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A seasonal variation of calcitropic hormones, bone turnover and bone mineral density in early and mid-puberty girls – a cross-sectional study

  • Heli T. Viljakainen (a1), Anette Palssa (a1), Merja Kärkkäinen (a1), Jette Jakobsen (a2), Kevin D. Cashman (a3), Christian Mølgaard (a4) and Christel Lamberg-Allardt (a1)...

Abstract

The importance of the seasonal variation of calcitropic hormones to growing skeleton has not been established. We studied whether there exists a seasonal variation in calcitropic hormones, bone mineral density (BMD) and bone remodelling markers in early puberty girls. One hundred and ninety-six girls, mean age 11·4 (sd 0·4) years, in Tanner stage 2 (early puberty) and 3 (mid-puberty) were studied during September to March. The BMD was measured from the lumbar vertebrae and the left femur by dual-energy X-ray absoptiometry. Their serum 25-hydroxyvitamin D (S-25-OHD), serum intact parathyroid hormone (S-iPTH), serum osteocalcin, urinary pyridinoline and urinary deoxypyridinoline were analysed from fasting samples. The concentration of S-25-OHD and serum osteocalcin differed among months (p<0·01), reflecting a seasonal variation. The parathyroid hormone correlated negatively with S-25-OHD (r −0·325, p<0·001). Moreover, the BMD in the femur (p=0·047) and to a lesser extent in vertebrae (p=0·057) differed between months in early puberty girls but this was not seen in mid-puberty. Seasonal variation in S-25-OHD and bone remodelling markers accompanied by negative correlation between S-25-OHD and S-iPTH was seen in this cross-sectional study of adolescent girls. In addition, the seasonal rhythm contributed 7·0–7·6% difference in the BMD of lumbar vertebrae and left femur in early puberty girls. This variation should be avoided since it could hamper peak bone mass attainment.

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Corresponding author

*Corresponding author: Dr Heli T. Viljakainen, fax +358 9 19158269, email heli.viljakainen@helsinki.fi

References

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A seasonal variation of calcitropic hormones, bone turnover and bone mineral density in early and mid-puberty girls – a cross-sectional study

  • Heli T. Viljakainen (a1), Anette Palssa (a1), Merja Kärkkäinen (a1), Jette Jakobsen (a2), Kevin D. Cashman (a3), Christian Mølgaard (a4) and Christel Lamberg-Allardt (a1)...

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