Associations between serum vitamin D levels and precocious puberty in girls
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Purpose: Vitamin D deficiency has been linked to chronic diseases, such as diabetes mellitus, obesity and autoimmune disease. However, data on the vitamin D status and its association with precocious puberty in girls are limited. We aimed to inves- tigate the association between serum 25-hydroxyvitamin D (25OHD) and preco- cious puberty in girls. Methods: A total of 60 girls with central precocious puberty (CPP) and 30 control girls were enrolled. Anthropometric measurement and serum level of 25OHD were estimated for all subjects. Results: There was a significant difference in the mean serum 25OHD concentration between the precocious puberty group and the control group (17.1±4.5 ng/mL vs. 21.2±5.0 ng/mL, P<0.05). Forty-two of the 60 girls with CPP (70%) had vitamin D deficiency (defined as serum 25OHD<20 ng/mL) and 18 (30%) had vitamin D insufficiency. Of the 30 girls in the control group, vitamin D deficiency was seen in 13 subjects (43.3%), 15 subjects (50%) had vitamin D insufficiency, and 2 subjects (6.7%) had sufficient serum vitamin D (defined as serum 25OHD>30 ng/mL). Vitamin D deficient girls had a significantly higher odds ratio (OR, 3.05; 95% CI, 1.22–7.57, P=0.021). Conclusion: These results showed that vitamin D levels may be associated with pre- cocious puberty. Further studies are required to establish the potential effect of vitamin D status on puberty.
Abstract
Purpose: Vitamin D deficiency has been linked to chronic diseases, such as diabetes mellitus, obesity and autoimmune disease. However, data on the vitamin D status and its association with precocious puberty in girls are limited. We aimed to inves- tigate the association between serum 25-hydroxyvitamin D (25OHD) and preco- cious puberty in girls. Methods: A total of 60 girls with central precocious puberty (CPP) and 30 control girls were enrolled. Anthropometric measurement and serum level of 25OHD were estimated for all subjects. Results: There was a significant difference in the mean serum 25OHD concentration between the precocious puberty group and the control group (17.1±4.5 ng/mL vs. 21.2±5.0 ng/mL, P<0.05). Forty-two of the 60 girls with CPP (70%) had vitamin D deficiency (defined as serum 25OHD<20 ng/mL) and 18 (30%) had vitamin D insufficiency. Of the 30 girls in the control group, vitamin D deficiency was seen in 13 subjects (43.3%), 15 subjects (50%) had vitamin D insufficiency, and 2 subjects (6.7%) had sufficient serum vitamin D (defined as serum 25OHD>30 ng/mL). Vitamin D deficient girls had a significantly higher odds ratio (OR, 3.05; 95% CI, 1.22–7.57, P=0.021). Conclusion: These results showed that vitamin D levels may be associated with pre- cocious puberty. Further studies are required to establish the potential effect of vitamin D status on puberty.
참고문헌 (25)
- Wacker M, "Vitamin D - effects on skeletal and extraskeletal health and the need for supplementation", Nutrients, 5, pp.111~148 (2013)
- Prentice A, "Vitamin D across the lifecycle: physiology and biomarkers", Am J Clin Nutr, 88, pp.500S~506S (2008)
- Carel JC, "Clinical practice: precocious puberty", N Engl J Med, 358, pp.2366~2377 (2008)
- Villamor E, "Vitamin D deficiency and age at menarche: a prospective study", Am J Clin Nutr, 94, pp.1020~1025 (2011)
- Yang B, "Associations between testosterone, bone mineral density, vitamin D and semen quality in fertile and infertile Chinese men", Int J Androl, 35, pp.783~792 (2012)
- Knight JA, "Vitamin D association with estradiol and progesterone in young women", Cancer Causes Control, 21, pp.479~483 (2010)
- Neely EK, "Spontaneous serum gonadotropin concentrations in the evaluation of precocious puberty", J Pediatr, 127, pp.47~52 (1995)
- Greulich WW, "Radiologic atlas of skeletal development of the hand and wrist" (1959), Stanford University Press
- 문진수, "2007 한국 소아 청소년 성장도표 : 개발 과정과 전망", Korean Journal of Pediatrics, 51(1), pp.1~25 (2008), 대한소아과학회
- Misra M, "Vitamin D deficiency in children and its management: review of current knowledge and recommendations", Pediatrics, 122, pp.398~417 (2008)
- Sorensen K, "Recent secular trends in pubertal timing:implications for evaluation and diagnosis of precocious puberty", Horm Res Paediatr, 77, pp.137~145 (2012)
- Herbison AE, "Genetics of puberty", Horm Res, 68(Suppl 5), pp.75~79 (2007)
- Seminara SB, "The GPR54 gene as a regulator of puberty", N Engl J Med, 349, pp.1614~1627 (2003)
- Ahmed ML, "Childhood obesity and the timing of puberty", Trends Endocrinol Metab, 20, pp.237~242 (2009)
- Rasier G, "Early maturation of gonadotropin-releasing hormone secretion and sexual precocity after exposure of infant female rats to estradiol or dichlorodiphenyltrichloro ethane", Biol Reprod, 77, pp.734~742 (2007)
- Prentice A, "Vitamin D deficiency: a global perspective", Nutr Rev, 66(10 Suppl 2), pp.S153~S164 (2008)
- Haussler MR, "Vitamin D receptor (VDR)-mediated actions of 1α,25(OH)₂vitamin D₃: genomic and non-genomic mechanisms", Best Pract Res Clin Endocrinol Metab, 25, pp.543~559 (2011)
- Kinuta K, "Vitamin D is an important factor in estrogen biosynthesis of both female and male gonads", Endocrinolog y, 141, pp.1317~1324 (2000)
- Perez-Fernandez R, "Vitamin D receptor gene expression in human pituitary gland", Life Sci, 60, pp.35~42 (1997)
- Abrams SA, "Vitamin D: effects on childhood health and disease", Nat Rev Endocrinol, 9, pp.162~170 (2013)
- Halloran BP, "Effect of vitamin D deficiency on fertility and reproductive capacity in the female rat", J Nutr, 110, pp.1573~1580 (1980)
- Kitagawa I, "Advanced onset of menarche and higher bone mineral density depending on vitamin D receptor gene polymorphism", Eur J Endocrinol, 139, pp.522~527 (1998)
- Grivas TB, "Association between adolescent idiopathic scoliosis prevalence and age at menarche in different geographic latitudes", Scoliosis, 1, pp.9~ (2006)
- Breen ME, "25-hydroxyvitamin D, insulin-like growth factor-I, and bone mineral accrual during growth", J Clin Endocrinol Metab, 96, pp.E89~E98 (2011)
- DiVall SA, "Pubertal development and menarche", Ann N Y Acad Sci, 1135, pp.19~28 (2008)
