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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1999-1-22
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pubmed:abstractText |
To detect early abnormalities in bone mineralization, the lumbar spine bone mineral density (BMD) of diabetic children with a diabetes onset of less than 5 years and treated with a similar insulin treatment scheme was measured at the level of the lumbar spine by dual-energy X-ray absorptiometry (DEXA), a most sensitive technique for detecting osteopenia in children. Fifteen male and 8 female children and adolescents (mean age +/- SD: 12.5+/-3.7 years), 1-5 years after the clinical onset of their diabetes, were studied. Measurements of the lumbar spine (L1-L4) BMD, expressed in gHA/cm2 and as a z-score for age, were performed with a commercial DEXA apparatus (Hologic QDR 1000 W, Hologic Inc., Waltham, USA). Calcium-phosphorus metabolism was studied by measuring the circulating levels of calcium, phosphorus, alkaline phosphatase, osteocalcin, 25-OH-vitamin D and parathyroid hormone and the urinary excretion of calcium and phosphorus. The mean BMD of the studied group was 0.75 (0.16) gHA/cm2 giving a mean z-score of -0.31+/-0.95. Only 1 of the patients had a BMD lower than -2 SD. No sex difference in BMD z-score existed. BMD SD was positively correlated with height SD (R = 0.56, p < 0.005), but not with the age of the patients, the duration of the disease, the degree of metabolic control or the studied parameters of the calcium-phosphorus metabolism. In conclusion, diabetic children have a normal lumbar spine BMD during the first years of the disease, when a good metabolic control and no abnormalities in the calcium-phosphorus metabolism are present. As in normal children, areal BMD by DEXA is highly dependent on the body height, necessitating corrections if abnormalities in skeletal growth or pubertal development exist.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Alkaline Phosphatase,
http://linkedlifedata.com/resource/pubmed/chemical/Calcifediol,
http://linkedlifedata.com/resource/pubmed/chemical/Calcium,
http://linkedlifedata.com/resource/pubmed/chemical/Insulin,
http://linkedlifedata.com/resource/pubmed/chemical/Osteocalcin,
http://linkedlifedata.com/resource/pubmed/chemical/Parathyroid Hormone,
http://linkedlifedata.com/resource/pubmed/chemical/Phosphorus
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pubmed:status |
MEDLINE
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pubmed:issn |
0301-0163
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
50
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
193-6
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:9838239-Absorptiometry, Photon,
pubmed-meshheading:9838239-Adolescent,
pubmed-meshheading:9838239-Adult,
pubmed-meshheading:9838239-Alkaline Phosphatase,
pubmed-meshheading:9838239-Bone Density,
pubmed-meshheading:9838239-Calcifediol,
pubmed-meshheading:9838239-Calcium,
pubmed-meshheading:9838239-Child,
pubmed-meshheading:9838239-Diabetes Mellitus, Type 1,
pubmed-meshheading:9838239-Female,
pubmed-meshheading:9838239-Humans,
pubmed-meshheading:9838239-Insulin,
pubmed-meshheading:9838239-Lumbar Vertebrae,
pubmed-meshheading:9838239-Male,
pubmed-meshheading:9838239-Osteocalcin,
pubmed-meshheading:9838239-Parathyroid Hormone,
pubmed-meshheading:9838239-Phosphorus
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pubmed:year |
1998
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pubmed:articleTitle |
Lumbar spine bone mineral density in diabetic children with recent onset.
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pubmed:affiliation |
Department of Pediatrics, Free University of Brussels, Belgium.
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pubmed:publicationType |
Journal Article
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