RESEARCH PAPER
 
KEYWORDS
TOPICS
ABSTRACT
Objective:
The aim of the study was to assess the level of calcium, phosphorus and vitamin D in the blood of patients treated for short stature (SS).

Material and methods:
The study encompassed 110 children treated for somatotropin hypopituitarism (SHP) in the Department of Paediatric Endocrinology and Diabetology at the Medical University of Lublin. The levels of calcium, phosphorus and vitamin D were marked for both groups in the peripheral blood collected on a routine basis for diagnostic examinations. The parameters were compared within the group of children with SHP, both the patients who were about to start the therapy and those in the course of the therapy as well as between the research group (110 children) and the control group.

Results:
The results obtained were compared with the results in the control group that comprised 41 children with a general good health status, although with nasal septum deviation treated in the Department of Paediatric Otolaryngology at the Medical University of Lublin.

Conclusions:
On the basis of the research performed, the following conclusions were drawn: 1) children with SHP were characterised with calcium-phosphorus imbalance. The level of calcium, phosphorus and vitamin D was diminished. The values did not change due to a several-year hormone growth treatment (HGT). 2) the level of calcium and phosphorus was appropriate in the control group children, but the vitamin D level was considerably lowered. This shows the necessity for vitamin D control and supplementation, not only in children with SS.

 
REFERENCES (41)
1.
Ross AC. Institute of Medicine (U.S), eds. Dietary Reference Intake: Calcium, Vitamin D. Washington, DC: National Academies Press; 2011.
 
2.
Minghui S, Wenhua Y, Qianqian Z, Baolan J, Bo B, Mei Z. Association between serum calcium and phosphorus levels and insulin-like growth factor-1 in chinese children and adolescents with short stature. Int J Gen Med. 2020; 13: 1168–1173. https://doi.org/10.2147/ijgm.s....
 
3.
Calvo MS, Uribarri J. Public health impact of dietary phosphorus excess on bone and cardiovascular health in the general population. Am J Clin Nutr. 2013; 98(1): 6–15. https://doi.org/10.3945/ajcn.1....
 
4.
Kołłątaj W, Kołłątaj B, Klatka M, Wrzołek K, Krzewska A. Witamina D – rekomendacje czy też konieczność indywidualizacji dawek? Endokrynol Pediatr. 2015; 14.1.50: 11–21. https://doi.org/10.18544/ep-01....
 
5.
Hoel DG, Berwick M, de Gruijl FR, et al. The risks and benefits of sun exposure 2016. Dermatoendocrinol. 2016; 8: e1248325. https://doi.org/10.1080/193819....
 
6.
Theodoratou E, Tzoulaki I, Zgaga L,Ioannidis JPA. Vitamin D and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials. BMJ. 2014; 348. https://doi.org/10.1136/bmj.g2....
 
7.
Zempleni J, Rucker RB, Suttie JW, Mc Cormick DB, editors. Handbook of Vitamins, 4th Edition. CDC Press Taylor & Francis Group; 2007.
 
8.
Autier P, Boniol M, Pizot C, Mullie P. Vitamin D status and ill health: a systematic review. Lancet Diabetes Endocrinol. 2014; 2: 76–89. https://doi.org/10.1016/s2213-....
 
9.
Garganta, Melissa D, Bremer AA. Clinical dilemmas in evaluating the short child. Pediatrics Annals. 2014; 43: 321–327. https://doi.org/10.3928/009044....
 
10.
Sultan M, Afzal M, Qureshi SM. Etiology of short stature in children. J Coll Physicians Surg Pak. 2008; 8: 493–497. http://dx.doi.org/10.18203/234....
 
11.
Matsumoto R, Masafumi K, Soji K, Hidenori F, Genzo J, et al. Factors correlated with serum insulin-like growth factors-I levels in health check-up subjects. Growth Hormone & IGF Research. 2018; 40: 55–60. https://doi.org/10.1016/j.ghir....
 
12.
Oświęcimska J, Roczniak W, Mikołajczak A, Szymlak A. Niedobór hormonu wzrostu u dzieci i młodych dorosłych. Adv Hyg Exp Med Hig Med Dośw. 2016, 70.
 
