Resumen de Bone mineral density and associated parameters in pre-pubertal children with asthma treated with long-term fluticasone propionate
E. Ozkaya, E. Çak?r, S. Uzuner, U. Erenberk, M.R. Dundaröz
Aims The primary aim of the objective of the study was to determine the effects of long-term treatment with the recommended dose of inhaled fluticasone propionate spray usage on bone mineral status in children with asthma.
Methods This cross-sectional, case�control study was of 270 pre-pubertal children with asthma, who had used inhaled fluticasone propionate at a mean daily dose of 200?g (range: 200�350?g) for at least 5 years. The bone mineral density (BMD) of the lumbar spine was measured by dual-energy X-ray absorptiometry (DEXA). The results were compared to untreated controls (n=200), who were newly diagnosed children with asthma without any corticosteroid treatment.
Results The 270 study patients (175 males) were aged between 6 and 13 years. The average age (±SEM) was 9.2±0.6 years, and the mean (±SEM) steroid dosage used was 183.3±57.0?g daily, with 236.5±17.2g total steroid use during treatment. Between the study and the control groups, no significant difference was observed in BMD (p>0.05).
Conclusion The findings suggest that long-term periodical treatment for 5 years with inhaled fluticasone propionate, 100?g twice daily, in children with asthma revealed no negative effect on bone mineral density by using DEXA.
