The activity of erythrocyte pyruvate kinase (PK), one of the most impo
rtant enzymes in the anaerobic glycolytic pathway, was measured in a t
otal of 57 healthy (22 term and 35 preterm) infants. The mean PK activ
ity was 8.98 +/- 3.43 IU/gHb in ten and 16.56 +/- 7.26 IU/gHb in prete
rm infants. The mean PK activity was significantly higher in preterm b
abies than ten infants (16.56 +/- 7.26 IU/gHb and 8.98 +/- 3.43 IU/gHb
, respectively) (P < .001). A significant negative correlation was fou
nd between gestational age, birth weight, and PK activity (r = 0.40, P
< .05; r = -0.37, P < .05). No correlation was found between postnata
l age and PK activity in both preterm and term infants. The increased
PK activity in preterm babies was thought to be due to increased glyco
lytic activity and energy production in these infants.