Subclinical Hypocalcemia Research Articles

Association between non-esterified fatty acids and calcium concentrations at calving with early lactation clinical diseases, fertility and culling in grazing dairy cows in Uruguay

This study describes the association of non-esterified fatty acids (NEFA) and calcium concentrations at calving with early lactation disease, reproductive performance and culling in 646 dairy cows from 13 commercial grazing dairy herds in Uruguay. During one year, health events were recorded from calving to 30 days in milk (DIM). The first author visited each farm every 20 days. During each visit, body condition score (BCS) was recorded (scale 1–5), defining BCS < 3 as suboptimal and BCS > 3 as optimal, and a blood sample was taken from cows between 0 and 4 DIM for metabolite determination. To evaluate the association between health events (i.e., retained placenta-metritis and clinical mastitis) and risk factors (parity, BCS, high NEFA (> 0.6 mmol/L) and subclinical hypocalcemia (SCH) (< 2.10 mM)) data were analysed using multivariable logistic regression models. To evaluate the association of health events and risk factors with reproductive performance and culling, data were analysed using Cox proportional hazard regression models. A risk factor and an outcome of interest were assumed to be associated at P < 0.05 and a tendency to be associated was defined at P < 0.10. Overall, 47 % (n = 303) of the cows showed elevated NEFA concentration and 77 % (n = 499) had SCH. In addition, 21.5 % (n = 139) of the cows recorded at least one clinical disease. Cumulative incidence was 17 % (n = 109) for clinical mastitis, 4.2 % (n = 27) for retained placenta (RP)-metritis and 1.4 % (n = 7) for lameness. Clinical mastitis was associated with parity, with lower odds in primiparous (PP) cows (OR = 0.42, P < 0.01). Cows in an optimal BCS also tended to have lower odds (OR = 0.66, P = 0.07). Moreover, high NEFA and SCH cows had higher odds of CM (OR = 4.5, P = 0.01 and OR = 1.75, P = 0.04, respectively). Retained placenta-metritis tended to be associated with high NEFA concentration (OR = 2.2, P = 0.06). Primiparous cows with suboptimal BCS showed an increased first insemination rate (HR = 2.34; P < 0.01). The risk of culling was lower in PP cows (HR = 0.19; P < 0.01) and in cows with optimal BCS and low NEFA concentration (HR = 0.38; P = 0.03). Our data show that metabolic challenge (defined as peripartum suboptimal BCS, high NEFA or SCH) is associated with increased odds of clinical mastitis and RP-metritis, decreased probability of insemination and increased hazard of culling. Under grazing conditions, we suggest that farm management to improve the metabolic adaptation to lactation represents an opportunity to enhance cow performance in terms of health, fertility and longevity.

Subclinical hypocalcemia in primiparous lacaune ewes

Peripartum in sheep is a critical period of high nutritional demand, as the animal's body undergoes several physiological changes due to the high energy expenditure for the development of one or more fetuses and for maintenance, and metabolic disturbances can occur. The aim of this study was to assess the influence of subclinical hypocalcemia in the pre-partum period on the metabolism of primiparous Lacaune ewes in the peripartum period. Thirteen primiparous Lacaune ewes with an average body weight of 73.54 ± 10.70 kg, an average body score of 3.12 ± 0.42 and an average age of 0.85 ± 0.55 pairs of teeth were used. Blood samples and body condition score evaluations were taken from the ewes on days -14, -9 and -4 days before they were due to give birth and on days 1, 3, 7 and 14 days after giving birth. The ewes' serum was analyzed for calcium (Ca), magnesium (Mg), non-esterified fatty acids (NEFA), beta hydroxy butyrate (BHB), aspartate aminotransferase (AST), gamma glutamyl transferase (GGT), paraoxonase 1 (PON1), albumin (ALB), total plasma proteins (PPT) and urea. The animals were categorized according to their average prepartum Ca levels into the normocalcemic group (NC ≥ 9.41) and subclinical hypocalcemia (HC &lt; 9.41 mg/dl). The data was analyzed using SAS software. The number of lambs at birth did not influence serum calcium levels in primiparous ewes (P= 0.4687). There was an interaction between group and collection on calcium (P=0.0166) and magnesium (P=0.0428) levels. The highest level of magnesium was observed in the normocalcemic group at collection -14, while the lowest level of calcium was observed in the hypocalcemic group at collection -14. There was a collection effect on body condition score (BCS), NEFA, BHB, AST and GGT (P&lt;0.05). The lowest BCS (P = 0.0300) and the highest levels of NEFA (P = 0.0143) and BHBA (P = 0.0316) were observed on day 14 after calving. Higher levels of AST and GGT were observed in the postpartum period (P&lt;0.05). The number of lambs at birth does not influence calcemia, and negative energy balance is more pronounced after birth in primiparous Lacaune ewes.

