Back to Journals » International Journal of Women's Health » Volume 13

Calcium Consumption During Pregnancy: A Multicenter Study in a Middle-Income Country in Southeast Asia

Authors Panburana P, Komwilaisak R, Tongprasert F, Phadungkiatwattana P, Kor-anantakul O, Lumbiganon P

Received 7 October 2020

Accepted for publication 28 December 2020

Published 6 January 2021 Volume 2021:13 Pages 31—38


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Elie Al-Chaer

Panyu Panburana,1 Ratana Komwilaisak,2 Fuanglada Tongprasert,3 Podjanee Phadungkiatwattana,4 Ounjai Kor-anantakul,5 Pisake Lumbiganon2

1Department of Obstetrics & Gynecology, Faculty of Medicine, Ramathibodi University Hospital, Mahidol University, Bangkok, Thailand; 2Department of Obstetrics & Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 3Department of Obstetrics & Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 4Rajavithi Hospital, Ministry of Public Health, Bangkok, Thailand; 5Department of Obstetrics & Gynecology, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, Hat Yai, Songkhla, Thailand

Correspondence: Panyu Panburana
Department of Obstetrics & Gynecology, Faculty of Medicine, Ramathibodi University Hospital, Mahidol University, Bangkok, Thailand

Objective: To perform a cross-sectional observational study of calcium consumption among pregnant women from multicenter tertiary care hospitals in the middle-income country in Southeast Asia.
Study Design: A cross-sectional observational study.
Setting: The study was conducted in four geographical regions (northern, northeastern, southern, and central) of Thailand. Five participating hospitals consisted of one university hospital in each region and one additional tertiary care hospital in the central region.
Materials and Methods: A cross-sectional study was performed nationwide from 1st November 2017 to 31st January 2019. All singleton aged 19– 40 years were included. Exclusion criteria were any conditions that influenced calcium-containing food consumption. Dietary intake self-records immediately after eating for two working days and one holiday were analyzed via INMUCAL-NV3.0 dietary program.
Results: The 1549 records were obtained. The mean age was 29 ± 5.7 years. Most participants were primigravida (48.6%). The average gestational age was 20.6 ± 8.8 weeks. Mean calcium consumption was 602.4 mg/day (95% CI; 589.2615.6 mg/day) mg/dL. Inadequate calcium consumption prevalence based on the Thai dietary reference intake (less than 800 mg/day) and US Institute of Medicine (less than 1000 mg/day) were 82.0% and 93.4%, respectively.
Conclusion: The mean calcium consumption among pregnant women in the middle-income country in Southeast Asia was 602.4 mg/day (95% CI 589.2– 615.6 mg/day). Inadequate calcium consumption of Thai pregnant women prevalence was 82.0% and 93.4% according to Thai dietary reference intake in pregnancy and the US Institute of Medicine.

Keywords: calcium consumption, pregnancy, a middle-income country, Southeast Asia

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]