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Published on: January 29, 2018
Bone mass in First Nations, Asian and white newborn infants
Hope A Weiler1, Shirley C Fitzpatrick-Wong, Jeannine M Schellenberg
1School of Dietetics and Human Nutrition, McGill University, Ste. Anne-de-Bellevue, QC H9X 3V9, Canada. hope.weiler@mcgill.ca
Insights
Newborn bone mass differs by ethnicity, with Asian infants showing lower spine bone mineral content (BMC) than white or First Nations infants, independent of vitamin D levels.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Anthropology
Background:
- Bone mass accrual in newborns is influenced by maternal factors, including vitamin D status.
- Ethnic variations in bone mineral density (BMD) have been observed in various populations.
- Understanding early-life bone development is crucial for long-term skeletal health.
Purpose of the Study:
- To compare bone mass in newborn infants of First Nations, white, and Asian mothers.
- To investigate the influence of vitamin D status on infant bone mass across ethnic groups.
- To identify potential ethnic disparities in neonatal bone development.
Main Methods:
- Dual-energy X-ray absorptiometry (DXA) was used to measure bone mass in 50 healthy term infants.
- Cord plasma 25-hydroxyvitamin D [25(OH)D] levels assessed vitamin D status.
- Infants were stratified by ethnicity and vitamin D sufficiency for comparative analysis using ANOVA.
Main Results:
- No significant differences in whole body, spine, or femur bone mineral content (BMC) were found between vitamin D sufficient and insufficient white infants.
- Asian infants exhibited significantly lower spine BMC compared to white infants (P < 0.01); First Nations infants showed intermediate values.
- No ethnic differences were observed in whole body or femur BMC, suggesting ethnicity-specific variations primarily in spinal bone mass.
Conclusions:
- White and First Nations newborn infants demonstrate comparable bone mass.
- Asian newborns present with reduced spine bone mass, a finding independent of vitamin D status at birth and body size.
- Ethnic background is a significant factor in neonatal spine bone mass accrual, warranting further investigation.
Objective:
To compare bone mass in newborn infants of First Nations, white and Asian mothers while accounting for vitamin D status. Fifty infants born healthy at term age were measured for bone mass using dual energy x-ray absorptiometry (DXA) within 15 days of life. Vitamin D status was measured as 25(OH)D in cord plasma. White infants were separated based on 25(OH)D concentrations into sufficient and insufficient (< 32.5 nmol/L) to match for vitamin D status of the Asian infants and the First Nations group. Differences among groups were tested using ANOVA and post hoc testing with Bonferroni multiple comparisons test. There were no differences in whole body, spine or femur BMC between the white sufficient and insufficient infants. However, the Asian infants had lower (P < 0.01) spine BMC compared to the white infants and the First Nations infants were intermediate. No differences among the ethnic groups were observed for whole body or femur BMC. These data suggest that white and First Nations newborn infants have comparable bone mass. Asian infants have lower spine bone mass which is more than a factor of body size and independent of vitamin D status at birth.
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