Effects of induced subclinical hypocalcemia in early lactation Holstein cows without milking during infusion on PTH and serotonin concentrations

The transition to lactation demands a substantial amount of calcium (Ca) to support colostrum and milk production. Extensive research has been focused on elucidating the interplay between the traditional Ca-parathyroid hormone-vitamin D axis and mammary-derived factors, such as serotonin (5-HT) and parathyroid-hormone-like hormone (PTHLH), in regulating Ca metabolism during the transition period. Here, we investigate the impact of induced subclinical hypocalcemia (SCH) on 5-HT and parathyroid hormone (PTH) concentrations in early lactation dairy cows under conditions of 24h milk stasis. Twelve multiparous Holstein cows in early lactation received either continuous intravenous infusion of saline solution or 5% ethylene glycol tetraacetic acid (EGTA) to maintain blood ionized calcium (iCa) below 1mM (n = 6/treatment). Blood samples were collected hourly during infusion and 4, 8, 12, 24, and 48h post-infusion. Urine samples were collected every 4 h during infusion and at 12, 24, and 48h post-infusion, while milk samples were collected daily from 2d pre-infusion to 4d post-infusion. Infusion of EGTA resulted in decreased blood iCa during the infusion period, with iCa concentrations rebounding 24h post-infusion. No significant treatment effects were observed on 5-HT and PTH blood concentrations. These findings underscore the importance of considering physiological distinctions in studies of Ca metabolism during the transition period.

Predicting calcium status in early lactation multiparous Holsteins using milk constituent analysis

Due to the unique challenges of supporting milk production, subclinical hypocalcemia (SCH) is common among early lacta­tion dairy cows. Though SCH immediately following parturi­tion may constitute normal adaptation to the transition period, there is growing evidence that cows with SCH beyond 4 days postpartum (DIM) have developed dyscalcemia, a pattern of calcium dysregulation that has been associated with negative health and production outcomes. Despite prevalence of dyscal­cemia ranging from 25% to 45%, identifying cows with dyscal­cemia remains a major challenge on commercial dairies. Our objective was to develop an algorithm for predicting dyscalce­mia status using Fourier-transform mid-infrared spectroscopic (FT MIR) analysis of milk samples at 3 and 4 DIM.

Subclinical hypocalcaemia in dairy cows: definition and implications

Understanding the dynamics of postpartum blood calcium concentration and its association with cows' health and performance is key to making prophylactic and treatment decisions for subclinical hypocalcaemia. The objective of this article is to summarise results from observational epidemiological studies looking at the associations between postpartum blood calcium concentration and production, reproduction or health in dairy cows, in order to provide readers with a better understanding of subclinical hypocalcaemia and its potential implications.

Periparturient Mineral Metabolism: Implications to Health and Productivity.

Mineral metabolism, in particular Ca, and to a lesser extent phosphorus (P) and magnesium (Mg), is altered with the onset of lactation because of extensive irreversible loss to synthesize colostrum and milk. The transient reduction in the concentration of Ca in blood, particularly when it lasts days, increases the risk of mineral-related disorders such as hypocalcemia and, to a lesser extent, hypophosphatemia. Although the incidence of clinical hypocalcemia can be reduced by prepartum dietary interventions, subclinical hypocalcemia remains prevalent, affecting up to 60% of the dairy cows in the first 3 d postpartum. More importantly, strong associations exist between hypocalcemia and increased susceptibility to other peripartum diseases and impaired reproductive performance. Mechanistic experiments have demonstrated the role of Ca on innate immune response in dairy cows, which presumably predisposes them to other diseases. Hypocalcemia is not related to inadequate Ca intake as prepartum diets marginal to deficient in Ca reduce the risk of the disease. Therefore, the understanding of how Ca homeostasis is regulated, in particular how calciotropic hormones such as parathyroid hormone and 1,25-dihydroxyvitamin D3, affect blood Ca concentrations, gastrointestinal Ca absorption, bone remodeling, and renal excretion of Ca become critical to develop novel strategies to prevent mineral imbalances either by nutritional or pharmacological interventions. A common method to reduce the risk of hypocalcemia is the manipulation of the prepartum dietary cation-anion difference. Feeding acidogenic diets not only improves Ca homeostasis and reduces hypocalcemia, but also reduces the risk of uterine diseases and improves productive performance. Feeding diets that induce a negative Ca balance in the last weeks of gestation also reduce the risk of clinical hypocalcemia, and recent work shows that the incorporation of mineral sequestering agents, presumably by reducing the absorption of P and Ca prepartum, increases blood Ca at calving, although benefits to production and health remain to be shown. Alternative strategies to minimize subclinical hypocalcemia with the use of vitamin D metabolites either fed prepartum or as a pharmacological agent administered immediately after calving have shown promising results in reducing hypocalcemia and altering immune cell function, which might prove efficacious to prevent diseases in early lactation. This review summarizes the current understanding of Ca homeostasis around parturition, the limited knowledge of the exact mechanisms for gastrointestinal Ca absorption in bovine, the implications of hypocalcemia on the health of dairy cows, and discusses the methods to minimize the risk of hypocalcemia and their impacts on productive performance and health in dairy cows.

