Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious Puberty

Background. This study aimed to determine the effect of body mass index (BMI) on bone turnover markers in girls with idiopathic central precocious puberty (ICPP) according to weight status at diagnosis. Methods. Two hundred and eleven girls with ICPP were divided according to their weight status at...

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Main Authors: Jing Zhang, Wen-jie Zhou, Yi-duo Zhang, Chuan-jiao Liu, Fan Yu, Yong-mei Jiang
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2023/6615789
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author Jing Zhang
Wen-jie Zhou
Yi-duo Zhang
Chuan-jiao Liu
Fan Yu
Yong-mei Jiang
author_facet Jing Zhang
Wen-jie Zhou
Yi-duo Zhang
Chuan-jiao Liu
Fan Yu
Yong-mei Jiang
author_sort Jing Zhang
collection DOAJ
description Background. This study aimed to determine the effect of body mass index (BMI) on bone turnover markers in girls with idiopathic central precocious puberty (ICPP) according to weight status at diagnosis. Methods. Two hundred and eleven girls with ICPP were divided according to their weight status at diagnosis into three groups: normal weight, overweight, and obese. The serum levels of total procollagen type 1 N-terminal propeptide (P1NP), N-terminal midfragment of osteocalcin, β-C-terminal telopeptide of type 1 collagen, and some biochemical indicators were measured. Associations between variables were evaluated by multiple regression analysis. Results. Serum P1NP concentrations were significantly different among groups (p<0.001). No other significant differences were noted in N-terminal midfragment of osteocalcin and β-C-terminal telopeptide of type 1 collagen. BMI was associated with estradiol (r = 0.155, p<0.05) and inversely associated with P1NP (r = −0.251, p<0.01), luteinizing hormone peak (r = −0.334, p<0.01), follicle-stimulating hormone peak (r = −0.215, p<0.01), and luteinizing hormone/follicle-stimulating hormone peak (r = −0.284, p<0.01). Multiple regression analysis of factors associated with BMI showed that it was correlated with P1NP, follicle-stimulating hormone base, and luteinizing hormone peak in the overweight group and the obese group. Conclusions. Our findings showed that BMI was associated with P1NP, revealing the reduction of bone formation in overweight and obese girls with ICPP. During the diagnosis and treatment of girls with ICPP, attention should be paid to body weight and bone metabolism.
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spelling doaj-art-d057bb3dc4674ce68bdf95bf84b67e7a2025-02-03T06:45:09ZengWileyInternational Journal of Clinical Practice1742-12412023-01-01202310.1155/2023/6615789Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious PubertyJing Zhang0Wen-jie Zhou1Yi-duo Zhang2Chuan-jiao Liu3Fan Yu4Yong-mei Jiang5Department of Laboratory MedicineDepartment of Laboratory MedicineDepartment of Laboratory MedicineDepartment of Laboratory MedicineDepartment of Laboratory MedicineDepartment of Laboratory MedicineBackground. This study aimed to determine the effect of body mass index (BMI) on bone turnover markers in girls with idiopathic central precocious puberty (ICPP) according to weight status at diagnosis. Methods. Two hundred and eleven girls with ICPP were divided according to their weight status at diagnosis into three groups: normal weight, overweight, and obese. The serum levels of total procollagen type 1 N-terminal propeptide (P1NP), N-terminal midfragment of osteocalcin, β-C-terminal telopeptide of type 1 collagen, and some biochemical indicators were measured. Associations between variables were evaluated by multiple regression analysis. Results. Serum P1NP concentrations were significantly different among groups (p<0.001). No other significant differences were noted in N-terminal midfragment of osteocalcin and β-C-terminal telopeptide of type 1 collagen. BMI was associated with estradiol (r = 0.155, p<0.05) and inversely associated with P1NP (r = −0.251, p<0.01), luteinizing hormone peak (r = −0.334, p<0.01), follicle-stimulating hormone peak (r = −0.215, p<0.01), and luteinizing hormone/follicle-stimulating hormone peak (r = −0.284, p<0.01). Multiple regression analysis of factors associated with BMI showed that it was correlated with P1NP, follicle-stimulating hormone base, and luteinizing hormone peak in the overweight group and the obese group. Conclusions. Our findings showed that BMI was associated with P1NP, revealing the reduction of bone formation in overweight and obese girls with ICPP. During the diagnosis and treatment of girls with ICPP, attention should be paid to body weight and bone metabolism.http://dx.doi.org/10.1155/2023/6615789
spellingShingle Jing Zhang
Wen-jie Zhou
Yi-duo Zhang
Chuan-jiao Liu
Fan Yu
Yong-mei Jiang
Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious Puberty
International Journal of Clinical Practice
title Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious Puberty
title_full Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious Puberty
title_fullStr Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious Puberty
title_full_unstemmed Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious Puberty
title_short Relationship between Body Mass Index and Bone Turnover Markers in Girls with Idiopathic Central Precocious Puberty
title_sort relationship between body mass index and bone turnover markers in girls with idiopathic central precocious puberty
url http://dx.doi.org/10.1155/2023/6615789
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