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Published on: January 29, 2018
Determinants of bone mass and size in 7-year-old former term, late-preterm, and preterm boys
H Abou Samra1, D Stevens, T Binkley
1College of Nursing, South Dakota State University, Brookings, SD 57007, USA. haifa.samra@sdstate.edu
Insights
Full-term boys exhibit superior bone size and mass compared to preterm and late-preterm boys. These findings highlight the importance of monitoring bone development in preterm infants and considering specialized nutrition.
Area of Science:
- Pediatric Endocrinology
- Bone Biology
- Neonatology
Background:
- Preterm birth can impact long-term skeletal development.
- Understanding bone mass and size differences is crucial for preterm infants.
Purpose of the Study:
- To compare bone mass and size in prepubertal boys born at term, late-preterm, and preterm.
- To identify factors associated with bone mass and size in these groups.
Main Methods:
- Dual-energy X-ray absorptiometry (DXA) and peripheral quantitative computed tomography (pQCT) were used.
- Measurements included total body, spine, hip, and tibia in 24 boys aged 5.7–8.3 years.
Main Results:
- Term boys showed greater bone size and mineral content than preterm boys.
- Term boys also had higher bone mineral content and density than late-preterm boys.
- No significant differences in activity measures were found among the groups.
Conclusions:
- Boys born at term have better bone development than preterm and late-preterm counterparts.
- Gestational age is a significant determinant of bone mass and size in prepubertal boys.
- Further research on nutritional interventions for preterm infants is warranted.
Unlabelled:
When compared, full-term prepubertal boys had greater regional bone size, higher total body (TB) bone mineral content (BMC), and regional bone density than preterm boys but higher TB bone content area and regional BMC than late-preterm boys. Implications include follow-up bone assessment and preterm formula feeding in late-preterm boys.
Introduction:
This study was conducted to determine whether there are differences in bone mass and size among prepubertal boys born preterm (PT; < or =34 weeks gestation), late-preterm (LP; >34 and < or =37 weeks gestation), and at term (>37 weeks gestation) and to identify factors that are associated with bone mass and size in these children.
Methods:
Total body (TB), spine and hip dual energy X-ray absorptiometry and tibia peripheral quantitative computed tomography measures were obtained on 24 boys aged 5.7 to 8.3 years.
Results:
In multiple regression analysis adjusting for current weight, height, age, and jump power, term boys had greater cortical thickness (p = 0.03) and area (p = 0.01), higher trabecular volumetric bone mineral density (p = 0.05), TB bone mineral content (BMC; p = 0.007), and hip areal bone mineral density (aBMD; p = 0.01) than PT boys, and higher TB BMC (p = 0.01), TB bone area (p = 0.03), hip BMC (p = 0.02) and aBMD (p = 0.01), and femoral neck BMC (p = 0.05) and aBMD (p = 0.02) than LP boys. There were no differences in activity measures among gestation groups and no group-by-activity interactions.
Conclusion:
Term boys have greater bone size and mass than PT boys and higher bone mass than LP boys at several bone sites. Activity measures did not differ among gestation groups and did not explain bone differences.
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