The effects of maternal calcium status during late gestation on lamb growth and survival in twin-bearing Merino ewes grazing pasture.

Our project aimed to investigate whether low maternal calcium status during late gestation decreased weight, growth and survival of lambs born to twin-bearing Merino ewes grazing pasture. On day 130 of gestation, approximately a 10 mL blood sample was collected from 108 twin-bearing Merino ewes. Blood pH and calcium ion concentration were measured in whole blood and serum was analysed for calcium, magnesium, phosphate, beta hydroxy butyrate, non-esterified fatty acids and cholesterol. Six to 18 h after birth and at 49 days of age, lamb live weight was recorded. Ewe serum calcium level at day 130 of gestation were divided into tertiles (1.58-2.13, 2.14-2.30, and 2.31-2.99 mmol/L) with ewes classified as either Low, Med or High (n = 36 per group). A general linear mixed model was used to analyse the data. Survival to 1, 2, 3 and 7 days of age was lower for lambs born to ewes in the Low calcium group compared with those born in the Med and High calcium groups (P < 0.05). At day 49 of age, lamb survival tended to be lower for lambs in the Low (73.6%) compared with Med (86.8%) and High (85.3%) calcium groups (P < 0.1). There were no differences in lamb body weight (P > 0.05). Calcium levels of ewes in the Low calcium group were, on average, indicative of subclinical hypocalcaemia, with this group of ewes also having the lowest lamb survival rate, suggesting that maternal subclinical hypocalcaemia reduces lamb survival. Further studies, particularly on improving maternal calcium levels, are warranted.

Relationship between hypocalcemia immediately after calving with metabolic disorders and body condition score in Holstein cows.

Hypocalcemia is one of the most common transition period disorders that affects dairy cows and has been divided into clinical and subclinical types. This study aimed to investigate the relationship between postpartum serum calcium (Ca) concentrations with metabolic disorders and body condition score (BCS) in Holstein dairy cows. Two hundred and seventy-one Holstein cows were blocked from two commercial dairy herds based on parity (primiparous and multiparous) and serum Ca concentrations on calving day, 1 and 2 days postpartum were allocated to 1 of 3 groups: 1) Serum Ca concentration >8.5 mg/dl at the calving day, 1 and 2 days postpartum (normocalcemic); 2) serum Ca concentration ≤8.5 mg/dl on the calving day and 1 or 2 day postpartum (transient subclinical hypocalcemia (TSCH)); and 3) serum Ca concentration ≤8.5 mg/dl on the calving day, 1 and 2 days postpartum (persistent subclinical hypocalcemia (PSCH)). The results showed that the primiparous and multiparous cows had the highest TSCH and PSCH percentages, respectively. Ca status after calving did not affect the BCS changes, incidence of milk fever, hypomagnesemia and hyperketonemia, and clinical and subclinical endometritis. The incidence of retained placenta, metritis, and subclinical mastitis was affected by Ca status after calving, so PSCH cows experienced 6.28, 6.43, and 5.9 times more retained placenta, metritis, and subclinical mastitis than normocalcemic cows, respectively. The culling rate within the first 60 days in milk for PSCH cows was 4.61 times more than for normocalcemic cows. Overall, the results of the study showed that cows with PSCH had a higher incidence of retained placenta; uterine infections, subclinical mastitis, and culling rate, but cows with TSCH were similar to healthy cows in terms of metabolic disorders and culling rate.

