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The more caffeine while pregnant (coffee, cola) the more bone pain in premature infants – Jan 2018

Caffeine is a risk factor for osteopenia of prematurity in preterm infants: a cohort study.

BMC Pediatr. 2018 Jan 22;18(1):9. doi: 10.1186/s12887-017-0978-6.
Ali E1,2, Rockman-Greenberg C3,4, Moffatt M5,3,4, Narvey M3,4, Reed M6, Jiang D5.

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BACKGROUND:
Caffeine, the most commonly used medication in Neonatal Intensive Care Units, has calciuric and osteoclastogenic effects.

METHODS:
To examine the association between the cumulative dose and duration of therapy of caffeine and osteopenia of prematurity, a retrospective cohort study was conducted including premature infants less than 31 weeks and birth weight less than 1500 g. Osteopenia of prematurity was evaluated using chest X-rays on a biweekly basis over 12 weeks of hospitalization.

RESULTS:
The cohort included 109 infants. 51% had osteopenia of prematurity and 8% had spontaneous rib fractures. Using the generalized linear mixed model, caffeine dose and duration of caffeine therapy showed a strong association with osteopenia of prematurity. Steroids and vitamin D were also significantly correlated with osteopenia of prematurity while diuretic use did not show a statistically significant effect.

CONCLUSION:
The cumulative dose and duration of therapy of caffeine, as well as steroid are associated with osteopenia of prematurity in this cohort. Future studies are needed to confirm these findings and determine the lowest dose of caffeine needed to treat effectively apnea of prematurity.

PMID: 29357829 DOI: 10.1186/s12887-017-0978-6


Created by admin. Last Modification: Monday September 20, 2021 16:08:13 GMT-0000 by admin. (Version 7)

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9244 Caffeine OP F3.jpg admin 24 Jan, 2018 15:11 31.70 Kb 630
9243 Caffeine OP F2.jpg admin 24 Jan, 2018 15:11 19.06 Kb 605
9242 Caffeine OP F1.jpg admin 24 Jan, 2018 15:10 24.15 Kb 581
9241 Caffeine is a risk factor for osteopenia of prematurity.pdf PDF 2018 admin 24 Jan, 2018 15:05 485.84 Kb 476
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