Adrenal disease

Salivary Diurnal Glucocorticoid Profiles in Monozygotic Twins With Intratwin Birthweight Differences

J Clin Endocrinol MetabPublished Cohort study of monozygotic twins

Authors' conclusion

In monozygotic twins with intratwin bw differences, intratwin catch-up growth showed a moderate influence on intratwin differences in morning cortisol concentrations. We observed no differences regarding diurnal patterns. In contrast, in all groups, we found significant intratwin correlations for cortisol and cortisone over the day and a pronounced graphic alignment of cortisol diurnal patterns. We therefore suggest a predominant significance of the genetic background compared with bw differences on cortisol metabolism.

Study context

Population
Monozygotic twins with intratwin birthweight differences; mean age 6.9 years; salivary cortisol and cortisone at 7, 13, 18 and 21 hours by LC-MS/MS
Participants
46 twin pairs
Exposure
Twin pairs with bw differences ≥1 SDS vs <1 SDS
  • Concordantn = 29reference
  • Discordantn = 17
Outcome
Intratwin correlations and diurnal patterns of salivary glucocorticoids

Main finding

As reported in the abstract

  • Significant or highly significant intratwin correlations in all twin pairs at 3 of 4 time points (cortisol) and 4 of 4 (cortisone)
  • Distinct alignment of diurnal cortisol patterns in all groups
  • No intratwin differences in diurnal patterns (mixed linear modeling)

Observational data: associations, not effects.

Further findings

Influence of catch-up growth on intratwin cortisol differences (regression) · 7:00 hours

Significant influence of catch-up growth: lower cortisol in smaller twins with more catch-up growth, adj. R2
0.159
ß
−3.71
P
P = 0.014
f2
0.19

Intratwin correlations of cortisol and cortisone

Significant or highly significant intratwin correlations in all twin pairs at 3 of 4 (cortisol) and 4 of 4 (cortisone) time points

Diurnal patterns

Mixed linear modeling showed no intratwin differences in diurnal patterns; distinct graphic alignment of diurnal cortisol patterns in all groups

Original publication

Salivary Diurnal Glucocorticoid Profiles in Monozygotic Twins With Intratwin Birthweight Differences. J Clin Endocrinol Metab. Published 23 August 2023. doi:10.1210/clinem/dgad492

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