Effect of calcium, vitamins K1 and D3 on bone in galactosemia

Classical galactosemia is an inherited disorder of galactose metabolism. Recently, diminished bone mineral content (BMC) in children and adolescents has been found. The aim of this study was to evaluate the effect of calcium, vitamins K1 and D3 supplementation on bone in children with galactosemia....

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Veröffentlicht in:Bone (New York, N.Y.) N.Y.), 2006-11, Vol.39 (5), p.1123-1129
Hauptverfasser: Panis, Bianca, Vermeer, Cees, van Kroonenburgh, Marinus J.P.G., Nieman, Fred H.M., Menheere, Paul P.C.A., Spaapen, Leo J., Rubio-Gozalbo, M. Estela
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container_issue 5
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container_title Bone (New York, N.Y.)
container_volume 39
creator Panis, Bianca
Vermeer, Cees
van Kroonenburgh, Marinus J.P.G.
Nieman, Fred H.M.
Menheere, Paul P.C.A.
Spaapen, Leo J.
Rubio-Gozalbo, M. Estela
description Classical galactosemia is an inherited disorder of galactose metabolism. Recently, diminished bone mineral content (BMC) in children and adolescents has been found. The aim of this study was to evaluate the effect of calcium, vitamins K1 and D3 supplementation on bone in children with galactosemia. A 2-year randomized, double-blind, placebo-controlled clinical trial was undertaken in which 40 children with classical galactosemia (13 males and 27 females, aged 3–17 years) were included to receive daily either 750 mg calcium, 1.0 mg vitamin K1 and 10.0 μg vitamin D3 or placebo. BMC of femoral neck, lumbar spine and total body and body composition data were determined by dual energy X-ray absorptiometry (DXA) at baseline and after 1 and 2 years. Diet was assessed using a food frequency questionnaire and a 3-day food diary. Biochemical measurements were determined at baseline and after 1 and 2 years. In the children receiving treatment, carboxylated osteocalcin (cOC) concentration significantly increased (P 
doi_str_mv 10.1016/j.bone.2006.05.002
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Estela</creator><creatorcontrib>Panis, Bianca ; Vermeer, Cees ; van Kroonenburgh, Marinus J.P.G. ; Nieman, Fred H.M. ; Menheere, Paul P.C.A. ; Spaapen, Leo J. ; Rubio-Gozalbo, M. Estela</creatorcontrib><description>Classical galactosemia is an inherited disorder of galactose metabolism. Recently, diminished bone mineral content (BMC) in children and adolescents has been found. The aim of this study was to evaluate the effect of calcium, vitamins K1 and D3 supplementation on bone in children with galactosemia. A 2-year randomized, double-blind, placebo-controlled clinical trial was undertaken in which 40 children with classical galactosemia (13 males and 27 females, aged 3–17 years) were included to receive daily either 750 mg calcium, 1.0 mg vitamin K1 and 10.0 μg vitamin D3 or placebo. BMC of femoral neck, lumbar spine and total body and body composition data were determined by dual energy X-ray absorptiometry (DXA) at baseline and after 1 and 2 years. Diet was assessed using a food frequency questionnaire and a 3-day food diary. Biochemical measurements were determined at baseline and after 1 and 2 years. In the children receiving treatment, carboxylated osteocalcin (cOC) concentration significantly increased (P &lt; 0.001) and undercarboxylated osteocalcin (ucOC) concentration significantly decreased (P = 0.001) when compared to the children receiving placebo. Furthermore, there was a statistically significant increase in BMC of lumbar spine (P = 0.001), lean tissue mass (LTM: P = 0.016) and fat mass (FM: P = 0.014) in the treatment group when compared to the placebo group. The significant increase in cOC and decrease in ucOC concentration in the treatment group were present in prepubertal (P &lt; 0.001 and P = 0.006 respectively) and pubertal children (P = 0.004 and P = 0.042 respectively). The significant increase in BMC of lumbar spine in the treatment group was present only in the prepubertal children (P = 0.015). Supplementation of calcium, vitamins K1 and D3 given in this dose (750 mg, 1.0 mg and 10.0 μg respectively) is likely to have a role in the treatment of BMC abnormalities in galactosemia.</description><identifier>ISSN: 8756-3282</identifier><identifier>EISSN: 1873-2763</identifier><identifier>DOI: 10.1016/j.bone.2006.05.002</identifier><identifier>PMID: 16782422</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Absorptiometry, Photon ; Adolescent ; Biological and medical sciences ; Body Composition - drug effects ; Bone and Bones - drug effects ; Bone and Bones - metabolism ; Bone Density - drug effects ; Bone mineral content (BMC) ; Calcium ; Calcium - administration &amp; dosage ; Calcium - therapeutic use ; Carbohydrates (enzymatic deficiencies). 