Identification of genetic variants and individual genes associated with postpartum hypocalcemia in Holstein cows

Periparturient hypocalcemia is a complex metabolic disorder that occurs at the onset of lactation because of a sudden irreversible loss of Ca incorporated into colostrum and milk. Some cows are unable to quickly adapt to this demand and succumb to clinical hypocalcemia, commonly known as milk fever, whereas a larger proportion of cows develop subclinical hypocalcemia. The main goal of this study was to identify causative mutations and candidate genes affecting postpartum blood calcium concentration in Holstein cows. Data consisted of blood calcium concentration measured in 2513 Holstein cows on the first three days after parturition. All cows had genotypic information for 79 k SNP markers. Two consecutive rounds of imputation were performed: first, the 2513 Holstein cows were imputed from 79 k to 312 k SNP markers. This imputation was performed using a reference set of 17,131 proven Holstein bulls with 312 k SNP markers. Then, the 2513 Holstein cows were imputed from 312 k markers to whole-genome sequence data. This second round of imputation used 179 Holstein animals from the 1000 Bulls Genome Project as a reference set. Three alternative phenotypes were evaluated: (1) total calcium concentration in the first 24 h postpartum, (2) total calcium concentration in the first 72 h postpartum calculated as the area under the curve; and (3) the recovery of total calcium concentration calculated as the difference in total calcium concentration between 72 and 24 h. The identification of genetic variants associated with these traits was performed using a two-step mixed model-based approach implemented in the R package MixABEL. The most significant variants were located within or near genes involved in calcium homeostasis and vitamin D transport (GC), calcium and potassium channels (JPH3 and KCNK13), energy and lipid metabolism (CA5A, PRORP, and SREBP1), and immune response (IL12RB2 and CXCL8), among other functions. This work provides the foundation for the development of novel breeding and management tools for reducing the incidence of periparturient hypocalcemia in dairy cattle.

Effect of postpartum calcium supplementation on serum calcium and parathyroid hormone concentrations in multiparous Holstein cows

Although postpartum Ca supplementation strategies are often employed to prevent subclinical hypocalcemia in dairy cows, these strategies have produced a mix of beneficial, neutral, and detrimental results when assessing milk yield and subsequent disease outcomes. Because the mechanisms underlying these differing results are unknown, our objectives were to determine how common postpartum Ca supplementation strategies affect blood Ca concentrations and parathyroid hormone (PTH). We conducted a randomized controlled trial with 74 multiparous dairy cows on a commercial dairy in central New York. Cows were assigned to 1 of 4 supplementation groups immediately after calving: (1) control (CON; no Ca supplementation, n = 15); (2) conventional oral Ca supplementation (BOL-C; 43 g of oral Ca bolus administered immediately after calving and 24 h later, n = 17); (3) delayed oral Ca supplementation (BOL-D; 43 g of oral Ca bolus administered 48 and 72 h after calving, n = 15); or (4) subcutaneous infusion (SQ; 500 mL of 23% Ca borogluconate infused subcutaneously once immediately after calving, n = 15). Blood samples were collected immediately after calving (0 h) and at 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 120, and 168 h postpartum for a total of 15 blood samples per cow. Cows were excluded if administered Ca, via any route, by farm employees or if they died or were sold within 96 h following parturition, which left 62 cows for analysis. Linear mixed models, accounting for repeated measures, were created to analyze changes in serum total Ca (tCa) and PTH over the first 168 h after parturition and assess differences between supplementation groups. Serum tCa and PTH concentrations were not different at the time of calving among supplementation groups. There was a supplementation group by hour postcalving interaction for mean tCa concentration in which SQ cows had reduced tCa concentrations from 32 to 64 h compared with CON cows, 32 to 96 h compared with BOL-C cows, and 40 to 64 h compared with BOL-D cows. Mean PTH concentration did not differ among supplementation groups across 168 h after enrollment and was 158.1 pmol/L (95% confidence interval [CI] = 148.2 to 168.0) for CON cows, 164.0 pmol/L (95% CI = 154.9 to 173.1) for BOL-C cows, 158.7 pmol/L (95% CI = 149.2 to 168.1) for BOL-D cows, and 153.2 pmol/L (95% CI = 143.6 to 162.8) for SQ cows. Our findings suggest that although serum tCa does not differ between cows that receive conventional or delayed oral Ca bolus supplementation at calving and cows that receive no supplemental Ca, subcutaneous infusion of Ca at calving reduces serum tCa for a substantial period between 32 and 64 h postsupplementation. However, as PTH concentrations did not differ among groups across 168 h postpartum, the mechanism by which tCa is reduced remains unclear.

