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Published on: January 29, 2018
The associations between serum trace elements and bone mineral density in children under 3 years of age
Ziyi Wu1, Yuhao Yuan1, Jian Tian1
1Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Insights
Age and essential trace elements like magnesium, iron, copper, and zinc are linked to better bone mineral density (BMD) in young children. This finding may help monitor bone health without costly imaging.
Area of Science:
- Pediatric Nutrition
- Bone Health
- Trace Element Metabolism
Background:
- Bone mineral density (BMD) is crucial for skeletal development in children.
- Monitoring BMD in infants and toddlers often requires expensive imaging techniques.
- Identifying non-invasive biomarkers for BMD assessment is a significant clinical need.
Purpose of the Study:
- To investigate the association between serum trace element levels and BMD in children under three years old.
- To explore age-related changes in BMD and their correlation with serum minerals.
- To identify potential serum biomarkers for monitoring pediatric BMD non-invasively.
Main Methods:
- Cross-sectional study involving 2412 children under three years of age.
- Analysis of serum levels of magnesium, iron, lead, copper, and zinc.
- Statistical methods included one-way ANOVA, chi-square tests, and multivariable logistic regression.
Main Results:
- Significant positive associations were found between age and BMD.
- Higher serum levels of magnesium, iron, copper, and zinc were independently associated with increased odds of normal BMD.
- Serum lead levels showed no significant correlation with BMD in this cohort.
Conclusions:
- Age and serum levels of magnesium, iron, copper, and zinc are positively associated with bone mineral density in young children.
- These trace elements show potential as accessible biomarkers for monitoring BMD in pediatric populations.
- Further research can validate these findings for clinical application in non-invasive BMD assessment.
Abstract:
We examined the associations of age and serum magnesium, iron, lead, copper, and zinc levels with bone mineral density (BMD) in 2412 children under 3 years of age in order to find a tool to monitor BMD in children without the use of expensive imaging techniques. One-way ANOVA and chi-square tests were used to determine the associations of age and serum trace elements with BMD. Multivariable logistic regression analysis was used to test the correlation of five serum trace elements with BMD after adjustments for potential confounding factors in children under 3 years of age. Significant associations between age and four serum trace elements and BMD were found. Compared to the group with the lowest serum levels detected, the adjusted odds ratio (OR) for the incidence of normal bone mineral density in the third magnesium concentration tertile, the third iron concentration tertile, the fifth copper concentration quintile, the third zinc concentration quintile, and the fifth zinc concentration quintile were 1.30 (95% confidence interval (CI) 1.02-1.67), 1.43 (95% CI 1.11-1.84), 1.42 (95% CI 1.04-1.94), 1.46 (95% CI 1.05-2.04), and 1.48 (95% CI 1.06-2.06), respectively. However, there was no significant correlation between serum lead level and BMD in this study. Age and serum magnesium, iron, copper, and zinc levels are positively associated with BMD in children under 3 years old.
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