Pediatric endocrinology

DXA Derived Low Bone Mass in a Cohort of Prepubertal Eastern Indian Girls With Turner Syndrome Disappeared Following Adjustment for Short Stature

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

When adjusted for stature, bone mineral density in Turner Syndrome is not different from that of healthy girls of the same age.

Study context

Population
Pre-pubertal Eastern Indian girls with Turner syndrome (TS) aged 12–18 years without prior GH or pubertal induction, and age-matched controls
Participants
80 vs 85
Exposure
Prepubertal girls with TS vs healthy controls
  • TSn = 80
  • Controlsn = 85reference
Outcome
Bone-mineral-density (BMD) by DXA, with stature correction (bone mineral apparent density (BMAD), height-adjusted Z scores)
Methodological detailsage-matched controls, DXA stature corrections as per ISCD official positions
  • Age-matched controls
  • DXA stature corrections as per ISCD official positions

Main finding

As reported in the abstract

BMD
  • Differences disappeared at all sites after adjustment for stature
  • TS vs Controls: P < 0.001
  • TS vs Controls: P = 0.002
  • TS vs Controls: = 0.006
  • TS vs Controls: P = 0.357
  • TS vs Controls: P = 0.496

Observational data: associations, not effects.

Further findings

OutcomeP value
Beta-CTX (bone resorption)0.81 ± 0.37 vs 1.05 ± 0.59 ng/mL; lower with TSP = 0.036

Beta-CTX (bone resorption)

Lower beta-CTX in TS indicated reduced bone resorption

Original publication

DXA Derived Low Bone Mass in a Cohort of Prepubertal Eastern Indian Girls With Turner Syndrome Disappeared Following Adjustment for Short Stature. Clin Endocrinol (Oxf). Published 31 December 2025. doi:10.1111/cen.70090

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