A single dose of oral calcium bolus supplementation immediately postpartum improves milk yield and concentration of blood calcium in early-lactation Primiparous Holstein cows

The goal of the experiment was to determine the appropriate time of calcium bolus (CB) administration on performance and health of primiparous fresh cows. Two - hundred fourteen primiparous cows were randomly assigned to one of four treatments immediately after calving: 1) control group without receiving CB (CON); 2) CB immediately after calving (BL0); 3) CB 24 h after calving (BL24); 4) two CBs immediately and 24 h after calving (BL0,24). Milk production and milk composition were recorded monthly (based on scheduled farm milking recording) and there were six records for each cow. Serum total calcium (tCa) concentrations was determined at 0, 24, 48, 72, 96 and 168 h after calving. The prevalence of diseases and reproductive performance were recorded for 210 DIM. Total calcium concentration was significantly lower in total period in BL24 treatment (P < 0.01). Also serum total calcium concentration in BL0 and BL0,24 groups increased significantly at 24 h after calving (P = 0.03), but was lower for BL24 cows after 72 h of calving (P < 0.01) compared with CON and BL0 treatments. Serum ß-hydroxybutyrate concentration in control group tended to be greater (P = 0.06) at 7 DIM compared to all treatments. Average milk yields were not different among treatment groups but treatment by time interaction was significant (P = 0.03), thereby in the first milk record BL0 and BL0,24 cows had greater milk production (P = 0.03) and tended to produce more at third record (P = 0.09). Treatments had no effect on milk compositions, reproductive performance and diseases incidence. Only, the days to the first artificial insemination tended to be reduced for BL24 cows compared with others (P = 0.08) and pregnancy at second artificial inseminations tended to be less for control compared with CB supplemented cows (P = 0.09). The subclinical hypocalcemia incidence at 24 h after calving was lower in BL0 treatment (P = 0.03). Based on the results of this study, supplementing at least one CB immediately after calving in primiparous cows could increase the blood calcium concentration and cause them to peak earlier.

Does knowledge of blood calcium concentration at 2 days postpartum affect decisions of calcium supplementation?

Delaying oral Ca supplementation might benefit cows with low blood Ca concentrations at 4 d in milk (DIM), a time when reduced blood total Ca (tCa) is associated with negative health and production outcomes. To implement a targeted approach to manage subclinical hypocalcemia (SCH) at the herd level, it is important to identify which cows benefit from supplemental Ca. Therefore, our objective was to determine if SCH diagnosis at 2 DIM could inform decisions of oral Ca supplementation at 2 and 3 DIM based on milk yield and 4 DIM blood Ca concentration. Data were analyzed from a previously conducted randomized controlled trial on multiparous cows (n = 518) from 4 farms in New York State. Cows were randomly assigned to 1 of 2 treatment groups at calving: (1) control (CON; no Ca supplementation, n = 259) or (2) bolus (BOL; 43 g of oral Ca administered at 2 and 3 DIM postcalving, n = 259). For each parity group (2, 3, 4+), we used generalized linear mixed models to identify serum tCa concentrations at 2 DIM that maximized the difference in milk yield to diagnose SCH. Cows were classified as normocalcemic (NC; parity 2 tCa >1.9 mmol/L, parity 3 tCa >1.87 mmol/L, n = 327; parity ≥4 had no defining threshold) or SCH (parity 2 tCa ≤1.9 mmol/L, parity 3 tCa ≤1.87 mmol/L, n = 58; parity ≥4 had no defining threshold). Parity 2 and 3 cows were further classified into 1 of 4 SCH-treatment groups (SCHTRT) based on 2 DIM SCH status and random treatment allocation: (1) NC-CON, n = 165, (2) SCH-CON, n = 28, (3) NC-BOL, n = 162, or (4) SCH-BOL, n = 30. Generalized linear mixed models were used to analyze the difference in milk yield for the first 10 wk of lactation and tCa at 4 DIM between SCHTRT groups with separate analyses performed for parities 2 and 3. Mean milk yield differed between SCHTRT groups for both parities. For parity 2, SCH-CON and SCH-BOL cows produced more milk than NC-CON and NC-BOL cows with SCH-CON producing 50.9 (95% confidence interval [CI] = 48.4, 53.4) kg/d, SCH-BOL 51.7 (49.1, 54.2) kg/d, NC-CON 47.5 (46.3, 48.7) kg/d, and NC-BOL 47.2 (45.8, 48.5) kg/d of milk. Milk yield was also different between SCHTRT groups for parity 3 with SCH-BOL cows producing more milk than NC-CON and NC-BOL cows. In parity 3, SCH-BOL cows produced 56.3 (95% CI = 53.1, 59.3) kg/d, SCH-CON 51.7 (48.6, 54.7) kg/d, NC-BOL 50.6 (49.0, 52.2) kg/d, and NC-CON 48.7 (46.9, 50.5) kg/d of milk. For both parities, SCH-CON and SCH-BOL cows had lower tCa at 2 DIM than NC-CON and NC-BOL cows. At 4 DIM, tCa concentrations were similar for all SCHTRT groups respective to parity. Our results suggest that although delayed Ca bolus administration does not improve blood Ca concentration when compared with controls, it does support increased milk production in parity 3 cows regardless of Ca status at 2 DIM. Thus, knowledge of blood Ca at 2 DIM should not affect decisions of Ca supplementation in this parity of cows.

