Yıl: 2020 Cilt: 21 Sayı: 3 Sayfa Aralığı: 244 - 250 Metin Dili: İngilizce İndeks Tarihi: 13-06-2021

Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?

Öz:
Objective: The purpose of this study was to determine whether fontanelle closurein neonatal and early infantry periods was related to vitamin D levels and theprophylaxis of vitamin D intake. Moreover, our analysis was structured in aretrospective, controlled manner to evaluate our hypothesis.Materials and Methods: We considered 50 individuals who applied to our childendocrinology polyclinic with infants suffering from premature anterior closure.Further, 35 healthy infants of the same age and gender having open anteriorfontanelles were taken as the control group.Results: The serum vitamin D level was found to be lower, and the parathormonelevel was significantly higher in the group with premature closure of the anteriorfontanelle. In addition, there was a significant difference in serum calcium, alkalinephosphatase and parathormone levels in patients who had ceased vitamin D support compared with regular vitamin D users. While there was no significant difference in serum vitamin D levels, the level was lower in patients who had withdrawn vitamin D support.Conclusion: In our study, many infants have much lower vitamin D levels thannormal levels, even though their anterior fontanelle is prematurely closed. Thus,physicians and other health workers are also warned of the continuity of vitamin Dprophylaxis and that it is wrong to cease vitamin D support for reasons such as thepremature closing of the anterior fontanelle.
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Öz:
Amaç: Biz çalışmamızda yenidoğan ve erken süt çocukluğu döneminde fontanel kapanmasının D vitamini düzeyi ve aldığı D vitamini profilaksisinin miktarı ile ilişkili olup olmadığını araştırmak istedik. Gereç ve Yöntemler: Çocuk endokrin polikliniğimize ön fontaneli 6. aydan erken kapanma şikayetiyle başvuran veya rutin muayene esnasında ön fontanelin 6. aydan önce kapandığı saptanan 50 hastanın çalışmaya alınması planlandı. Aynı yaş ve cinsiyetten ön fontaneli açık 35 sağlıklı çocuk kontrol grubu olarak alındı. Bulgular: Çalışmamızda, ön fontaneli erken kapanan grupta serum D vitamini düzeyi daha düşük saptanmasına karşın kontrol grubu ile arasında anlamlı bir fark saptanamadı. Serum parathormon düzeyi ise fontaneli erken kapanan hasta grubunda anlamlı olarak yükselmişti. D vitamini desteği kesilen hastalar ile düzenli D vitamini desteği alan hastalar karşılaştırıldığında serum kalsiyum, alkalen fosfataz ve parathormon düzeyleri arasında anlamlı fark saptandı. Serum D vitamini düzeyleri arasındaki fark anlamlı olmasa da D vitamini desteği kesilen hastalarda daha düşüktü. Sonuç: Çalışmamızda da gördüğümüz gibi ön fontaneli erken kapansa dahi vitamin D düzeyi normal hatta normalin altında birçok infant bulunmaktadır. Bu nedenle hem hekimlerin hem de diğer sağlık çalışanlarının D vitamini profilaksisinin devamlılığı konusunda uyarılması ve ön fontanel erken kapanması gibi sebeplerle D vitamini desteğinin kesilmesinin yanlış olduğu vurgulanmalıdır.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ÜNÜVAR T, uygur şahin t, Adal E (2020). Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. , 244 - 250.
Chicago ÜNÜVAR TOLGA,uygur şahin türkan,Adal Erdal Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. (2020): 244 - 250.
MLA ÜNÜVAR TOLGA,uygur şahin türkan,Adal Erdal Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. , 2020, ss.244 - 250.
AMA ÜNÜVAR T,uygur şahin t,Adal E Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. . 2020; 244 - 250.
Vancouver ÜNÜVAR T,uygur şahin t,Adal E Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. . 2020; 244 - 250.
IEEE ÜNÜVAR T,uygur şahin t,Adal E "Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?." , ss.244 - 250, 2020.
ISNAD ÜNÜVAR, TOLGA vd. "Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?". (2020), 244-250.
APA ÜNÜVAR T, uygur şahin t, Adal E (2020). Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. Meandros Medical And Dental Journal, 21(3), 244 - 250.
Chicago ÜNÜVAR TOLGA,uygur şahin türkan,Adal Erdal Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. Meandros Medical And Dental Journal 21, no.3 (2020): 244 - 250.
MLA ÜNÜVAR TOLGA,uygur şahin türkan,Adal Erdal Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. Meandros Medical And Dental Journal, vol.21, no.3, 2020, ss.244 - 250.
AMA ÜNÜVAR T,uygur şahin t,Adal E Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. Meandros Medical And Dental Journal. 2020; 21(3): 244 - 250.
Vancouver ÜNÜVAR T,uygur şahin t,Adal E Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?. Meandros Medical And Dental Journal. 2020; 21(3): 244 - 250.
IEEE ÜNÜVAR T,uygur şahin t,Adal E "Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?." Meandros Medical And Dental Journal, 21, ss.244 - 250, 2020.
ISNAD ÜNÜVAR, TOLGA vd. "Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?". Meandros Medical And Dental Journal 21/3 (2020), 244-250.