|
|
Relationship between bone mineral density and serum vitamin A, D and K levels in children with dwarfism |
PENG Yan |
Jingzhou Third People′s Hospital, Hubei Province, Jingzhou 434000, China |
|
|
Abstract Objective To analyze the relationship between bone mineral density and serum vitamin A, D and K levels in children with dwarfism. Methods A total of 73 children with dwarfism consulted and treated in our hospital and 73 normal children with the same age and gender from January 2016 to September 2017 were selected as the case group and the control group respectively, and the height, weight, bone mineral density and serum vitamin A, D and K levels of the children in two groups were measured. The children in the case group were divided into mild bone mineral density deficiency group (27 cases), moderate bone mineral density deficiency group (35 cases) and severe bone mineral density deficiency group (11 cases) according to the bone mineral density Z values, and the relationship between bone mineral density, age and serum vitamin A, D and K levels in the case group was analyzed. Results The height, weight,bone mineral density and vitamin A, D and K levels in the case group were lower than those in the control group, and the differences were statistically significant (P<0.05). The levels of serum vitamin D and K in the moderate bone mineral density deficiency group and the severe bone mineral density deficiency group were lower than those in the mild bone mineral density deficiency group, and the differences were statistically significant (P<0.05). The levels of serum vitamin D and K in the severe bone mineral density deficiency group were lower than those in the moderate bone mineral density deficiency group, and the differences were statistically significant (P<0.05). There were no significant differences in serum vitamin A levels in the children with different bone mineral density deficiency (P>0.05). Serum vitamin D and K were moderately positively correlated with bone mineral density (r=0.677, 0.659, P<0.05), and serum vitamin D and K were moderately positively correlated with age (r=0.549, 0.518, P<0.05). Conclusion Serum vitamin D and vitamin K levels are associated with the bone mineral density in children with dwarfism, the early detection is of great value for the prevention and reduction of low bone mineral density in children with dwarfism.
|
|
|
|
|
[1] |
韩晓伟,董治亚,张婉玉,等.矮小症病因及临床特征分析[J].临床儿科杂志,2019,37(1):39-42.
|
[2] |
王亚君,孙凯伟,葛秀云,等.从“肝”防治儿童矮小症刍议[J].中医研究,2017,30(4):9-10.
|
[3] |
黄慧,毕颖薇.儿童血清维生素D 水平与骨密度相关性的研究[J].临床合理用药杂志,2018,11(35):30-31,7.
|
[4] |
胡雪松,覃佳强,郭彬,等.维生素K 治疗儿童废用性骨质疏松的疗效观察[J].西部医学,2018,30(5):704-706.
|
[5] |
金轶.不同年龄段小儿骨骼维生素K 营养状况的评价与分析[J].中国全科医学,2013,16(30):2880-2882.
|
[6] |
中华医学会儿科学分会内分泌遗传代谢学组.矮身材儿童诊治指南[J].中华儿科杂志,2008,46(6):428-430.
|
[7] |
王德芬.现代儿科内分泌学:基础与临床[M].上海:上海科学技术文献出版社,2001:485-519.
|
[8] |
李坚旭,卢秋婷,邱明慧,等.265 例儿童矮小症的病因分析[J].实用临床医学,2017,18(1):64-65.
|
[9] |
秦原,杨禄红.武汉市儿童矮小症患病率调查及病因分析[J].中国妇幼保健,2017,32(14):3306-3310.
|
[10] |
刘思思,班博,潘慧,等.济宁地区6~16 岁儿童青少年矮小症患病现况研究[J].中华诊断学电子杂志,2017,5(3):191-194.
|
[11] |
刘佳,高斌,刘亦芳,等.身材矮小儿童的骨龄 骨密度与年龄 身高 体质量的相关性[J].安徽医学,2013,34(7):979-981.
|
[12] |
刘晖,鄢银婕.身材矮小儿童骨龄及骨密度的特点及其影响因素分析[J].中国医药指南,2015,13(34):54-55.
|
[13] |
熊菲,杨凡,杨速飞,等.0~7 岁儿童25 羟维生素D 和骨密度的关系研究[J].中国当代儿科杂志,2014,16(9):883-886.
|
[14] |
Zhang Y,Weng S,Yin J,et al.Vitamin K2promotes mesenchymal stem cell differentiation by inhibiting miR-133a expression[J].Mol Med Rep,2017,15(5):2473-2480.
|
[15] |
Azuma K,Ouchi Y,Inoue S.Vitamin K:novel molecular mechanisms of action and its roles in osteoporosis[J].Geriatr Gerontol Int,2014,14(1):1-7.
|
[16] |
余珍,杨利,谢理玲,等.小于胎龄矮小患儿采用重组人生长激素治疗的临床效果分析[J].当代医学,2019,25(32):76-78.
|
|
|
|