The Effect of Variation in Dietary Cation-Anion Difference on Calcium Status, Blood Metabolites and Rumen Activity during the Transition Period of Holstein Dairy Cows

A negative dietary cation-anion difference (DCAD) induces a compensated metabolic acidosis, stimulating calcium (Ca) absorption and mobilization before calving, thereby decreasing clinical and subclinical hypocalcemia postpartum. The study was designed to determine the effects of varying pre- and postpartum DCAD diets on serum total calcium, ionized calcium, blood and ruminal fluid metabolites, and milk production in prepartum and postpartum Holstein cows. Fifty-four multiparous dry Holstein cows n= 54, were enrolled in a completely randomized block experimental design at 29 days prior to expected parturition through 86 days in milk. A 3 x 2 factorial arrangement of treatments was utilized. Three DCAD levels were fed precalving (0, -120 and -200 mEq/kg DM), n=18 cows per treatment and two DCAD levels were fed post calving (+200 and +400 mEq/kg DM), n=27 cows per treatment. Prepartum urine pH was lower for cows fed -200 DCAD compared with those fed -120 or 0 DCAD. Postpartum urine pH was higher for cows fed +400 mEq/kg compared to cows fed +200 mEq/kg DCAD. Prepartum serum total calcium, ionized calcium, and hydroxyproline was highest for cows fed -200 DCAD compared to those fed -120 and 0 DCAD. Parathyroid hormone was highest for cows fed 0 DCAD compared to those fed -120 and -200 DCAD. Prepartum dry matter intake (DMI) was lower for -200 and -120 DCAD compared with 0 DCAD. Postpartum DMI was not different among treatments. Pre- and postpartum DCAD treatments did not affect total milk yield or milk fat, percentage of milk protein not affected by different pre-and postpartum DCAD levels. Prepartum anionic diets lowered urine pH and parathyroid hormone and raised serum hydroxyproline, resulting in improved Ca availability after parturition. Postpartum blood metabolites were unaffected in cows given positive DCAD (+200 and +400 mEq/kg DM). Calves born to cows fed low DCAD had no change in calf bieth weight. Colostrum amount and IgG concentrations were unaffected by treatments. No effects of pre-or postpartum DCAD treatments were observed for milk yield and fat-corrected milk. Feeding prepartum an acidogenic diet improved postpartum Ca status in multiparous Holstein cows.

Noninvasive measurement of blood calcium concentration using electrocardiography in peripartum Jersey cows.

We previously developed a noninvasive method for measuring blood calcium concentration (Ca) in Holstein cows on site using electrocardiographic (ECG) variables and calving number, based on a high positive correlation between Ca. Jersey cows easily develop peripartum hypocalcemia compared with other dairy cows. The early detection and treatment of hypocalcemia are particularly important for Jersey cows because delayed treatment can result in various complications. In this study, to establish a simple, noninvasive, on-site diagnosis of hypocalcemia in perinatal Jersey cows, we attempted to create an equation for estimating Ca using ECG waveforms. Overall, 112 Jersey cows 0-2 days postpartum were used. The ECG findings of these cows were measured using the base-apex lead for 30 s and the corrected ST interval (STc = ST peak interval/SS peak interval0.5) was calculated. Simultaneously, blood was collected from the tail vein, and the serum total Ca (tCa) and serum ionized Ca (iCa) were measured. Several items considered related to Ca were investigated. A strong positive correlation was observed between the tCa and iCa (r = 0.96). A positive correlation was observed between the tCa and STc-1 (r = 0.83). Furthermore, significant correlations were observed between skin temperature, calving number, vigor level, rumen movement, and auricle temperature (p < 0.05). Of these, multiple regression analysis was performed to calculate the tCa estimation formula with the STc and calving number (categorized into primipara, second parity, and third or more parity) as explanatory variables and the tCa as the objective variable (r = 0.85, p < 0.01). Of 15 postpartum Jersey cows, the estimation formula could mostly distinguish between cows with hypocalcemia, those with subclinical hypocalcemia, and normal cows. Blood Ca in peripartum Jersey cows can be noninvasively estimated using ECG variables and calving number.

