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Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis
OBJECTIVE: To explore the effect of new antiseizure medication on bone metabolism and bone mineral density in children. METHODS: The Chinese and English databases (PubMed, EMBASE, Cochrane Library, CNKI, Wanfang and VIP) were systematically searched for observational studies evaluating the effects o...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9705372/ https://www.ncbi.nlm.nih.gov/pubmed/36458136 http://dx.doi.org/10.3389/fped.2022.1015691 |
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author | Zhuo, La Zhang, Yong |
author_facet | Zhuo, La Zhang, Yong |
author_sort | Zhuo, La |
collection | PubMed |
description | OBJECTIVE: To explore the effect of new antiseizure medication on bone metabolism and bone mineral density in children. METHODS: The Chinese and English databases (PubMed, EMBASE, Cochrane Library, CNKI, Wanfang and VIP) were systematically searched for observational studies evaluating the effects of new antiseizure medication on bone metabolism and bone mineral density in children with epilepsy. The effects of new antiseizure medication on serum calcium, phosphorus, alkaline phosphatase, bone alkaline phosphatase, parathyroid hormone, 25-hydroxyvitamin D and bone mineral density in children were systematically evaluated. RESULTS: After systematic retrieval and screening, 12 studies with high literature quality (including 629 epileptic children and 627 control subjects) were included in the systematic evaluation. Meta-analysis showed that new antiseizure medication decreased bone mineral density (MD: −0.05, 95%CI, −0.09, −0.02; P = 0.004). From different kinds of antiseizure medication, levetiracetam can reduce blood phosphorus concentration in children (MD: −0.04; 95%CI, −0.07, −0.01). Oxcarbazepine increased serum alkaline phosphatase in children (MD:17.98; 95%CI, 10.43,25.53; P < 0.00001), and the increase intensity was significantly higher than that of levetiracetam (MD: 7.66; 95%CI, 0.29, 15.02; P = 0.04). In addition, oxcarbazepine can cause a significant increase in parathyroid hormone in children (MD: 7.52; 95%CI, 3.37,11.66; P = 0.0004), and 25 - hydroxyvitamin D was reduced, and the difference was statistically significant (MD:−2.18; 95%CI, −3.23, −1.13; P = 0.00006). However, the effects of new antiseizure medication on serum calcium and bone alkaline phosphatase in children were not statistically significant CONCLUSION: New antiseizure medication have different effects on bone metabolism and bone mineral density in children with epilepsy, and the effects of different types of new antiseizure medication are different. |
format | Online Article Text |
id | pubmed-9705372 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97053722022-11-30 Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis Zhuo, La Zhang, Yong Front Pediatr Pediatrics OBJECTIVE: To explore the effect of new antiseizure medication on bone metabolism and bone mineral density in children. METHODS: The Chinese and English databases (PubMed, EMBASE, Cochrane Library, CNKI, Wanfang and VIP) were systematically searched for observational studies evaluating the effects of new antiseizure medication on bone metabolism and bone mineral density in children with epilepsy. The effects of new antiseizure medication on serum calcium, phosphorus, alkaline phosphatase, bone alkaline phosphatase, parathyroid hormone, 25-hydroxyvitamin D and bone mineral density in children were systematically evaluated. RESULTS: After systematic retrieval and screening, 12 studies with high literature quality (including 629 epileptic children and 627 control subjects) were included in the systematic evaluation. Meta-analysis showed that new antiseizure medication decreased bone mineral density (MD: −0.05, 95%CI, −0.09, −0.02; P = 0.004). From different kinds of antiseizure medication, levetiracetam can reduce blood phosphorus concentration in children (MD: −0.04; 95%CI, −0.07, −0.01). Oxcarbazepine increased serum alkaline phosphatase in children (MD:17.98; 95%CI, 10.43,25.53; P < 0.00001), and the increase intensity was significantly higher than that of levetiracetam (MD: 7.66; 95%CI, 0.29, 15.02; P = 0.04). In addition, oxcarbazepine can cause a significant increase in parathyroid hormone in children (MD: 7.52; 95%CI, 3.37,11.66; P = 0.0004), and 25 - hydroxyvitamin D was reduced, and the difference was statistically significant (MD:−2.18; 95%CI, −3.23, −1.13; P = 0.00006). However, the effects of new antiseizure medication on serum calcium and bone alkaline phosphatase in children were not statistically significant CONCLUSION: New antiseizure medication have different effects on bone metabolism and bone mineral density in children with epilepsy, and the effects of different types of new antiseizure medication are different. Frontiers Media S.A. 2022-11-15 /pmc/articles/PMC9705372/ /pubmed/36458136 http://dx.doi.org/10.3389/fped.2022.1015691 Text en © 2022 Zhuo and Zhang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Zhuo, La Zhang, Yong Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis |
title | Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis |
title_full | Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis |
title_fullStr | Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis |
title_full_unstemmed | Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis |
title_short | Effects of new antiseizure medication on bone metabolism and bone mineral density in children: A meta-analysis |
title_sort | effects of new antiseizure medication on bone metabolism and bone mineral density in children: a meta-analysis |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9705372/ https://www.ncbi.nlm.nih.gov/pubmed/36458136 http://dx.doi.org/10.3389/fped.2022.1015691 |
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