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Published on: October 28, 2014
Disorders of calcium and phosphorus homeostasis
1Department of Pediatrics, New York Hospital-Cornell Medical Center, New York.
Insights
This review covers calcium and phosphorus physiology, focusing on how vitamin D disorders impact bone health, especially in children. It also discusses metabolic bone disease in premature infants.
Area of Science:
- Biochemistry
- Pediatrics
- Endocrinology
Background:
- Calcium and phosphorus are essential minerals, ranking fifth and sixth in body abundance.
- These elements are crucial for numerous physiological functions, with the skeleton being their primary reservoir.
- Disruptions in their metabolism, particularly in children, can lead to significant skeletal disorders.
Purpose of the Study:
- To review the fundamental physiology of calcium and phosphorus.
- To examine the skeletal and systemic effects of vitamin D nutrition and metabolism disorders.
- To discuss metabolic bone disease specifically in the context of prematurity.
Main Methods:
- Literature review of calcium and phosphorus physiology.
- Analysis of the impact of vitamin D on mineral metabolism.
- Examination of metabolic bone disease in premature infants.
Main Results:
- Calcium and phosphorus are vital for physiological systems and skeletal integrity.
- Vitamin D disorders significantly affect bone health and systemic physiology.
- Metabolic bone disease is a critical concern in premature infants.
Conclusions:
- Understanding calcium, phosphorus, and vitamin D metabolism is key to preventing bone disorders.
- Early identification and management of these metabolic issues are crucial for child health.
- Metabolic bone disease in prematurity requires specialized attention and care.
Abstract:
Calcium and phosphorus are, respectively, the fifth and sixth most abundant elements in the body; both play vital roles in a multitude of physiologic systems. Because the great bulk of these elements is found in the skeleton, a large part of the discussion of calcium and phosphorus metabolism focuses on skeletal disorders, the impact of which falls heavily on young children. This article reviews the physiology of calcium and phosphorus, the skeletal and systemic consequences of disorders of vitamin D nutrition and metabolism, and the metabolic bone disease of prematurity.
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