{"entities":{"Q45864":{"pageid":36235,"ns":120,"title":"Item:Q45864","lastrevid":176090,"modified":"2026-08-13T14:07:15Z","type":"item","id":"Q45864","labels":{"mul":{"language":"mul","value":"KB61.3"},"pt-br":{"language":"pt-br","value":"Osteopenia neonatal"},"en":{"language":"en","value":"Neonatal osteopenia"}},"descriptions":{"pt-br":{"language":"pt-br","value":"A doen\u00e7a \u00f3ssea metab\u00f3lica \u00e9 uma complica\u00e7\u00e3o comum em rec\u00e9m-nascidos prematuros de muito baixo peso ao nascer (MBPN). Os rec\u00e9m-nascidos menores e mais doentes tem maior risco. Osteopenia progressiva com ossos desmineralizados e, ocasionalmente, fraturas patol\u00f3gicas podem se desenvolver. A principal causa \u00e9 a ingest\u00e3o inadequada de c\u00e1lcio e f\u00f3sforo que \u00e9 menor que as necessidades de crescimento. A ingest\u00e3o insuficiente de vitamina D \u00e9 um fator de risco adicional. Os fatores que contribuem incluem nutri\u00e7\u00e3o parenteral prolongada, m\u00e1 absor\u00e7\u00e3o de vitamina D e c\u00e1lcio, ingest\u00e3o de leite humano n\u00e3o suplementado, imobiliza\u00e7\u00e3o e perdas urin\u00e1rias de c\u00e1lcio com o uso de diur\u00e9ticos em longo prazo."},"en":{"language":"en","value":"Metabolic bone disease is a common complication in very low birthweight (VLBW) preterm infants. The smallest, sickest infants are at greatest risk. Progressive osteopenia with demineralized bones and, occasionally, pathologic fractures may develop. The major cause is inadequate intake of calcium and phosphorus to meet the requirements for growth. Poor intake of vitamin D is an additional risk factor. Contributing factors include prolonged parenteral nutrition, vitamin D and calcium malabsorption, intake of unsupplemented human milk, immobilization, and urinary calcium losses from long-term diuretic use."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"7921055ff91d5ccb71d350ed2e64d04ed1cbcbd1","datavalue":{"value":"https://id.who.int/icd/entity/109776301","type":"string"},"datatype":"url"},"type":"statement","id":"Q45864$7E4E22B0-1011-4924-B093-D293D3273F7D","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"03463b624c01c7f56c6c58aa68a993e21654ce68","datavalue":{"value":"CID11:KB61.3","type":"string"},"datatype":"string"},"type":"statement","id":"Q45864$B44EEFFC-FFCF-4738-BD0B-CAE3BD3DCB11","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"bdd6c33472fde87b7196c5cbfa45152c0028cb38","datavalue":{"value":"dki-india-KB61.3","type":"string"},"datatype":"string"},"type":"statement","id":"Q45864$8B516FDE-0CB1-496F-B3BE-B834D65F5FA5","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q45864$1CAAE526-DC63-42C1-B7DA-439B956070BB","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q45864$42200142-967C-471F-89AC-0A9D3CAC55DE","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q45864$7339904A-3D31-44D4-8CD5-DA8CAEFC7B65","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"788c590ee2abf932166d93ee015a75f8645b73f5","datavalue":{"value":{"entity-type":"item","numeric-id":21663,"id":"Q21663"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q45864$FAF741B3-6860-4077-8545-538F6CEE2301","rank":"normal"}]},"sitelinks":{}}}}