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Nmr spectrometry ; Treatment Outcome ; Vitamin D - administration &amp; dosage ; Vitamin D - therapeutic use ; Vitamin D3 ; Vitamin K 1 - administration &amp; dosage ; Vitamin K 1 - therapeutic use ; Vitamin K1 ; Vitamins - administration &amp; dosage ; Vitamins - therapeutic use</subject><ispartof>Bone (New York, N.Y.), 2006-11, Vol.39 (5), p.1123-1129</ispartof><rights>2006 Elsevier Inc.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.bone.2006.05.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18237147$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16782422$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Panis, Bianca</creatorcontrib><creatorcontrib>Vermeer, Cees</creatorcontrib><creatorcontrib>van Kroonenburgh, Marinus J.P.G.</creatorcontrib><creatorcontrib>Nieman, Fred H.M.</creatorcontrib><creatorcontrib>Menheere, Paul P.C.A.</creatorcontrib><creatorcontrib>Spaapen, Leo J.</creatorcontrib><creatorcontrib>Rubio-Gozalbo, M. Estela</creatorcontrib><title>Effect of calcium, vitamins K1 and D3 on bone in galactosemia</title><title>Bone (New York, N.Y.)</title><addtitle>Bone</addtitle><description>Classical galactosemia is an inherited disorder of galactose metabolism. Recently, diminished bone mineral content (BMC) in children and adolescents has been found. The aim of this study was to evaluate the effect of calcium, vitamins K1 and D3 supplementation on bone in children with galactosemia. A 2-year randomized, double-blind, placebo-controlled clinical trial was undertaken in which 40 children with classical galactosemia (13 males and 27 females, aged 3–17 years) were included to receive daily either 750 mg calcium, 1.0 mg vitamin K1 and 10.0 μg vitamin D3 or placebo. BMC of femoral neck, lumbar spine and total body and body composition data were determined by dual energy X-ray absorptiometry (DXA) at baseline and after 1 and 2 years. Diet was assessed using a food frequency questionnaire and a 3-day food diary. Biochemical measurements were determined at baseline and after 1 and 2 years. In the children receiving treatment, carboxylated osteocalcin (cOC) concentration significantly increased (P &lt; 0.001) and undercarboxylated osteocalcin (ucOC) concentration significantly decreased (P = 0.001) when compared to the children receiving placebo. Furthermore, there was a statistically significant increase in BMC of lumbar spine (P = 0.001), lean tissue mass (LTM: P = 0.016) and fat mass (FM: P = 0.014) in the treatment group when compared to the placebo group. The significant increase in cOC and decrease in ucOC concentration in the treatment group were present in prepubertal (P &lt; 0.001 and P = 0.006 respectively) and pubertal children (P = 0.004 and P = 0.042 respectively). The significant increase in BMC of lumbar spine in the treatment group was present only in the prepubertal children (P = 0.015). Supplementation of calcium, vitamins K1 and D3 given in this dose (750 mg, 1.0 mg and 10.0 μg respectively) is likely to have a role in the treatment of BMC abnormalities in galactosemia.</description><subject>Absorptiometry, Photon</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Body Composition - drug effects</subject><subject>Bone and Bones - drug effects</subject><subject>Bone and Bones - metabolism</subject><subject>Bone Density - drug effects</subject><subject>Bone mineral content (BMC)</subject><subject>Calcium</subject><subject>Calcium - administration &amp; dosage</subject><subject>Calcium - therapeutic use</subject><subject>Carbohydrates (enzymatic deficiencies). Glycogenosis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dietary Supplements</subject><subject>Dose-Response Relationship, Drug</subject><subject>Double-Blind Method</subject><subject>Errors of metabolism</subject><subject>Female</subject><subject>Galactosemia</subject><subject>Galactosemias - drug therapy</subject><subject>Galactosemias - metabolism</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Osteoarticular system. Muscles</subject><subject>Osteocalcin - chemistry</subject><subject>Osteocalcin - metabolism</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Treatment Outcome</subject><subject>Vitamin D - administration &amp; dosage</subject><subject>Vitamin D - therapeutic use</subject><subject>Vitamin D3</subject><subject>Vitamin K 1 - administration &amp; dosage</subject><subject>Vitamin K 1 - therapeutic use</subject><subject>Vitamin K1</subject><subject>Vitamins - administration &amp; dosage</subject><subject>Vitamins - therapeutic use</subject><issn>8756-3282</issn><issn>1873-2763</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkUtPwzAQhC0EouXxBzggX-BEwvpRO5HggEp5iEpc4Gy5mw1ylQfEKRL_nkQt4jSXTzs7M4ydCUgFCHO9TldtQ6kEMCnMUgC5x6YisyqR1qh9Ns3szCRKZnLCjmJcA4DKrThkE2FsJrWUU3a7KEvCnrclR19h2NRX_Dv0vg5N5C-C-6bg94q3DR-9eGj4h6889m2kOvgTdlD6KtLpTo_Z-8Pibf6ULF8fn-d3y4Qk2D5Rg2jKUBlCq4UcfsTCIGoQiAoKIWUGmINEmZemNEAExkhti1xrTbk6Zpfbu59d-7Wh2Ls6RKSq8g21m-hMlhur9Qie78DNqqbCfXah9t2P-ws8ABc7wMchcNn5BkP85zKprNB24G62HA2xvgN1LmKgBqkI3dCXK9rgBLhxB7d2Yzdu3MHBzA07qF93QXcD</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Panis, Bianca</creator><creator>Vermeer, Cees</creator><creator>van Kroonenburgh, Marinus J.P.G.