Prediction of postpartum subclinical hypocalcemia using prepartum serum macromineral concentrations in Saanen and Beetal dairy goats

Prediction of postpartum subclinical hypocalcemia using prepartum serum macromineral concentrations in Saanen and Beetal dairy goats

Circulating parathyroid hormone and serotonin in multiparous cows with differing postparturient serum calcium concentrations

Many multiparous dairy cows experience subclinical hypocalcemia (SCH) in the immediate postpartum period as they adapt to the demands of lactation. Furthermore, differing dynamics of SCH in the days following parturition are associated with varied health and production outcomes, with cows experiencing transient SCH producing more milk and facing fewer negative health events than cows with delayed or persistent SCH. Our objectives were to describe differences in mediators of calcium (Ca) homeostasis between cows experiencing differing Ca dynamics postpartum. A prospective cohort of 89 multiparous Holstein cows from 2 herds in New York were classified into 1 of 4 SCH groups based on mean serum total Ca (tCa) at 1 and 4 d in milk (DIM): normocalcemic (NC; [tCa] >1.89 mmol/L at 1 DIM and >2.25 mmol/L at 4 DIM, n = 30); transient SCH (tSCH; [tCa] ≤1.89 mmol/L at 1 DIM and >2.25 mmol/L at 4 DIM, n = 12); delayed SCH (dSCH; [tCa] >1.89 mmol/L at 1 DIM and ≤2.25 mmol/L at 4 DIM, n = 23); and persistent SCH (pSCH; [tCa] ≤1.89 mmol at 1 DIM and ≤2.25 mmol/L at 4 DIM, n = 24). Blood samples were collected at -5, -1, 1 through 5, 7, and 10 DIM and analyzed for tCa, parathyroid hormone (PTH), and serotonin. Repeated measures ANOVA models were used to analyze differences between SCH groups and changes over time for tCa, PTH, and serotonin. During the prepartum period, tCa was greater in the NC, tSCH, and dSCH cows as compared with the pSCH cows and there was marginal evidence for a difference in PTH between SCH groups. Postpartum tCa varied over time between SCH groups. Mean postpartum (95% confidence interval) tCa for respective SCH groups were NC = 2.32 (2.28, 2.35) mmol/L; tSCH = 2.20 (2.14, 2.25) mmol/L; dSCH = 2.17 (2.13, 2.21) mmol/L; and pSCH = 2.03 (1.99, 2.07) mmol/L. Mean concentrations of PTH in the postpartum period were NC = 70.1 (66.2, 74.4) pmol/L; tSCH = 72.1 (66.1, 79.2); dSCH = 75.8 (70.8, 81.5) pmol/L; and pSCH = 77.7 (72.4, 83.9) pmol/L. Serotonin was similar between SCH groups pre- and postpartum and followed a cyclical pattern from 1 to 10 DIM. Our results agreed with our hypothesis that differences in postpartum PTH might exist between cows experiencing different dynamics of SCH in the early lactation period; however, further studies are needed to confirm this difference. If true, this would suggest that Ca homeostasis may be disrupted in cows with dSCH and pSCH. Gaining a better understanding of these modulatory differences may aid in the prevention, management, and treatment of SCH.

Perspective: Transient postparturient hypocalcemia—A lactation-induced phenomenon of high-producing dairy cows

Milk fever is one of the most historically relevant diseases of dairy cows. It is caused by tremendous calcium (Ca) expenditure at the initiation of lactation, so severe that cows can no longer stand and, if left untreated, die. Fortunately, through prepartum nutritional improvements, this version of clinical hypocalcemia is rare in the United States. Nonetheless, the opinion that all versions of postpartum hypocalcemia are detrimental remains pervasive, which is particularly significant given that 50% of cows are subclinically hypocalcemic after calving. This has led to a variety of available management and treatment strategies, ranging from prepartum dietary programs to postpartum Ca gels and boluses, targeted at preventing hypocalcemia in dairy cows. Recent research has determined that postpartum dairy cows can experience different types of subclinical hypocalcemia: transient, persistent, or delayed. We now know cows experiencing transient hypocalcemia as part of the homeorhetic adaptation to lactation are the highest milk producers in modern dairy herds, whereas cows with hypocalcemia several days after calving experience disease and losses in milk production. Therefore, it is wrong to assume all postpartum hypocalcemia is detrimental and that treatment of all cases is considered necessary and beneficial. Research indicates that milk synthesis at the onset of lactation contributes to immediate postpartum hypocalcemia, and that the mammary gland is a critical factor in management of Ca homeostasis. However, cows differ in their ability to manage this phenomenon, and it is possible that immediate postpartum influences such as dry matter intake, inflammation, and immune activation affect appropriate Ca regulation in the days following calving.

