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Calcium homeostasis in the first days of life in relation to feeding

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Abstract

Determinations of serum calcium (Ca), phosphorus (P), magnesium (Mg), calcitonin (CT) and parathyroid hormone (PTH) were carried out in full term newborn infants during the first 168h of life. The infants were randomly assigned to two different diets: glucose and breast feeding (BF) only or early formula feeding (F). The Ca serum levels decreased from birth to the 24th h; after that time they increased until the 72nd h. The values of serum Ca at the 48th and 72nd h were significantly lower in the F than in the BF group. In contrast, the P serum levels increased from birth to the 48th h and then they decreased; the values of serum P at the 48th h were significantly higher in F than in the BF group. The CT serum levels increased from birth to the 24th h and then they decreased. No difference between the F and BF groups was found during the first 48 h, while at the 72nd h the F group demonstrated significantly higher values of serum CT. PTH serum levels also increased from birth to the 24th h with significantly higher values at the 72nd h in the F group. The results of this investigation demonstrate that the difference in feeding in the first hours of life affects the calcium homeostasis and the secretion of hormones involved in the regulation of serum Ca levels.

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Abbreviations

CT:

calcitonin

PTH:

parathyroid hormone

BF:

breast feeding

F:

early formula feeding

RIA:

radio-immunoassay

References

  1. Avioli LV, Shieber W, Kipnis DM (1971) Role of glucagon and adrenergic receptors in thyrocalcitonin release in the dog. Endocrinology 88:1337–1340

    Google Scholar 

  2. Bagnoli F, Sardelli S, Berti D, Bruchi S, Cusi G, Bracci R (1982) Calcium homeostasis in the first days of life in relation to the feeding. In: 8th European Congress of Perinatal Medicine (Abstr). Brussels: September 1982

  3. Bagnoli F, Bruchi S, Sardelli S, Vispi L, Buonocore G, Franchi F, Bracci R (1984) Calcitonin and Parathyroid hormone in newborn infants with fracture of the clavicle. Calcif Tissue Int 36:357–360

    Google Scholar 

  4. Bagnoli F, De Leo V, Bruchi S, Buonocore G, Berni S, Talluri B, Bracci R (1984) Calcitonin, parathyroid hormone and prolactin concentrations in the first days of life in relation to the mode of delivery. In: The endocrine physiology of pregnancy and the peripartal period (Abstr). Siena (Italy):11–13 April 1984

  5. Cooper CW, Schwesinger WH, Mahgoub AM, Ontjes DA (1971) Thyrocalcitonin: stimulation of secretion by pentagastrin. Science 172:1238–1240

    Google Scholar 

  6. David L, Anast CS (1974) Calcium metabolism in newborn infants. J Clin Invest 54:287–296

    Google Scholar 

  7. David L, Salle B (1980) Physiopathologie de l'hypocalcémie néonatale. Arch Fr Pediatr 37:215–218

    Google Scholar 

  8. David L, Salle B, Chopard P, Grafmeyer D (1977) Studies on circulating immunoreactive calcitonin in low birth weight infants during the first 48 hours of life. Helv Paediatr Acta 32:39–48

    Google Scholar 

  9. Gittleman IF, Pincus JB (1951) Influence of diet on the occurence of hyperphosphatemia and hypocalcemia in the newborn infant. Pediatrics 8:778–787

    Google Scholar 

  10. Grubb SA, Markham TC, Talmage RV (1977) Effect of calcitonin infusion on plasma concentrations of recently administered 45Ca. Calcif Tiss Int 24:201–208

    Google Scholar 

  11. Hilmann LS, Rojanasathit S, Slatopolsky E, Haddad JG (1977) Serial measurements of serum calcium, magnesium, parathyroid hormone, calcitonin and 25-hydroxy-vitamin D in premature and term infants during the first week of life. Pediatr Res 11:139–144

