ORIGINAL PAPER
Determination of electrolyte composition of saliva and calcium level in blood of children with bronchial asthma
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Department of Faculty Pediatric, Zaporizhzhia State Medical University, Zaporizhzhia, Ukraine
Submission date: 2019-12-23
Final revision date: 2020-02-11
Acceptance date: 2020-03-07
Publication date: 2020-03-31
Pediatr Pol 2020;95(1):14-17
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ABSTRACT
Aim of the study:
Тo analyse the individual biochemical parameters and pH of saliva and content of calcium in the blood of children with bronchial asthma.
Material and methods:
The examination of patients was carried out in the Municipal Non-Commercial Enterprise City Children’s Hospital no. 5 in Zaporizhia City Council and the University Clinic of Zaporizhzhia State Medical University. The main study group comprised 49 children aged 5 to 17 years with bronchial asthma, who were taking inhalation glucocorticosteroids for basic control treatment. The comparison group consisted of 29 children without burdened allergic anamnesis. The results were processed in Microsoft Excel for Windows 4.0 and Statistica 6.0.
Results:
The level of total calcium in the blood of the children of the main group was equal to 2.33 (2.24; 2.39), while in the children of the comparison group it was equal to 2.51 (2.42; 2.55) at p < 0.001. This was also characterised by a decrease in the amount of ionised calcium determined in saliva: 0.55 (0.45; 0.69) in the main group versus 0.86 (0.75; 0.94) in the comparison group, at p < 0.001. When determining the saliva pH, the data obtained indicated a shift of indicators toward an increase in acidity in the main group: 6.90 (6.88; 7.10) with stable indicators 7.13 (6.87; 7.32) in the control group at p = 0.015. A slight difference between the obtained data was also found when comparing the chlorine ion content in saliva: 28.6 (25.9; 32.0) in the main group versus 32.2 (28.1; 34.7) in the control group, at p = 0.048. The inverse relationship between the levels of potassium ions and saliva pH was detected (–0.31 in the main group and –0.37 in the comparison group).
Conclusions:
Our study confirms the presence of changes in the electrolyte composition of saliva and the content of calcium in the blood of children with bronchial asthma on the background of taking inhalation glucocorticosteroids.
REFERENCES (18)
1.
Global Initiative for Asthma (GINA). [Global Initiative for Asthma – GINA]. Astma ta Alerhiia 2017; 3: 72-83 [in Ukrainian].
2.
Global Initiative for Asthma (GINA). Kyshen’kove kerivnytstvo z likuvannya i profilaktyky bronkhial’noyi astmy (u doroslykh i ditey starshe 5 rokiv) [Pocket guide for the treatment and prevention of bronchial asthma (in adults and children over 5 years old) Global Initiative for Asthma – GINA]. Astma ta Alerhiia 2017; 2: 43-56 [in Ukrainian].
3.
Tsoy AN. Faktory’ effektivnosti ingalyacionnoj terapii I vy’bor poroshkovogo ingalyatora [Factors for the effectiveness of inhalation therapy and the choice of a powder in haler]. Atmosfera. Pul’monologiya i Allergologiya 2009; 3: 16 [in Russian].
4.
Anjomshoaa I, Cooper ME, Vieira AR. Caries is Associated with Asthma and Epilepsy. Eur J Dent 2009; 3: 297-303.
5.
Stenson M, Wendt LK, Koch LK, et al. Oral health in preschool children with asthma. Int J Paediatr Dent 2008; 18: 243-250.
6.
Tanaca K, Miyake Y, Arakawa M, et al. Dental caries and allergic disorders in Japanese children: the Ryukyus Child Health Study.
7.
J Asthma 2008; 45: 795-799.
8.
Mazzoleni S, Stellini E, Cavalery E, et al. Dental caries in children with asthma undergoing treatment with short acting beta2-agonist. Eur J Paediatr Dent 2008; 9: 132-138.
9.
Tattersfield AE, Town GL, Johnell O, et al. Bone mineral density in subjects with mild asthma randomized to treatment with inhaled corticosteroids or non-corticosteroid treatment for two years. Thorax 2010: 56: 272-278.
10.
Chuchalin AG, Berova MM. Funktsional’noye sostoyaniye kal’tsiyreguliruyushchey sistemy u bol’nykh bronkhial’noy astmoy [The functional state of the calcium-regulating system in patients with bronchial asthma]. Klin Med 1989; 8: 56-59 [in Russian].
11.
Khramtsova SN, Shcheplyagina LA. Rol’ czitokinov i gormonov v formirovanii kostnoj tkani (Soobshenie 1) [The role of cytokines and hormones in the formation of bone tissue (Message 1)]. Rossiyskiy Pediatricheskiy Zhurnal 2005; 5: 25-29 [in Russian].
12.
Rubin J, Biskobing DM, Jadhav L, et al. Dexamethasone promotes expression of membrane-bound macrophage colony-stimulating factor in murine osteoblast-like cells. Endocrinology 1998; 139: 1006-1012.
13.
Goldstein MF, Fallon JJ, Harning R. Chronic glucocorticoid therapy-induced osteoporosis in patients with obstructive lung disease. Chest 1999; 116: 1733-1749.
14.
Nazarenko GI, Kishkun AA. Klinicheskaya otsenka rezul’tatov laboratornykh issledovaniy: uch. Posob [Clinical evaluation of laboratory research results: study. Manual]. Meditsina 2000; 544 [in Russian].
15.
Gorinova YUV. Kostnaya mineral’naya plotnost’ u detey s khronicheskimi zabolevaniyami legkikh [Bone mineral density in children with chronic lung diseases]. Voprosy Sovremennoy Pediatrii. 2004; 3: 95.
16.
Ruzanova EV, Timchyshyn OL. Osobennosti kal’tsiy-fosfornogo metabolizma u detey s bronkhial’noy astmoy [Features of calcium-phosphorus metabolism in children with bronchial asthma]. Aktual’ni problemy suchasnoyi medytsyny 2007; 7: 137-139 [in Russian].
17.
Poleshchuk OYU, Romanenko IG, Kaladze KN. Uroven’ kontsentratsii ionizirovannogo kal’tsiya v rotovoy zhidkosti u detey s generalizovannym khronicheskim kataral’nym gingivitom na fone bronkhial’noy astmy [The level of concentration of ionized calcium in the oral fluid in children with generalized chronic catarrhal gingivitis on the background of bronchial asthma]. Vesnik Meditsinskogo Instituta «REAVIZ» 2017; 4: 48-52 [in Russian].
18.
Vydoynyk OYA. Pokaznyky homeostazu rotovoyi porozhnyny u ditey zi stomatolohichnoyu zakhvoryuvanistyu na foni bronkhial’noyi astmy [Indicators of oral homeostasis in children with dental morbidity against a background of bronchial asthma]. Visnyk Problem Biolohiyi i Medytsyny 2014; 110: 47-49 [in Ukrainian].