13.
AL Bueno, MA Czepielewski, Raimundo FV. Calcium and vitamin D intake and biochemical tests in short-stature children and adolescents. Eur J Clin Nutrit. 2010; 64: 1296–1301.
 
14.
Weaver CM, McCabe LD, Braun M, Martin BR, DiMeglio LA, Peacock M. Vitamin D status and calcium metabolism in adolescent black and white girls on a range of controlled calcium intakes. J Clin Endocrinol Metab. 2008; 93: 3907–3914.
 
15.
Bauer DC. Calcium supplements and fracture prevention. New Engl J Med. 2014; 370.4: 387–388. doi: 10.1056/NEJMc1314100.
 
16.
Dembińska-Knieć A, Naksalski J. Diagnostyka laboratoryjna z elementami biochemii klinicznej. Edra; 2017.
 
17.
Rusińska A, et al. Zasady suplementacji i leczenia witaminą D – nowelizacja 2018. Postępy Neonatol. 2018; 24/1: 1–24. https://doi.org/10.31350/poste....
 
18.
Esposito S, Leonardi A, Lanciotti L, Cofini M, Muzi G, Penta L. Vitamin D and growth hormone in children: a review of the current scientific knowledge. J Transl Med. 2019; 17(1): 87. https://doi.org/10.1186/s12967....
 
19.
Rodakowska E, Wilczynska-Borawska M, Baginska J, et al. Epidemiological analysis of dental caries in 12-year-old children residing in urban and rural settings in the Podlaskie region of north-eastern Poland. Ann Agric Environ Med. 2013; 20: 325–8.
 
20.
Gordom CM, De Peter KC, Feldman HA, Grace E, Emans J. Prevalence of vitamin D deficiency among healthy adolescents. Arch. Pediatr Adolesc Med. 2004; 158(6): 531–537. https://doi.org/10.1001/archpe....
 
21.
Żak T, Basiak A, Zubkiewicz-Kucharska A, Noczyńska A. Ocena szybkości wzrastania i gospodarki wapniowo-fosforanowej, gęstości mineralnej kości oraz zmiana składu ciała u dzieci z somatotropinową niedoczynnością przysadki w pierwszym roku leczenia rekombinowanym ludzkim hormonem wzrostu(rhGH). Pediatr Endocrinol Diabetol Metab. 2010; 16(1): 39–43. Urban & Partner, 2010.
 
22.
Sun M, Yan W, Zhao Q, Ji B, Ban B, Zhang M. Association between serum calcium and phosphorus levels and insulin-like growth factor-1 in chinese children and adolescents with short stature. Int J Gen Med. 2020; 13: 1168–1173. https://doi.org/10.2147/ijgm.s....
 
23.
Khadilkar V, Ekbote V, Chiplonkar S, Khadilkar A. Bone mineral content in growth hormone deficient children treated with growth hormone after withdrawal of 1 year of supplementation with calcium, vitamin D and zinc. Int J Pediatr Endocrinol. 2015; 1: 1–1. https://doi.org/10.1007/s12020....
 
24.
Durá-Travé T, Gallinas-Victoriano F, Moreno-González P, Urretavizcaya-Martinez M, Berrade-Zubiri S, Chueca-Guindulain MJ. Vitamin D status and response to growth hormone treatment in prepubertal children with growth hormone deficiency. J Endocrinol Invest. 2020; 43(10): 1485–1492. https://doi.org/10.1007/s40618....
 
25.
Ciresi A, Cicciò F, Giordano C. High prevalence of hypovitaminosis D in Sicilian children affected by growth hormone deficiency and its improvement after 12 months of replacement treatment. J Endocrinol Invest. 2014; 37(7): 631–8. https://doi.org/10.1007/s40618....
 
26.
Savanelli MC, Scarano E, Muscogiuri G, Barrea L, Vuolo L, et al. Cardiovascular risk in adult hypopituitaric patients with growth hormone deficiency: is there a role for vitamin D? Endocrine. 2016; 52: 111–119. https://doi.org/10.1007/s12020....
 
