoogle ScholarPubMed
Mitchell, ME & Snyder, EA (1991) Dietary carnitine effects on carnitine concentrations in urine and milk in lactating women. Am J Clin Nutr 54, 814820.CrossRefGoogle ScholarPubMed
Novak, M, Mokus, E, Chung, D & Buch, M (1981) Carnitine in the perinatal metabolism of lipids. Relationship between maternal and fetal plasma levels of carnitine and acylcarnitines. Pediatrics 67, 95100.CrossRefGoogle ScholarPubMed
Ordovas, JM, Pocivi, M & Grande, F (1984) Plasma lipids and cholesterol esterification rate during pregnancy. Obstet Gynecol 63, 2025.Google ScholarPubMed
Osmundsen, H, Bremer, J & Pedersen, JI (1991) Metabolic aspects of peroxisomal β-oxidation. Biochem Biophys Acta 1085, 141158.CrossRefGoogle ScholarPubMed
Pitkin, RM (1999) Energy in pregnancy. Am J Clin Nutr 69, 583CrossRefGoogle ScholarPubMed
Rebouche, CJ (1992) Carnitine function and requirements during the life cycle. FASEB J 6, 33793386.CrossRefGoogle ScholarPubMed
Rebouche, CJ, Lombard, KA & Chenard, CA (1993) Renal adaptation to dietary carnitine in humans. Am J Clin Nutr 58, 660665.CrossRefGoogle ScholarPubMed
Robles-Valdes, C, McGarry, JD & Foster, DW (1976) Maternal–fetal carnitine relationships and neonatal ketosis in the rat. J Biol Chem 251, 60076012.CrossRefGoogle ScholarPubMed
Rudman, D, Sewell, CW & Ansley, JD (1977) Deficiency of carnitine in cachectic cirrhetic patients. J Clin Invest 60 3 716723.CrossRefGoogle ScholarPubMed
Sachan, DS, Daily, JW, Munre, SG & Beauchene, RE (1997) Vegetarian elderly women may risk compromised carnitine status. Vegetarian Nutr 1, 6469.Google Scholar
Sachan, DS, Rhew, TH & Ruark, RA (1984) Ameliorating effects of carnitine and its precursors on alcohol-induced fatty liver. Am J Clin Nutr 39, 738744.CrossRefGoogle ScholarPubMed
Schmidt-Sommerfeld, E, Penn, D & Wolf, H (1981) The influence of maternal fat metabolism on fetal carnitine levels. Early Hum Dev 5, 233242.CrossRefGoogle ScholarPubMed
Scholte, HR, Stinis, JT & Jennekens, FGI (1978) Low carnitine levels in serum of pregnant women. N Engl J Med 229, 10791080.Google Scholar
Stipout, WA, Hofman, A & Bruijn, AM (1987) Serum lipids in young women before, during, and after pregnancy. Am J Epidemiol 126, 922928.CrossRefGoogle Scholar