</creator><creator>Nieman, Fred H.M.</creator><creator>Menheere, Paul P.C.A.</creator><creator>Spaapen, Leo J.</creator><creator>Rubio-Gozalbo, M. Estela</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200611</creationdate><title>Effect of calcium, vitamins K1 and D3 on bone in galactosemia</title><author>Panis, Bianca ; Vermeer, Cees ; van Kroonenburgh, Marinus J.P.G. ; Nieman, Fred H.M. ; Menheere, Paul P.C.A. ; Spaapen, Leo J. ; Rubio-Gozalbo, M. 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Glycogenosis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dietary Supplements</topic><topic>Dose-Response Relationship, Drug</topic><topic>Double-Blind Method</topic><topic>Errors of metabolism</topic><topic>Female</topic><topic>Galactosemia</topic><topic>Galactosemias - drug therapy</topic><topic>Galactosemias - metabolism</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Osteoarticular system. Muscles</topic><topic>Osteocalcin - chemistry</topic><topic>Osteocalcin - metabolism</topic><topic>Radiodiagnosis. Nmr imagery. 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Estela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of calcium, vitamins K1 and D3 on bone in galactosemia</atitle><jtitle>Bone (New York, N.Y.)</jtitle><addtitle>Bone</addtitle><date>2006-11</date><risdate>2006</risdate><volume>39</volume><issue>5</issue><spage>1123</spage><epage>1129</epage><pages>1123-1129</pages><issn>8756-3282</issn><eissn>1873-2763</eissn><abstract>Classical galactosemia is an inherited disorder of galactose metabolism. Recently, diminished bone mineral content (BMC) in children and adolescents has been found. The aim of this study was to evaluate the effect of calcium, vitamins K1 and D3 supplementation on bone in children with galactosemia. A 2-year randomized, double-blind, placebo-controlled clinical trial was undertaken in which 40 children with classical galactosemia (13 males and 27 females, aged 3–17 years) were included to receive daily either 750 mg calcium, 1.0 mg vitamin K1 and 10.0 μg vitamin D3 or placebo. BMC of femoral neck, lumbar spine and total body and body composition data were determined by dual energy X-ray absorptiometry (DXA) at baseline and after 1 and 2 years. Diet was assessed using a food frequency questionnaire and a 3-day food diary. Biochemical measurements were determined at baseline and after 1 and 2 years. In the children receiving treatment, carboxylated osteocalcin (cOC) concentration significantly increased (P &lt; 0.001) and undercarboxylated osteocalcin (ucOC) concentration significantly decreased (P = 0.001) when compared to the children receiving placebo. Furthermore, there was a statistically significant increase in BMC of lumbar spine (P = 0.001), lean tissue mass (LTM: P = 0.016) and fat mass (FM: P = 0.014) in the treatment group when compared to the placebo group. The significant increase in cOC and decrease in ucOC concentration in the treatment group were present in prepubertal (P &lt; 0.001 and P = 0.006 respectively) and pubertal children (P = 0.004 and P = 0.042 respectively). The significant increase in BMC of lumbar spine in the treatment group was present only in the prepubertal children (P = 0.015). Supplementation of calcium, vitamins K1 and D3 given in this dose (750 mg, 1.0 mg and 10.0 μg respectively) is likely to have a role in the treatment of BMC abnormalities in galactosemia.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16782422</pmid><doi>10.1016/j.bone.2006.05.002</doi><tpages>7</tpages></addata></record>
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subjects Absorptiometry, Photon
Adolescent
Biological and medical sciences
Body Composition - drug effects
Bone and Bones - drug effects
Bone and Bones - metabolism
Bone Density - drug effects
Bone mineral content (BMC)
Calcium
Calcium - administration & dosage
Calcium - therapeutic use
Carbohydrates (enzymatic deficiencies). Glycogenosis
Child
Child, Preschool
Dietary Supplements
Dose-Response Relationship, Drug
Double-Blind Method
Errors of metabolism
Female
Galactosemia
Galactosemias - drug therapy
Galactosemias - metabolism
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Metabolic diseases
Osteoarticular system. Muscles
Osteocalcin - chemistry
Osteocalcin - metabolism
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Treatment Outcome
Vitamin D - administration & dosage
Vitamin D - therapeutic use
Vitamin D3
Vitamin K 1 - administration & dosage
Vitamin K 1 - therapeutic use
Vitamin K1
Vitamins - administration & dosage
Vitamins - therapeutic use
title Effect of calcium, vitamins K1 and D3 on bone in galactosemia
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