British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 20, Issue.: 11
Trace Elements Levels and Blood Pressure in Ghanaian Women Using Depot Medroxyprogesterone Acetate Contraceptive
Justice Afrifa1*, Samuel Essien-Baidoo1, Eric Gyamerah Ofori2 and Albert Abaka-Yawson1 1Department of Medical Laboratory Technology, University of Cape Coast, Cape Coast, Ghana. 2Department of Biochemistry, University of Cape Coast, Cape Coast, Ghana.
Justice Afrifa1*, Samuel Essien-Baidoo1, Eric Gyamerah Ofori2 and Albert Abaka-Yawson1
1Department of Medical Laboratory Technology, University of Cape Coast, Cape Coast, Ghana.
2Department of Biochemistry, University of Cape Coast, Cape Coast, Ghana.
(1) Sinan Ince, Department of Pharmacology and Toxicology, University of Afyon Kocatepe, Turkey.
(1) Abdulkarim Garba Mairiga, University of Maiduguri, Maiduguri, Nigeria.
(2) Viktoria Varvara Palla, National & Kapodistrian University of Athens,“Alexandra” General Hospital, Athens, Greece.
(3) Norman Goldstuck, University of Stellenbosch, Cape Town, South Africa.
(4) Christopher Ekpenyong, University of Uyo, Uyo, Nigeria.
(5) Baafuor Opoku, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.
Complete Peer review History: http://www.sciencedomain.org/review-history/18608
Background: The benefit of depot medroxyprogesterone acetate (DMPA) (an injectable contraceptive) relate to the fact that it has a very high efficacy in pregnancy prevention.
Aim: We investigated the effect of the hormonal contraceptive, DMPA on the levels of trace elements: (Selenium (Se), Copper (Cu), Zinc (Zn)) and blood pressure.
Materials and Methods: Fifty (50) women on DMPA and thirty (30) controls (who were not on DPMA) were recruited from the Kasoa Polyclinic in the Central Region of Ghana. Blood was collected for the estimation of trace elements using mass spectrometry. Blood pressure was measured and body mass index (BMI) calculated.
Results: Serum levels of Cu was found to be significantly elevated among participants on DMPA compared to healthy controls (P=0.002). Se levels were however slightly but insignificantly reduced (P=0.316) among participants on DMPA. There was also a significantly elevated diastolic blood pressure (76.00 ± 11.95 mmHg, P=0.03) among DMPA users compared to the controls. Serum Cu correlated positively with Zn(r=0.463) (P=0.001) among the DMPA users.
Conclusion: DMPA users had an increase in Cu with reduced Se levels as well as an increased blood pressure. However, no change in serum Zn concentration was seen among DMPA users compared to the controls.
Trace elements; depot medroxyprogesterone acetate; copper; blood pressure.
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DOI : 10.9734/BJMMR/2017/32565Review History Comments