Bone mass, biochemical markers and growth in children with chronic kidney disease: A 1-year prospective study
2007 (English)In: Acta Paediatrica, ISSN 0803-5253, Vol. 96, no 5, 720-725 p.Article in journal (Refereed) Published
Aim: This study was designed to investigate bone mineral density (BMD), growth parameters and biochemical markers in children with chronic kidney disease (CKD). Methods: Sixteen patients, 4-18 years, with CKD were prospectively followed for 1 year. Auxological data, body composition, BMD by dual-energy X-ray absorptiometry, bone age, bone turnover markers, vitamin D, parathyroid hormone (PTH), leptin, osteoprotegerin, insulin-like growth factor-I (IGF-I) and IGF binding protein-3 were measured. A questionnaire regarding bone health and diet was also performed. Results: Delayed bone age was observed (n = 11) and the BMD Z-scores for total body were below zero in seven patients. However, total body BMD (TBBMD) increased in 12 patients. Most patients had increased osteocalcin and carboxy-terminal telopeptide of type I collagen, but normal alkaline phosphatase, type I procollagen intact amino-terminal propeptide and tartrate-resistant acid phosphatase 5b. Ten patients had increased PTH. Most children had normal levels of leptin, osteoprotegerin, IGF-I and IGFBP-3. Leptin, at baseline, correlated with differences in TBBMD over 1 year. Conclusions: Only seven (44%) had negative Z-scores and TBBMD increased over 1 year. Bone markers at baseline did not predict the longitudinal changes in BMD. © 2007 The Author(s).
Place, publisher, year, edition, pages
2007. Vol. 96, no 5, 720-725 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-40475DOI: 10.1111/j.1651-2227.2007.00236.xLocal ID: 53353OAI: oai:DiVA.org:liu-40475DiVA: diva2:261324