Significant association among growing pains, vitamin D supplementation, and bone mineral status: results from a pilot cohort study

Verfasser / Beitragende:
[Grazia Morandi, E. Maines, C. Piona, E. Monti, M. Sandri, R. Gaudino, A. Boner, F. Antoniazzi]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Bone and Mineral Metabolism, 33/2(2015-03-01), 201-206
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00774-014-0579-5  |2 doi 
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245 0 0 |a Significant association among growing pains, vitamin D supplementation, and bone mineral status: results from a pilot cohort study  |h [Elektronische Daten]  |c [Grazia Morandi, E. Maines, C. Piona, E. Monti, M. Sandri, R. Gaudino, A. Boner, F. Antoniazzi] 
520 3 |a The aim of our study was to analyze the possible relationship between growing pains, vitamin D levels, and bone mineral status. We enrolled 33 children affected by growing pains. Their pain intensity was evaluated through a questionnaire using the Wong-Baker Faces Pain Rating Scale for pain assessment. Serum 25-hydroxyvitamin D (25-OH-D), parathyroid hormone (PTH), and alkaline phosphatase levels were measured as well. A quantitative ultrasound assessment (QUS) was also done, measuring both the amplitude-dependent speed of sound (AD-SOS) and the bone transmission time (BTT), correlating, respectively, with bone density and with cortical thickness. After 3 and 24months of vitamin D supplementation, we re-evaluated pain intensity and laboratory results. After 24months we re-assessed QUS parameters. At the beginning of the study the children reported a mean growing pain intensity of 7.5±1.6 SD. The mean values of 25-OH-D and PTH levels were 15.7±6.9ng/ml and 57.3±27.3pg/ml, respectively. The AD-SOS Z score was −0.53±1.19 SD, and the mean value of the BTT Z score was −0.72±0.96 SD. After the first 3months of vitamin D supplementation we observed an increase in 25-OH-D levels (34.1±17.8, p<0.001) and a reduction in both PTH levels (47.3±30.6, p=0.135) and pain intensity (2.7±2.2, p<0.001). After 24months we observed a further significant reduction in the pain intensity (3.9±3.4, p<0.001) and in PTH levels (43.7±28.5, p=0.004) and an improvement in the QUS parameters, in particular in BTT Z scores (p=0.014). Our study suggests an interesting relationship between growing pains, vitamin D levels and bone mineral status. 
540 |a The Japanese Society for Bone and Mineral Research and Springer Japan, 2014 
690 7 |a Growing pains  |2 nationallicence 
690 7 |a Vitamin D  |2 nationallicence 
690 7 |a Parathyroid hormone  |2 nationallicence 
690 7 |a Bone mineral status  |2 nationallicence 
690 7 |a Quantitative ultrasound assessment  |2 nationallicence 
700 1 |a Morandi  |D Grazia  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
700 1 |a Maines  |D E.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
700 1 |a Piona  |D C.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
700 1 |a Monti  |D E.  |u Complex Operative Unit of Pediatrics, Azienda Unita Locale Socio Sanitaria N. 21-Via Carlo Gianella, 37045, Legnago, Verona, Italy  |4 aut 
700 1 |a Sandri  |D M.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
700 1 |a Gaudino  |D R.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
700 1 |a Boner  |D A.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
700 1 |a Antoniazzi  |D F.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
773 0 |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/2(2015-03-01), 201-206  |x 0914-8779  |q 33:2<201  |1 2015  |2 33  |o 774 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Morandi  |D Grazia  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maines  |D E.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Piona  |D C.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Monti  |D E.  |u Complex Operative Unit of Pediatrics, Azienda Unita Locale Socio Sanitaria N. 21-Via Carlo Gianella, 37045, Legnago, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sandri  |D M.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gaudino  |D R.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Boner  |D A.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Antoniazzi  |D F.  |u Department of Life and Reproduction Sciences, Pediatric Clinic, Giambattista Rossi Hospital, University of Verona, Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/2(2015-03-01), 201-206  |x 0914-8779  |q 33:2<201  |1 2015  |2 33  |o 774