{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:00:20Z","timestamp":1780596020539,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T00:00:00Z","timestamp":1524528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Patients transplanted for cholestatic liver disease are often significantly fat\u2010soluble vitamin deficient and malnourished pretransplant, with significant corticosteroid exposure post\u2010transplant, with increasing evidence of obesity and metabolic syndrome post\u2010LT. Our study aimed to assess growth, body composition, and BMD in patients post\u2010pediatric LT. Body composition and bone densitometry scans were performed on 21 patients. Pre\u2010 and post\u2010transplant anthropometric data were analyzed. Bone health was assessed using serum ALP, calcium, phosphate, and procollagen\u20101\u2010N\u2010peptide levels. Median ages at transplant and at this assessment were 2.7 and 10.6\u00a0years, respectively. Physiological markers of bone health, median <jats:italic>z<\/jats:italic>\u2010scores for total body, and lumbar spine aBMD were normal. Bone area was normal for height and BMAD at L3 was normal for age, indicating, respectively, normal cortical and trabecular bone accrual. Median <jats:italic>z<\/jats:italic>\u2010scores for weight, height, and BMI were 0.6, \u22120.9, 1.8 and 0.6, 0.1, 0.8 pre\u2010 and post\u2010transplant, respectively. Total body fat percentages measured on 21 body composition scans revealed 2 underweight, 7 normal, 6 overweight, and 6 obese. Bone mass is preserved following pediatric LT with good catch\u2010up height. About 52% of patients were either overweight\/obese post\u2010transplant, potentially placing them at an increased risk of metabolic syndrome and its sequelae in later life. BMI alone is a poor indicator of nutritional status post\u2010transplant.<\/jats:p>","DOI":"10.1111\/petr.13201","type":"journal-article","created":{"date-parts":[[2018,4,25]],"date-time":"2018-04-25T04:14:27Z","timestamp":1524629667000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Growth, body composition, and bone density following pediatric liver transplantation"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6147-5577","authenticated-orcid":false,"given":"Amin","family":"Sheikh","sequence":"first","affiliation":[{"name":"Paediatric Gastroenterology &amp; Hepatology Starship Child Health  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Cundy","sequence":"additional","affiliation":[{"name":"Department of Medicine Faculty of Medical &amp; Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8860-2705","authenticated-orcid":false,"given":"Helen Maria","family":"Evans","sequence":"additional","affiliation":[{"name":"Paediatric Gastroenterology &amp; 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