Abstract
Recent studies reveal that salivary cortisol measurements accurately reflect blood cortisol levels in older children and adults; yet, the relationship between the two values in premature infants has not been established. This study explores the use of salivary cortisol as an accurate measure of adrenal steroid concentrations in premature infants to provide a reliable and less invasive tool for investigating hormonal stress response. Premature infants (n=51) were recruited, with saliva and blood collected immediately after birth, and cortisol levels measured by radioimmunoassay. A linear relationship emerged between cord plasma and salivary cortisol values in the 102 paired samples [(salivary cortisol)=0.546+0.192×(plasma cortisol), r=0.481 and p=0.0003]. Findings demonstrated that salivary and plasma cortisol levels were correlated in premature infants. This information will be useful in future studies that assess use of salivary cortisol to evaluate neonatal stress axis function.
©2011 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- Publisher's Note
- Publisher's Note
- Editorial
- Sex steroid priming for growth hormone (GH) provocative tests: an endless debate with insufficient solution
- Not ready for prime time
- Commentary
- Sex hormone priming
- Pros of priming in the diagnosis of growth hormone deficiency
- Images in Pediatric Endokrinology
- Images in pediatric endocrinology: vitamin D deficiency rickets and other nutritional deficiencies in a 12-month-old infant
- Original Contributions
- The influence of an educational program on the HbA1c-level of adolescents with type 1 diabetes mellitus: a retrospective study
- Contribution of clinical, metabolic, and genetic factors on hypertension in obese children and adolescents
- Hyperphosphatemic tumoral calcinosis: a 10-year follow-up
- Vitamin D deficiency and insulin resistance in obese African- American adolescents
- Evaluation of children with nutritional rickets
- The effects of delivery route and anesthesia type on early postnatal weight loss in newborns: the role of vasoactive hormones
- Abdominal obesity is associated with cardiovascular risk in Japanese children and adolescents
- PPAR-γ2 Pro12Ala polymorphism is associated with post-challenge abnormalities of glucose homeostasis in children and adolescents with obesity
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- The subtle signs of Wolfram (DIDMOAD) syndrome: not all juvenile diabetes is type 1 diabetes
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