Negative dietary cation-anion difference and amount of calcium in prepartum diets: Effects on urine and serum minerals

Negative dietary cation-anion difference (DCAD) diets fed prepartum induce a compensated metabolic acidosis, which stimulates metabolic Ca flux before calving and decreases clinical and subclinical hypocalcemia after calving. Effects of low or high dietary Ca in these diets are unclear. Our objective was to determine the effects of inducing a prepartum metabolic acidosis and the amount of dietary Ca on urinary mineral excretion and serum mineral concentrations during the transition period in multiparous Holstein cows (n = 81). Treatment diets fed during the last 28 d before calving were (1) positive DCAD, +6 mEq/100 g of dry matter (DM), target urine pH >7.5, low dietary Ca (0.40% DM; CON); (2) negative DCAD, −24 mEq/100 g of DM, target urine pH 5.5 to 6.0, low dietary Ca (0.40% DM; ND); or (3) negative DCAD, −24 mEq/100 g of DM, target urine pH 5.5 to 6.0, high dietary Ca (2.0% DM; NDCA). Urine was sampled on −21, −14, −7, +1, +2, and +7 d relative to calving. Blood samples were collected on d −30, −21, −14, −7, −4, −2, −1, 0, 1, 2, and 4 relative to parturition. Preplanned treatment contrasts were (1) CON versus ND and NDCA, and (2) ND versus NDCA. Cows fed ND or NDCA had increased urinary volume and excretion of Ca, Cl, and SO4−2, along with decreased excretion of K. Supplementation of Ca to the acidogenic diet increased urinary excretion of Ca at d −21, but this difference lessened as cows approached parturition. Additional Ca increased prepartum urinary excretion of K and Cl. Differences in excretion decreased quickly after parturition, although urinary excretion of Cl remained greater for cows previously fed negative DCAD diets. Acidogenic diets increased serum K and Cl concentrations prepartum. Supplemental Ca decreased serum P relative to ND. During d 0 to 4, serum P and K were greater for cows fed ND or NDCA than for cows fed CON; these differences disappeared by d 4. Acidogenic diets increased serum Ca by increasing Ca flux and excretion in urine. Supplemental Ca in the acidogenic diet modestly increased Ca excretion early in the close-up period.

Effect of Parity, Body Condition Score at Calving, and Milk Yield on the Metabolic Profile of Gyr Cows in the Transition Period.

This study aimed to evaluate the effects of parity, body condition score (BCS) at calving, and milk yield on the metabolic profile of Gyr (Zebu) cows. Healthy cows in late pregnancy were grouped according to parity (primiparous, biparous, and multiparous); to BCS scale at calving (high-HBCS and normal-NBCS); and to milk yield (high-HP and moderate-MP production). BCS was assessed, and blood samples were collected on -21, -7, 0, 7, 21, and 42 days relative to parturition. The concentrations of non-esterified fatty acids (NEFA), beta-hydroxybutyrate (BHB), cholesterol, glucose, total protein (TP), albumin, total calcium (Ca), phosphorus (P), and magnesium (Mg); and activities of aspartate aminotransferase and gamma-glutamyltransferase were measured. Data were analyzed by two-way repeated measures ANOVA. The frequencies of high lipomobilization, subclinical ketosis, subclinical hypocalcemia (SCH), and the occurrence of diseases during early lactation were established. Regardless of grouping, NEFA, BHB, and cholesterol increased during early lactation; glucose showed higher values at calving; TP and albumin were higher at 21 and 42 DIM; and Ca, P, and Mg were lower at calving. Parity had little effect on the metabolic profile, HBCS did not differ from NBCS cows, and HP did not differ from MP cows in most metabolites. High lipomobilization in early lactation and SCH at calving were the most common imbalances but were not related to postpartum diseases. High-yielding Gyr cows have a balanced metabolic profile during the transition period, with few biologically relevant effects of parity, BCS at parturition, or milk yielded.

Calcium dynamics and associated patterns of milk constituents in early lactation multiparous Holsteins

Immediately following parturition, physiological demands for calcium increase substantially to support the onset of milk production. As a result, transitioning dairy cows may experi­ence subclinical hypocalcemia (SCH) at some point during early lactation. Cows respond to this homeostatic challenge dynamically, such that serum total calcium concentrations (tCa) at 1 and 4 days in milk (DIM) can be used to classify cows into 4 calcium dynamic groups: normocalcemic (NC: SCH at no DIM), transient (tSCH: SCH at 1 DIM only), delayed (dSCH: SCH at 4 DIM only) and persistent (pSCH: SCH at both 1 and 4 DIM). Identifying cows in the pSCH and dSCH groups is important clinically because these groups are at greater risk of adverse health events compared to the NC and tSCH cows. Our objective was to describe the temporal patterns of milk constituents for cows in each calcium group using Fourier-transform infrared (FTIR) spectroscopic analysis of milk samples. Additionally, we hoped to ascertain whether these methods might be valuable as a diagnostic tool for grouping cows based on calcium dynamics at a clinically useful timepoint.