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.
Abstract:
Gastric proton pump inhibitors are widely used in the treatment of dyspeptic problems and for the eradication of H. pylori infection. Data are not available on whether omeprazole, a representative of proton pump inhibitors, influences the function of osteoclastic H+-pump in children. We studied the impact of short-term omeprazole administration on the biochemical parameters of bone turnover in pediatric patients. Urinary calcium excretion, serum total alkaline phosphatase activity, collagen type 1 crosslinked C-telopeptide, and osteocalcin levels were determined in 34 children [20 girls (9 prepubertal) and 14 boys (6 prepubertal)] before and after 2 weeks of omeprazole treatment at a dose of 20 mg/day. The measured parameters were within the healthy reference range in each patient. None of them altered during the study in any age or in any gender. We conclude that omeprazole, at a dose of 20 mg/day, does not significantly influence the investigated biochemical parameters of osteoclast and osteoblast function in pediatric patients.
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