Short-term omeprazole treatment does not influence biochemical parameters of bone turnover in children

I Kocsis1, A Arató, H Bodánszky

  • 1First Department of Pediatrics, Semmelweis University, Budapest Bókay u. 53, H-1083, Hungary. kopist@gyer1.sote.hu

Insights

Short-term omeprazole use in children did not affect bone turnover markers. This study found no significant impact on osteoclast or osteoblast function in pediatric patients receiving proton pump inhibitors.

Area of Science:

  • Pediatric Endocrinology
  • Gastroenterology
  • Bone Metabolism

Background:

  • Proton pump inhibitors (PPIs) like omeprazole are common for acid-related disorders.
  • Data on PPIs' effects on pediatric bone metabolism, specifically osteoclast function, are limited.

Purpose of the Study:

  • To investigate the impact of short-term omeprazole administration on biochemical markers of bone turnover in children.
  • To assess omeprazole's influence on osteoclast and osteoblast activity in a pediatric cohort.

Main Methods:

  • 34 pediatric patients received 20 mg/day omeprazole for 2 weeks.
  • Biochemical parameters of bone turnover were measured pre- and post-treatment.
  • Assessed parameters included urinary calcium, alkaline phosphatase, CTX-1, and osteocalcin.

Main Results:

  • All measured bone turnover markers remained within normal reference ranges for all participants.
  • No significant alterations in these biochemical parameters were observed across different ages or genders.
  • Short-term omeprazole treatment did not significantly affect the investigated bone turnover markers.

Conclusions:

  • Omeprazole, at a dosage of 20 mg/day, does not appear to significantly impact key biochemical markers of bone turnover in pediatric patients.
  • These findings suggest that short-term PPI use is unlikely to adversely affect osteoclast or osteoblast function in children.

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