Quantitative ultrasound and biochemical parameters for the assessment of osteopenia in preterm infants.
OBJECTIVE
Our study aimed to evaluate the feasibility of quantitative ultrasound (QUS) evaluation in osteopenia of prematurity and to compare the results to biochemical parameters.


METHODS
QUS assessment of bone was performed at the end of the first postnatal week and at term-corrected age (CA) in premature infants (N = 30) and within the first week in full-term infants (N = 25). On the same day of measurement of QUS, the serum calcium, phosphorus (inorganic), and alkaline phosphatase (ALP) activity were measured in the preterm infants.


RESULTS
The median of tibia z score at term-CA in premature infants was significantly lower compared to that of first postnatal week (-1 and 0.4, respectively; p < 0.0001) and it was also lower than that of term-matched controls (0.0; p = 0.001). Preterm infants at term-CA had lower weights and lengths in comparison to term infants. The median ALP value was 585 IU/L at the first postnatal week and 703 IU/L at term-CA in preterm infants (p = 0.003). The median tibia z score of infants with ALP >or=900 IU/L was significantly lower than that of the infants with ALP <900 IU/L (-1.4 vs. 0.1; p = 0.001). An inverse correlation was found between ALP levels and tibia z score at term-CA in preterm infants (rho = -0.61, p = 0.01).


CONCLUSIONS
Bone density of preterm infants at term-CA was lower than that at first postnatal week. Serum ALP levels increased during the first postnatal weeks. The tibia z scores were correlated to serum ALP levels. QUS is a good screening tool for the detection of osteopenia.
Department of Pediatrics, Divisions of Neonatology and Endocrinology, School of Medicine, Marmara University, Istanbul, Turkey. emelkayrak@yahoo.com
Emel
E
Altuncu
Ipek
I
Akman
Ziya
Z
Yurdakul
Tutku
T
Ozdoğan
Mine
M
Solakoğlu
Nedim
N
Selim
Hülya
H
Bilgen
Eren
E
Ozek
Abdullah
A
Bereket
D000469:Alkaline Phosphatase / Q000097:blood; D015519:Bone Density; D001851:Bone Diseases, Metabolic / Q000097:blood* / Q000000981:diagnostic imaging*; D002118:Calcium / Q000097:blood; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000097:blood* / Q000000981:diagnostic imaging*; D008297:Male; D010758:Phosphorus / Q000097:blood; D013977:Tibia / Q000000981:diagnostic imaging; D014463:Ultrasonography
D010758:Phosphorus; D000469:Alkaline Phosphatase; D002118:Calcium