We investigated the effect of heat stress on Ca, P and Mg balance and bone turnover in lactating cows. In a 2 x 2 crossover design, four multiparous lactating Holstein cows were kept in a chamber and subjected to a constant moderate (18 degrees C) ambient temperature (MT) or high (28 degrees C) ambient temperature (HT). The cows were fed total mixed ration (Ca, 0.7%; P, 0.4%; Mg, 0.2%) ad libitum. The milk yield under HT (35.4 kg/day) tended to be lower (P < 0.10) than that under MT (43.2 kg/day). The concentrations of milk P (P < 0.05) and Mg (P < 0.01) were significantly lower under HT than MT. The Ca, P and Mg intake (P < 0.10); Ca (P < 0.10), P, and Mg (P < 0.05) secretion into milk; and Ca (P < 0.05), P (P < 0.01), and Mg (P < 0.05) absorption in the intestine were lower under HT than MT. The plasma osteocalcin, a marker of bone turnover, was significantly lower (P < 0.05) under HT than MT. Heat stress did not affect plasma C-telopeptide of collagen type I, a bone resorption marker, and plasma parathyroid hormone concentration.