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Reference limits for osteocalcin in infancy and early childhood : A longitudinal birth cohort study

Berggren, Sara S ; Dahlgren, Jovanna ; Andersson, Ola LU orcid ; Bergman, Stefan LU and Roswall, Josefine (2024) In Clinical Endocrinology
Abstract

OBJECTIVE: The longitudinal variations in serum levels of the hormone osteocalcin is largely unknown during infancy and early childhood. Our aim was to establish reference limits for total serum osteocalcin during specific time points from birth until 5 years of age and present those in the context of sex, breastfeeding practices and gestational age (GA).

DESIGN: Blood samples from 551 Swedish children were analysed at birth, 4, 12, 36 and 60 months of age. Total serum osteocalcin was measured using the IDS-iSYS N-MID Osteocalcin assay technique. Information about the mother, birth, anthropometrics and a food diary were collected.

RESULTS: Sex-specific and age-specific reference limits were established for the five time... (More)

OBJECTIVE: The longitudinal variations in serum levels of the hormone osteocalcin is largely unknown during infancy and early childhood. Our aim was to establish reference limits for total serum osteocalcin during specific time points from birth until 5 years of age and present those in the context of sex, breastfeeding practices and gestational age (GA).

DESIGN: Blood samples from 551 Swedish children were analysed at birth, 4, 12, 36 and 60 months of age. Total serum osteocalcin was measured using the IDS-iSYS N-MID Osteocalcin assay technique. Information about the mother, birth, anthropometrics and a food diary were collected.

RESULTS: Sex-specific and age-specific reference limits were established for the five time points. The median osteocalcin levels over time were 40.8, 90.0, 67.8, 62.2 and 80.9 μg/L for boys and 38.1, 95.5, 78.3, 73.9 and 92.6 μg/L for girls. Lower GA was associated to higher osteocalcin at birth, and ongoing breastfeeding was associated to higher osteocalcin levels.

CONCLUSION: Osteocalcin followed a wavelike pattern with low levels in the umbilical cord and a postnatal peak during the first year which then declined and rose again by the age of five. Knowledge of this wavelike pattern and association to factors as sex, breastfeeding and GA may help clinicians to interpret individual osteocalcin levels and guide in future research.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Clinical Endocrinology
publisher
Wiley-Blackwell
external identifiers
  • scopus:85186415935
  • pmid:38385947
ISSN
1365-2265
DOI
10.1111/cen.15036
language
English
LU publication?
yes
additional info
© 2024 The Authors. Clinical Endocrinology published by John Wiley & Sons Ltd.
id
f21c8815-3e52-4f93-89e4-5cbd20ebcfe4
date added to LUP
2024-02-29 14:20:07
date last changed
2024-04-25 11:31:30
@article{f21c8815-3e52-4f93-89e4-5cbd20ebcfe4,
  abstract     = {{<p>OBJECTIVE: The longitudinal variations in serum levels of the hormone osteocalcin is largely unknown during infancy and early childhood. Our aim was to establish reference limits for total serum osteocalcin during specific time points from birth until 5 years of age and present those in the context of sex, breastfeeding practices and gestational age (GA).</p><p>DESIGN: Blood samples from 551 Swedish children were analysed at birth, 4, 12, 36 and 60 months of age. Total serum osteocalcin was measured using the IDS-iSYS N-MID Osteocalcin assay technique. Information about the mother, birth, anthropometrics and a food diary were collected.</p><p>RESULTS: Sex-specific and age-specific reference limits were established for the five time points. The median osteocalcin levels over time were 40.8, 90.0, 67.8, 62.2 and 80.9 μg/L for boys and 38.1, 95.5, 78.3, 73.9 and 92.6 μg/L for girls. Lower GA was associated to higher osteocalcin at birth, and ongoing breastfeeding was associated to higher osteocalcin levels.</p><p>CONCLUSION: Osteocalcin followed a wavelike pattern with low levels in the umbilical cord and a postnatal peak during the first year which then declined and rose again by the age of five. Knowledge of this wavelike pattern and association to factors as sex, breastfeeding and GA may help clinicians to interpret individual osteocalcin levels and guide in future research.</p>}},
  author       = {{Berggren, Sara S and Dahlgren, Jovanna and Andersson, Ola and Bergman, Stefan and Roswall, Josefine}},
  issn         = {{1365-2265}},
  language     = {{eng}},
  month        = {{02}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Clinical Endocrinology}},
  title        = {{Reference limits for osteocalcin in infancy and early childhood : A longitudinal birth cohort study}},
  url          = {{http://dx.doi.org/10.1111/cen.15036}},
  doi          = {{10.1111/cen.15036}},
  year         = {{2024}},
}