Association of Protein and Vitamin D Intake With Biochemical Markers in Premature Osteopenic Infants: A Case-Control Study

Frontiers in Pediatrics

article

Mohamed Mohamed¹  May Kamleh³  Julia Muzzy¹  Sharon Groh-Wargo⁵  Jalal Abu-Shaweesh⁷ 

[1] Department of Pediatrics, Sanford Children's Hospital, United States;Department of Pediatrics, University of North Dakota Grand Forks, United States;Department of Epidemiology, Harris County Public Health, United States;School of Medicine, North Dakota State University, United States;School of Medicine, Case Western Reserve University, United States;Department of Pediatrics, MetroHealth Medical Center, United States;Department of Pediatrics, Cleveland Clinic, United States

关键词: vitamin D;    neonatal;    osteopenia;    low birth weight (LBW) infant;    nutrition;    neonatal intensive care;   

DOI  :  10.3389/fped.2020.546544

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Osteopenia in preterm infants (OP) remains an important challenge and is largely dependent on nutritional post-natal intake of factors influencing bone mineralization. We conducted a prospective case-control study to evaluate the importance of protein and vitamin D intake in OP among neonates with birth weight <1,250 g. Simultaneous serum parathyroid hormone (PTH), alkaline phosphatase (ALP), calcium (Ca), phosphorus (P), vitamin D and protein levels were measured during the first six post-natal weeks. At 6 weeks of age, OP was evaluated using wrist radiographs. Comparisons were analyzed using multivariate linear regression, receiver operating characteristic curves, χ2 and Wilcoxon Rank Sum. Of the 26 premature infants enrolled, 13 developed radiographic OP. Daily protein intake (coef = −0.40, p = 0.001) and vitamin D concentrations (21 ± 5.7 ng/ml) were significantly lower in the OP group compared to non-OP subjects. ALP concentration exceeding 619 IU/L, sensitivity of 76.9% and specificity of 75%, was predictive of OP at 6 weeks post-natally. PTH levels were higher at 6 weeks in OP subjects (193 ± 102.5 pg/ml, p < 0.001) compared to non-OP subjects. The findings in this study support the role of vitamin D and protein intake in the development of OP in VLBW infants and inform future practice and research on best practices for OP management.

【 授权许可】

CC BY