Values of serum, urine and milk concentrations of the metabolites studied are presented in Fig 1. Eight cows (8.88%) were found to have slight clinical hypocalcemia and ten cows (11.11%) had slight clinical ketosis. Fig 1 shows the significant changes in metabolite concentrations throughout the period analyzed (*p< 0.05). Another aspect analyzed was correlation of [Ca
2+] over the different times of the peripartum period; results are shown in Table 2.
The results of our study contrast with those of others report that a period of major fluctuations in serum Ca
2+ occurs between day 7 prepartum (168 hours before calving) and day 7 postpartum (168 hours after calving) and that, as the number of calvings or age increases, cow serum concentrations of Ca
2+ decrease and incidence of clinical hypocalcemia increases
(Samad et al., 2002; Meléndez et al., 2004) and can cause other associated metabolic disorders
(Chapinal et al., 2011; Salgado et al., 2009; Chuang et al., 2016).
No correlation was found between b-HB concentrations in blood and b-HB concentrations in milk, as has been found in other studies
(Enjalbert et al., 2001), possibly because b-hydroxybutyrate circulating in the blood is used by the mammary gland to synthesize fatty acids and acetoacetate and is converted into butyrate
(Clark et al., 2005; Ospina et al., 2010). For this reason, low b-HB concentrations can be expected in milk. However, there are studies that point out that Ca
2+ concentration correlates negatively with increased b-hydroxybutyrate
(Sakha et al., 2006; Zhigang et al., 2009). Cows that have subclinical ketosis have lower concentrations of Ca
2+ (≤ 2.03 mmol/L), which cause hypocalcemia, decreased DM intake and a negative energy balance, suggesting that insufficient serum Ca
2+ can be used as a diagnostic index of subclinical ketosis
(Suthar et al., 2013; Xiao et al., 2017).
Has been reported two quite different types of metabolic disorders in which ketosis can occur, type I ketosis and type II ketosis, respectively (
Holtenius and Holtenius, 1996). Type I, generally occurs 3-6 weeks after calving in cows whose milk secretion is so extensive that the demand for glucose exceeds the capacity for glucose production, was characteristic with a decrease in appetite and milk production and weight loss. In addition, there was a decreased on glucose, but the concentrations of beta-hydroxybutyric acid (BHBA) and non-esterified fatty acid (NEFA) were increased (
Berge and Vertenten, 2014). However, type II, generally occurs earlier in lactation, leads to the concentrations of BHBA, glucose and NEFA were increased (
Oikawa and Oetzel, 2006).
In our experiment, blood b-HB concentrations remained stable, coinciding with other studies that reported that b-HB concentrations in blood were constant 15 days before calving and up to 10 days postpartum
(Le Blanc et al., 2005). b-HB concentrations in milk correlated positively with the diet with anionic salts before calving, prior to postpartum milk days and milk production in previous lactation. However, it has been reported that high milk production in the previous lactation does not increase the risk of ketosis in the following lactation (
Oetzel, 2000); however, an increase in milk production increases risk of ketosis
(Piepenbrink et al., 2000). Moreover, it has been observed that a prolonged interval between calvings increases the risk of ketosis in the following lactation
(Beaudeau et al., 2000; Yildiz and Erisir, 2016).
This suggests that the homeostatic mechanisms that regulate Ca
2+ metabolism are different in each cow, so that a low concentration of serum Ca
2+ does not necessarily indicate clinical hypocalcemia
(Melendez et al., 2002; Melendez et al., 2004). Some authors have indicated that the cause of clinical hypocalcemia is not attributed only to Ca
2+ serum concentrations, but to diverse, sometimes unknown, causes (
Schultz, 1998). The low incidence of hypocalcemia can be related to urinary pH that was found to be within the range recommended for measuring the effectiveness of anionic salts
(Overton et al., 2004; Goff et al., 2003).
As calving approaches, and up to 48 h postpartum, the serum concentrations of Ca
2+ gradually decrease. Serum concentrations of Ca
2+ in prepartum correlated with concentrations in postpartum, suggesting the importance of adequate feeding and management of the cow during the dry period
(Walsh et al., 2007; Hesam et al., 2011; Xiao et al., 2017). According to the reference values, all the cows had subclinical hypocalcemia in a period of 48 h postpartum. The incidence of clinical hypocalcemia was 21.4%; of this percentage, 33% had serum concentrations of Ca
2+ above 1.63 mmol L
-1. In contrast, 43% of the healthy cows had lower Ca
2+ serum concentrations. No relationship was found between urine pH and Ca
2+ concentrations, indicating that urine pH was not a good indicator of Ca
2+ serum concentrations. However, other studies report that administration of anionic salts induce metabolic acidosis, which increases parathormone production as well as fine tuning of receptors, production of 1-25(OH)
2D
3, production of bone resorption and intestinal absorption of Ca
2+ (
Duffield, 2000;
Goff et al., 2003;
Salgado et al., 2009). b-hydro- xybutyrate concentrations in blood did not correlate with b-HB milk concentrations.
There is a relationship between low serum Ca
2+ concentrations and increases in b-hydroxybutyrate because when Ca
2+ decreases in blood, intake decreases because of hypocalcemia and the cows have a negative energy balance, indicating that subclinical ketosis is correlated with hypocalcemia
(Sakha et al., 2006; Zhigang et al., 2009;
Martinez et al., 2012).