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Purpose <p>Turner syndrome (TS) is associated with multiple factors contributing to compromised bone health. This study aims to evaluate bone health in Indian girls with TS based on the therapeutic interventions they have undergone. Additionally, it seeks to identify key determinants of bone health parameters in them.</p> Methods <p>70 karyotype-proven girls and young adults (4–25 years) with TS were included. Clinico-demographic data and laboratory findings were obtained using standard questionnaires/ protocols. Body composition was measured using bioelectric impedance analyser and bone health by dual-energy X-ray absorptiometry (DXA).</p> Results <p>37 were growth hormone (GH) naïve and 33 had received GH for at least a year. 34.3% had attained menarche before DXA assessment and 54.3% were on estrogen (E2) replacement. Mean age at GH initiation was 9.5 ± 2.6 years. E2 replacement was initiated at a mean age of 13.5 ± 1.3 years. Girls treated with GH had better height outcomes and height &amp; SMR-adjusted lean mass, total body less head areal bone mineral density (TBLH aBMD), lumbar spine aBMD and lumbar spine bone mineral apparent density Z-scores. Multiple linear regression showed cumulative GH dose, FSH and height to be significant predictors of TBLH aBMD Z-score. Cumulative GH and E2 doses and lean mass percentage Z-score significantly predicted lumbar spine aBMD Z-scores.</p> Conclusion <p>Bone health is often overlooked in TS due to other clinical issues. Timely and adequate intervention with estrogen and GH is likely to have better bone mineral density outcomes by improving bone accrual and muscle mass in individuals with TS.</p>

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Bone health and body composition in Indian girls with Turner syndrome: analysis based on therapeutic interventions

  • 期刊论文

  • 发表日期：

    2025年12月29日

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  • Shruti Mondkar,
  • Madhura Karguppikar,
  • Chirantap Oza,
  • Nikhil Shah,
  • Nikhil Lohiya,
  • Prashant Patil,
  • Aniket Kumbhojkar,
  • Savita Khadse,
  • Radha Ghildiyal,
  • Vaman Khadilkar,
  • Anuradha Khadilkar

摘要

Purpose

Turner syndrome (TS) is associated with multiple factors contributing to compromised bone health. This study aims to evaluate bone health in Indian girls with TS based on the therapeutic interventions they have undergone. Additionally, it seeks to identify key determinants of bone health parameters in them.

Methods

70 karyotype-proven girls and young adults (4–25 years) with TS were included. Clinico-demographic data and laboratory findings were obtained using standard questionnaires/ protocols. Body composition was measured using bioelectric impedance analyser and bone health by dual-energy X-ray absorptiometry (DXA).

Results

37 were growth hormone (GH) naïve and 33 had received GH for at least a year. 34.3% had attained menarche before DXA assessment and 54.3% were on estrogen (E2) replacement. Mean age at GH initiation was 9.5 ± 2.6 years. E2 replacement was initiated at a mean age of 13.5 ± 1.3 years. Girls treated with GH had better height outcomes and height & SMR-adjusted lean mass, total body less head areal bone mineral density (TBLH aBMD), lumbar spine aBMD and lumbar spine bone mineral apparent density Z-scores. Multiple linear regression showed cumulative GH dose, FSH and height to be significant predictors of TBLH aBMD Z-score. Cumulative GH and E2 doses and lean mass percentage Z-score significantly predicted lumbar spine aBMD Z-scores.

Conclusion

Bone health is often overlooked in TS due to other clinical issues. Timely and adequate intervention with estrogen and GH is likely to have better bone mineral density outcomes by improving bone accrual and muscle mass in individuals with TS.