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青春期儿童的维生素 D 状况。

Vitamin D status in pubertal children.

机构信息

Department of Pediatrics, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey -

Department of Pediatrics, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.

出版信息

Minerva Pediatr (Torino). 2021 Apr;73(2):173-179. doi: 10.23736/S2724-5276.16.04334-X.

Abstract

BACKGROUND

Optimal vitamin D status has a great importance in puberty, which is a period of peak bone mineral acquisition. In this study, we aimed to assess the effect of pubertal period on vitamin D status.

METHODS

The study included totally 200 healthy children, aged between 4 and 14 years. Group 1 included 100 prepubertal, children, aged between 4 and 8 years. Group 2 included 100 pubertal children, aged between 9 and 14 years. They had no chronic illnesses. Ages, heights, weights, genders, Body Mass Indexes (BMIs), socioeconomic and educational status of families were established. Serum 25-hydroxyvitamin D (25(OH)D) levels were measured by high performance liquid chromatography (HPLC). Serum parathyroid hormone (PTH) was evaluated using an immunoradiometric assay kit. Serum calcium (Ca), phosphorus (P) and alkaline phosphatase (ALP) levels were measured.

RESULTS

We determined that 25(OH)D levels were lower with higher PTH levels in the group aged 9 to 14 years (pubertal children), compared to the group aged 4 to 8 (prepubertal children). Gender, weight, height or BMI, family socioeconomic and education status did not affect serum 25(OH)D levels of children in each group.

CONCLUSIONS

We demonstrated that vitamin D deficiency was more commonly seen in the pubertal children, compared to pre pubertal period. Children should be supported with vitamin D supplements during the puberty, which has a great importance for rapid increase in bone mass.

摘要

背景

维生素 D 状态在青春期非常重要,因为青春期是峰值骨矿物质获取的时期。在这项研究中,我们旨在评估青春期对维生素 D 状态的影响。

方法

这项研究共纳入了 200 名健康儿童,年龄在 4 至 14 岁之间。第 1 组包括 100 名 4 至 8 岁的青春期前儿童,第 2 组包括 100 名 9 至 14 岁的青春期儿童。他们没有慢性疾病。记录了年龄、身高、体重、性别、体重指数 (BMI)、家庭的社会经济和教育状况。通过高效液相色谱法 (HPLC) 测量血清 25-羟维生素 D (25(OH)D) 水平。使用免疫放射测定试剂盒评估血清甲状旁腺激素 (PTH)。测量血清钙 (Ca)、磷 (P) 和碱性磷酸酶 (ALP) 水平。

结果

我们发现,与 4 至 8 岁(青春期前儿童)相比,9 至 14 岁(青春期儿童)的血清 25(OH)D 水平较低,且甲状旁腺激素 (PTH) 水平较高。性别、体重、身高或 BMI、家庭社会经济和教育状况均未影响各年龄段儿童的血清 25(OH)D 水平。

结论

与青春期前时期相比,我们发现青春期儿童维生素 D 缺乏更为常见。在青春期期间,儿童应补充维生素 D,这对于快速增加骨量非常重要。

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