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WORLD HEALTH ORGANIZATION SYSTEMATIC REVIEW OF THE LITERATURE AND MULTINATIONAL NUTRITIONAL SURVEY OF CALCIUM INTAKE DURING PREGNANCY

Published online by Cambridge University Press:  10 August 2005

M MERIALDI
Affiliation:
UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, Geneva, Switzerland
M MATHAI
Affiliation:
Christian Medical College, Vellore, India
NTN NGOC
Affiliation:
Hung Vuong Hospital, Ho Chi Minh City, Vietnam
M PURWAR
Affiliation:
Governmental Hospital and College, Nagpur, India
L CAMPODONICO
Affiliation:
Centro Rosarino de Estudios Perinatales (CREP), Rosario Argentina
H ABDEL-ALEEM
Affiliation:
Department of Obstetrics and Gynaecology, Assiut University Hospital, Assiut, Egypt
GJ HOFMEYR
Affiliation:
East London Hospital Complex/University of the Witwatersrand/University of Fort Hare, South Africa
MX ROJAS
Affiliation:
Clinical Epidemiology and Biostatistics Unit. Faculty of Medicine. Pontificia Universidad Javeriana, Bogotá, Colombia
R PEREZ-CUEVAS
Affiliation:
Unidad de Investigación Epidemiologica y en Servicios de Salud. CMN Siglo XXI, Mexico DF, Mexico
G JOSEPH
Affiliation:
Christian Medical College, Vellore, India
NT HIEU
Affiliation:
Hung Vuong Hospital, Ho Chi Minh City, Vietnam
NA RADHA
Affiliation:
Governmental Hospital and College, Nagpur, India
V MOTGHARE
Affiliation:
Governmental Hospital and College, Nagpur, India
G CARROLI
Affiliation:
Centro Rosarino de Estudios Perinatales (CREP), Rosario Argentina
CERRO S DEL
Affiliation:
Centro Rosarino de Estudios Perinatales (CREP), Rosario Argentina
D GIORDANO
Affiliation:
Centro Rosarino de Estudios Perinatales (CREP), Rosario Argentina
A AHMED
Affiliation:
Department of Obstetrics and Gynaecology, Assiut University Hospital, Assiut, Egypt
VC NIKODEM
Affiliation:
East London Hospital Complex/University of the Witwatersrand/University of Fort Hare, South Africa
L MANGESI
Affiliation:
East London Hospital Complex/University of the Witwatersrand/University of Fort Hare, South Africa
A ROODT
Affiliation:
East London Hospital Complex/University of the Witwatersrand/University of Fort Hare, South Africa
FA MAHMOUD
Affiliation:
Hospital Naciónal Alejandro Posadas, Argentina, Buenos Aires.
G PIAGGIO
Affiliation:
UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, Geneva, Switzerland
J VILLAR
Affiliation:
UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, Geneva, Switzerland

Extract

In 1999, the US Food and Nutrition Board revised the Adequate Intake (AI) for calcium in pregnancy and recommended 1000 mg/day for adult pregnant women and 1300 mg/day for adolescent women (<19 years). Our interest, from the perspective of an international health organization, was to assess if pregnant women globally meet those requirements. This is particularly important because, among the various biological functions of calcium, the potential protective effect of adequate calcium intake in pregnancy on the risk of pre-eclampsia may have major public health implications, pre-eclampsia being one of the most important causes of maternal and perinatal mortality world-wide. Therefore, we conducted a systematic review of studies, published from 1991 to 2004, that assessed calcium dietary intake in pregnant women. In addition, we conducted a multicentre survey of calcium dietary intake during pregnancy among nulliparous women attending antenatal care in developing countries. This survey was conducted before starting a large calcium supplementation multicentre trial: the WHO Calcium Supplementation Trial in Low Calcium Intake Women for the Prevention of Pre-eclampsia. This article presents the results of the systematic review and of the multicentre survey.

Type
Research Article
Copyright
© 2005 Cambridge University Press

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Footnotes

The views expressed in this document are solely the responsibility of the authors and do not necessarily represent the views of the World Health Organization or its Member States.
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