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Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

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Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
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Longitudinal changes in adiponectin multimer levels in preterm infants.

Yuya Nakano1, Kazuo Itabashi1, Kazushige Dobashi1

  • 1Department of Pediatrics, Showa University School of Medicine, Tokyo, Japan.

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|March 2, 2016
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Summary
This summary is machine-generated.

Preterm infants show declining levels of total adiponectin (T-Ad) and high-molecular-weight adiponectin (HMW-Ad) by 12 months. Early HMW-Ad levels in preterm infants significantly predict later changes, suggesting developmental programming.

Keywords:
AdiponectinInfancyLongitudinal changesPreterm infants

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Area of Science:

  • Neonatal research
  • Endocrinology
  • Metabolic syndrome

Background:

  • Preterm infants exhibit altered adiponectin levels at term-equivalent age.
  • These infants face an increased risk of metabolic syndrome components later in life.

Purpose of the Study:

  • To track longitudinal changes in adiponectin levels in preterm infants.
  • To compare adiponectin levels between preterm and term infants over time.

Main Methods:

  • A cohort study involving 42 preterm infants (≤34-week gestation) and 43 term infants.
  • Serum total adiponectin (T-Ad) and high-molecular-weight adiponectin (HMW-Ad) measured at term-, 6-month, and 12-month equivalent ages in preterm infants.
  • Longitudinal data from term infants were reviewed for comparison.

Main Results:

  • Both T-Ad and HMW-Ad levels decreased by 12 months in preterm infants, mirroring term infant patterns.
  • The ratio of HMW-Ad to T-Ad differed between groups at 6 months but normalized by 12 months.
  • Early HMW-Ad levels at term-equivalent age were the sole significant predictor of HMW-Ad changes up to 12 months in preterm infants.

Conclusions:

  • High-molecular-weight adiponectin levels decrease throughout infancy in both term and preterm infants.
  • Adiponectin level changes in preterm infants during infancy may be influenced by factors present up to term-equivalent age.