Calcium:Magnesium Ratio in Local Groundwater and Incidence of Acute Myocardial Infarction among Males in Rural Finland
2006

Calcium and Magnesium in Groundwater and Heart Attack Risk in Rural Finland

Sample size: 14495 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kousa Anne, Havulinna Aki S., Moltchanova Elena, Taskinen Olli, Nikkarinen Maria, Eriksson Johan, Karvonen Marjatta

Primary Institution: Geological Survey of Finland

Hypothesis

Is there a relationship between the calcium and magnesium content in local groundwater and the incidence of acute myocardial infarction among men in rural Finland?

Conclusion

The study found that a higher calcium to magnesium ratio in groundwater is associated with an increased risk of acute myocardial infarction.

Supporting Evidence

  • Each 1 mg/L increment in magnesium level decreased the AMI risk by 4.9%.
  • A one unit increment in the calcium to magnesium ratio increased the risk of AMI by 3.1%.
  • Calcium and chromium did not show any statistically significant effect on AMI incidence.

Takeaway

Drinking water with too much calcium compared to magnesium can make heart attacks more likely for people living in rural Finland.

Methodology

The study used Bayesian modeling and geospatial data to analyze the relationship between groundwater composition and heart attack incidence.

Potential Biases

Potential biases may arise from using aggregate data and not accounting for individual water supply sources.

Limitations

The study is ecologic and cannot establish causation; it relies on average exposure data rather than individual-level data.

Participant Demographics

Men aged 35–74 living in rural areas of Finland.

Statistical Information

Confidence Interval

95% HDR (494–511)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.8438

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