    Google Scholar 

  12. Hirsh PF (1968) Enhancement of hypocalcemic activity of thyrocalcitonin by inorganic phosphate. In: Taylor S (ed) Calcitonin. Springer, New York, pp 11–16

    Google Scholar 

  13. Lequin RM, Hackeng WHL, Schopman W (1970) A radio-immunoassay for parathyroid hormone in man. II. Measurement of parathyroid hormone concentrations in human plasma by means of radioimmunoassay for bovine hormone. Acta Endocrinol 63:655–666

    Google Scholar 

  14. Littledike ET, Arnaud CD (1971) The influence of plasma magnesium concentrations on calcitonin secretion in the pig. Proc Soc Exp Biol Med 136:1000–1006

    Google Scholar 

  15. Metz SL, Deftos LJ, Baylink D, Robertson RP (1978) Neuro-endocrine modulation of calcitonin and parathormone secretion in normal man. J Clin Endocrinol Metab 47:151–159

    Google Scholar 

  16. Padbury JF, Diakomanolis ES, Hobel CJ, Perelman A, Fisher DA (1981) Neonatal adaptation: sympatho-adrenal response to umbilical cord cutting. Pediatr Res 15:1483–1487

    Google Scholar 

  17. Pitkin RM (1975) Calcium metabolism in pregnancy: a review. Am J Obstet Gynecol 121:724–737

    Google Scholar 

  18. Pitkin RM, Cruikshank DP, Schauberger CW, Reynolds WA, Williams GA, Hargis GK (1980) Fetal calcitropic hormones and neonatal calcium homeostasis. Pediatrics 66:77–82

    Google Scholar 

  19. Reitz RE, Dane TA, Woods JR, Weinstein RL (1977) Calcium, magnesium, phosphorus, and parathyroid hormone interrelationships in pregnancy and newborn infants. Obstet Gynecol 50:701–705

    Google Scholar 

  20. Samaan NA, Anderson GD, Adam-Mayne ME (1975) Immunoreactive calcitonin in the mother, neonate, child, and adult. J Obstet Gynecol 121:622–625

    Google Scholar 

  21. Schedewie HK, Odell WD, Fisher DA (1979) Parathormone and perinatal calcium homeostasis. Pediatr Res 13:1–6

    Google Scholar 

  22. Steichen JJ, Tsang RC, Gratton TL, Hamstra A, De Luca HF (1980) Vitamin D homeostasis in the perinatal period. N Engl J Med 302:315–319

    Google Scholar 

  23. Tanaka Y, De Luca HF (1976) The control of 25-hydroxyvitamin D metabolism by inorganic phosphorus. Arch Biochem Biophys 154:566–574

    Google Scholar 

  24. Vora NM, Williams GA, Hargis GK, Bowser EN, Kawahara W, Jackson BL, Henderson WJ, Kukreja SC (1978) Comparative effect of calcium and of the adrenergic system on calcitonin secretion in man. J Clin Endocrinol Metab 46:567–571

    Google Scholar 

  25. Widdowson EM (1965) Absorption and excretion of fat, nitrogen, and minerals from “filled” milks by babies one week old. Lancet II:1099–1105

    Google Scholar 

  26. Wieland P, Fisher JA, Trechsel U, Roth HR, Vetter K, Schneider H, Huch A (1980) Perinatal parathyroid hormone, vitamin D metabolites, and calcitonin in man. Am J Physiol 239:E 385-E 390

    Google Scholar 

  27. Zamboni G, Tagliaro F, Mantovanelli F, Belloli S, Zoppi G, Cecchettin M (1980) Endocrine calcium homeostasis in term newborn infants during the first week of life. Acta Med Auxol 12:27–32

    Google Scholar 

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Bagnoli, F., Bruchi, S., Sardelli, S. et al. Calcium homeostasis in the first days of life in relation to feeding. Eur J Pediatr 144, 41–44 (1985). https://doi.org/10.1007/BF00491923

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  • DOI: https://doi.org/10.1007/BF00491923

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