[Calcium-phosphate metabolism in pre-term infants]

Klinische Padiatrie
|March 1, 1983
PubMed

Insights

Preterm infants often experience hypocalcemia and rickets due to calcium-phosphate deficiency. Supplementing with phosphate alongside vitamin D is crucial for preventing these conditions in vulnerable newborns.

Area of Science:

  • Neonatal physiology
  • Pediatric nutrition
  • Mineral metabolism

Context:

  • Preterm infants have unique calcium-phosphate metabolism challenges.
  • Gestational age significantly impacts fetal calcium accumulation.
  • Postnatal hypocalcemia is more prevalent in preterm infants.

Purpose:

  • To review the physiological and clinical aspects of calcium-phosphate metabolism in preterm infants.
  • To highlight the prevalence and indicators of hypocalcemia and rickets in this population.
  • To discuss optimal supplementation strategies.

Summary:

  • Calcium accumulation is highest in late gestation, making preterm infants susceptible to hypocalcemia.
  • Low serum phosphate levels, despite vitamin D supplementation, are common and linked to rickets.
  • Increased alkaline phosphatase activity serves as an early indicator of rickets.

Impact:

  • Emphasizes the inadequacy of vitamin D supplementation alone for preterm infants.
  • Recommends combined vitamin D and phosphate supplementation for preventing rickets.
  • Informs clinical practice regarding nutritional support for preterm neonates.

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