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Post-COVID-19 effect on biochemical parameters in children: Should we take heed?
1College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Insights
Six months after COVID-19 recovery, children showed no significant biochemical changes, indicating robust recovery. However, a higher DMFT score suggests a link between COVID-19 infection and dental caries in children.
Area of Science:
- Pediatric Infectious Diseases
- Biochemistry
- Public Health
Background:
- The long-term biochemical effects of COVID-19 infection in children remain incompletely understood.
- Previous studies have primarily focused on adult populations or acute infection phases.
Purpose of the Study:
- To assess the serum biochemical profile of children six months post-COVID-19 recovery.
- To investigate potential correlations between COVID-19 infection and dental caries (DMFT score) in pediatric populations.
Main Methods:
- A case-control study involving 72 children (37 COVID-19 cases, 35 controls) aged 6 months post-infection.
- Serum biochemical markers (including urea, LDH, AST, ALT, etc.) and DMFT scores were analyzed.
- Statistical comparisons were made between the COVID-19-infected group and the control group.
Main Results:
- A statistically significant difference in mean urea levels was observed between groups (P=0.026), though both remained within normal ranges.
- No significant differences were found in other tested biochemical markers (LDH, AST, ALT, etc.).
- The Decayed, Missing, and Filled Teeth (DMFT) score was significantly higher in the COVID-19 infected group (P<0.002).
Conclusions:
- COVID-19 infection does not appear to cause lasting biochemical alterations in children without pre-existing conditions.
- Children generally exhibit better biochemical recovery from COVID-19 compared to adults.
- A correlation between COVID-19 infection and increased dental caries (DMFT score) warrants further investigation.
Abstract:
The aim of this research is to analyze the potential impact of the COVID-19 infection on the serum biochemical concentration of children 6 months after recovery from the infection. The study included 72 children with a median age of 11 years. The case group consisted of 37 children who had contracted COVID-19 6 months prior to the analysis. They reported no other pre- or post-covid chronic or systemic diseases. The control group consisted of 35 children who had no prior record of COVID-19 infection. The analysis showed a substantial variation (P = 0.026) in the mean urea values (mmol/L) between the case group (4.513 ± 0.839) and the control group (5.425 ± 1.173). However, both groups' urea levels were within the normal range of their age group. No statistical differences were found analyzing the variations between the two groups in the levels of LDH, AST, ALT, BiliT, GGT, AlbBCG2, CRP, CK, AlKP, UA, Phos, Crea2, Gluc, Ca, Na, K, Cl, TP, TC, TG, and HDL (P > 0.05). The DMFT score was substantially greater (P < 0.002) in the infected team (5.38 ± 2.841) in comparison to the non-infected group (2.6 ± 2.257). The study indicates that COVID-19 infection does not leave biochemical alterations among children who did not have pre-existing conditions. The biochemical analysis suggests that children recover better than adults from COVID-19. Furthermore, it calls for investigating non-lethal COVID-19 infection as a tool to discover underlying conditions. The DMFT score shows a correlation between COVID-19 infection and caries. However, the nature of the correlation is yet to be investigated.
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