Bone mineral density and bone metabolism of prepubertal children with asthma after long‐term treatment with inhaled corticosteroids

Little is known about the effect of long‐term treatment with inhaled corticosteroids (ICS) on bone mineral density (BMD) in asthmatic children. In the present cross‐sectional study BMD, bone metabolism, height, body composition, and bone age were evaluated in 40 prepubertal children (21 boys) with asthma, treated with a moderate to high dose of ICS over a period of 3 to 8 years. Body composition and BMD of the lumbar spine and total body were measured by Dual Energy X‐ray Absorptiometry. BMD results were compared with 148 prepubertal healthy children of the same population. Blood samples were taken for the determination of biochemical bone parameters.

[1]  E. Krenning,et al.  Determinants of body composition measured by dual-energy X-ray absorptiometry in Dutch children and adolescents. , 1997, The American journal of clinical nutrition.

[2]  E P Krenning,et al.  Bone mineral density in children and adolescents: relation to puberty, calcium intake, and physical activity. , 1997, The Journal of clinical endocrinology and metabolism.

[3]  A. Boner,et al.  Effect on cortical and trabecular bone mass of different anti-inflammatory treatments in preadolescent children with chronic asthma. , 1996, American journal of respiratory and critical care medicine.

[4]  C. Hassager,et al.  Bone and collagen turnover during treatment with inhaled dry powder budesonide and beclomethasone dipropionate. , 1995, Archives of disease in childhood.

[5]  N. Hanania,et al.  Dose-related decrease in bone density among asthmatic patients treated with inhaled corticosteroids. , 1995, The Journal of allergy and clinical immunology.

[6]  J. Lappe,et al.  Cross‐sectional study of bone density in asthmatic children , 1995, Pediatric pulmonology.

[7]  P. Hindmarsh,et al.  Growth and the growth hormone axis in prepubertal children with asthma. , 1995, The Journal of pediatrics.

[8]  Jacques P. Brown,et al.  Effects of long-term use of high-dose inhaled steroids on bone density and calcium metabolism. , 1994, The Journal of allergy and clinical immunology.

[9]  R. Hopp,et al.  Bone mineral density in normal and asthmatic children. , 1994, The Journal of allergy and clinical immunology.

[10]  D. Postma,et al.  Effects of short-term and long-term treatment with inhaled corticosteroids on bone metabolism in patients with airways obstruction. Dutch CNSLD Study Group. , 1994, Thorax.

[11]  M. Ip,et al.  Decreased bone mineral density in premenopausal asthma patients receiving long-term inhaled steroids. , 1994, Chest.

[12]  E. Baraldi,et al.  Effect of beclomethasone dipropionate on bone mineral content assessed by X-ray densitometry in asthmatic children: a longitudinal evaluation. , 1994, The European respiratory journal.

[13]  R. Stanhope,et al.  Impaired growth in children with asthma during treatment with conventional doses of inhaled corticosteroids , 1994, Acta paediatrica.

[14]  B. Volovitz,et al.  Growth and pituitary-adrenal function in children with severe asthma treated with inhaled budesonide. , 1993, The New England journal of medicine.

[15]  C. Maloney,et al.  Bone metabolism in children with asthma treated with inhaled beclomethasone dipropionate. , 1993, The Journal of pediatrics.

[16]  J. Douglas,et al.  Bone density in asthmatic patients taking high dose inhaled beclomethasone dipropionate and intermittent systemic corticosteroids. , 1992, Thorax.

[17]  A. Klibanski,et al.  Osteopenia in men with a history of delayed puberty. , 1992, The New England journal of medicine.

[18]  B. Riis,et al.  Role of peak bone mass and bone loss in postmenopausal osteoporosis: 12 year study. , 1991, BMJ.

[19]  J. Baskerville,et al.  Effects of dose and dosing schedule of inhaled budesonide on bone turnover. , 1991, The Journal of allergy and clinical immunology.

[20]  S. Pedersen,et al.  Growth of asthmatic children during treatment with budesonide: a double blind trial. , 1991, BMJ.

[21]  P. Padfield,et al.  Inhaled corticosteroids, bone formation, and osteocalcin , 1991, The Lancet.

[22]  M. Prummel,et al.  Beclomethasone inhalation decreases serum osteocalcin concentrations. , 1991, BMJ.

[23]  S. Ott Editorial: Attainment of Peak Bone Mass , 1990 .

[24]  T. Stijnen,et al.  Twenty-four-hour plasma growth hormone (GH) profiles, urinary GH excretion, and plasma insulin-like growth factor-I and -II levels in prepubertal children with chronic renal insufficiency and severe growth retardation. , 1990 .

[25]  L. Raisz,et al.  Glucocorticoid-induced osteoporosis: pathogenesis and management. , 1990, Annals of internal medicine.

[26]  J. Eisman,et al.  A simple method for assessing calcium intake in Caucasian women. , 1989, Journal of the American Dietetic Association.

[27]  P. Deurenberg,et al.  Indices of body fat distribution and adiposity in Dutch children from birth to 18 years of age. , 1989, International journal of obesity.

[28]  T. Martin,et al.  1 Cell biology of bone , 1988 .

[29]  S. Krane,et al.  Procollagen type I carboxy‐terminal extension peptide in serum as a marker of collagen biosynthesis in bone. Correlation with iliac bone formation rates and comparison with total alkaline phosphatase , 1987, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[30]  A. Rogol,et al.  Serum Insulin-Like Growth Factors I and II Concentrations and Growth Hormone and Insulin Responses to Arginine Infusion in Children with Protein-Energy Malnutrition before and after Nutritional Rehabilitation , 1986, Pediatric Research.

[31]  A. Adinoff,et al.  Steroid-induced fractures and bone loss in patients with asthma. , 1983, The New England journal of medicine.

[32]  L. Landau,et al.  THE EFFECT ON GROWTH OF CHILDHOOD ASTHMA , 1981, Acta paediatrica Scandinavica.

[33]  R. Hauspie,et al.  Maturational delay and temporal growth retardation in asthmatic boys. , 1977, The Journal of allergy and clinical immunology.

[34]  James M. Tanner,et al.  Assessment of skeletal maturity and prediction of adult height : (TW2 method) , 1986 .