27.
Karczmarewicz E, Czekuc-Kryskiewicz E, Płudowski P. Effect of vitamin D status on pharmacological treatment efficiency: Impact on cost-effective management in medicine. Dermatoendocrinol. 2013; 5: 299–304. https://doi.org/10.4161/derm.2....
 
28.
Rasha Tarif Hamza, Amira I Hamed, Mahmoud T Sallam. J Investig Med. 2018 Jun; 66(5): 1–8. Vitamin D status in prepubertal children with isolated idiopathic growth hormone deficiency: effect of growth hormone therapy. doi: 10.1136/jim-2017-000618. Epub 2018 Feb 24.
 
29.
Veugelers P, Pham T-M, Ekwaru J. Optimal Vitamin D Supplementation Doses that Minimize the Risk for Both Low and High Serum 25-Hydroxyvitamin D Concentrations in the General Population. Nutrients. 2015; 7: 10189–10208. doi: 10.3390/nu7125527.
 
30.
Pramyothin P, Holick MF. Vitamin D supplementation: guidelines and evidence for subclinical deficiency. Curr. Opin. Gastroenterol. 2012; 28: 139–150. doi: 10.1097/MOG.0b013e32835004dc.
 
31.
Absound M, Cummins C, Lim MJ, Wassmer E, Shaw N. Prevelance and predictors of vitaminD insufficiency in children: a Great Britain population Based study. PLoS One. 2011; 6(7): e22179. https://doi.org/10.1371/journa....
 
32.
Ryan LM, Brandoli C, Freishtat RJ, Wright JL, Tosi L, Chamberlain JM. Prevalence of vitamin D insufficiency in African American children with forearm fractures: a preliminary study. J Pediatr Orthop. 2010; 30(2): 106–109. https://doi.org/10.1016/j.bone....
 
33.
Van der Meer IM, Middelkoop BJC, Boeke AJP, Lips P. Prevelence of vitamin deficiency among Turkish, Maroccan, Indian and sub-Sahara African populations in Europe and their countries of origin: an overview. Osteoporos Int. 2011; 22(4): 1009–1021. https://doi.org/10.1007/s00198....
 
34.
Khadilkar AV. Vitamin D deficiency in Indian adolescents. Indian Pediatr. 2010; 47: 755–6. https://doi.org/10.1007/s13312....
 
35.
Hypponen E, Laara E, Reunanen A, Jarvelin MR, Virtanen SM. Intake of vitamin D and risk of type I diabetes: a birthcohort study. Lancet. 2001; 358: 1500–3. https://doi.org/10.1016/s0140-....
 
36.
Camargo CA Jr, Rifas-Shiman SL, Litonjua AA, Rich-Edwards JW, Weiss ST, Gold DR, et al. Maternal intake of vitamin D during pregnancy and risk of recurrent wheeze in children at 3 y of age. Am J Clin Nutr. 2007; 85: 788–96. https://doi.org/10.1093/ajcn/8....
 
37.
Litonjua AA. Childhood asthma may be a consequence of vitamin D deficiency. Curr Opin Allergy Clin Immunol. 2009; 9: 202–7. https://doi.org/10.1097/aci.0b....
 
38.
Munger KL, Levin LI, Hollis BW, Howard NS, Ascherio A. Serum 25 hydroxyvitamin D levels and risk of multiple sclerosis. Jama. 2006; 296: 2832–8. https://doi.org/10.1001/jama.2....
 
39.
Merlino LA, Curtis J, Mikuls TR, Cerhan JR, Criswell LA, Saag KG. Vitamin D intake is inversely associated with rheumatoid arthritis: results from the Iowa Women’s Health Study. Arthritis Rheum. 2004; 50: 72–7. https://doi.org/10.1002/art.11....
 
40.
Garland CF, Garland FC, Gorham ED, Lipkin M, Newmark H, Mohr SB. The role of vitamin in cancer prevention. Am J Public Health. 2006; 96: 252–61. https://doi.org/10.2105/AJPH.2....
 
41.
Lappe JM, Travers-Gustafson D, Davies KM, Recker RR, Heaney RP. Vitamin D and calcium supplementation reduces cancer risk: Results of randomized trial. Am J Clin Nutr. 2007; 85: 1586–91.
 
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