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Bones of Today, Bones of Tomor014

Bones of Today, Bones of Tomor014 Abstract With improving knowledge and advancing technology, physicians who care for the young are assuming an expanding role in the prevention of diseases that become evident during adulthood, but have their origins in childhood and adolescence. Cardiovascular disorders such as essential hypertension and atherosclerosis are no longer exclusively the purview of internists. Modifiable risk factors can be identified and improved in the pediatric age group with the goal of preventing or ameliorating heart disease in later life. Likewise, the prevention of osteoporosis, often deemed a geriatric disorder, may now be considered the legitimate domain of pediatricians.1 Recent studies point to the significance of achieving adequate peak bone mass in girls during the growth period, prior to their obligatory, accelerated postmenopausal bone loss.2 Adolescents are particularly noteworthy in this regard, since almost half of the adult skeletal mass is formed during the second decade and calcium accumulation normally triples during References 1. Wasnich RD, Ross PD, Davis JW. Osteoporosis: current practice and future perspectives . Trends Endocrinol Metab. 1991;2:59-62.Crossref 2. Ott SM. Attainment of peak bone mass . J Clin Endocrinol Metab. 1990;71:1082A-1082C.Crossref 3. Matkovic V. Calcium metabolism and calcium requirements during skeletal modeling and consolidation of bone mass . Am J Clin Nutr. 1991;54( (suppl) ): 245S-260S. 4. Matkovic V, Fontana D, Tominac C, Goel P, Chestnut CH III. Factors that influence peak bone mass formation: a study of calcium balance and the inheritance of bone mass in adolescent females . Am J Clin Nutr. 1990;52:878-888. 5. Johnston CC, Slemenda CW, Melton LJ. Clinical use of bone densitometry . N Engl J Med. 1991;324:1105-1109.Crossref 6. White CM, Hergendroeder AC, Klish WJ. Bone mineral density in 15- to 21-year-old eumenorrheic and amenorrheic subjects . AJDC . 1992;146:31-35. 7. Bachrach LK, Guido D, Katzman D, Litt IF, Marcus R. Decreased bone density in adolescent girls with anorexia nervosa . Pediatrics . 1990;86:440-447. 8. Dhuper S, Warren MP, Brooks-Gunn J, Fox R. Effects of hormonal status on bone density in adolescent girls . J Clin Endocrinol Metab. 1990;71:1083-1088.Crossref 9. Sartoris DJ, Resnick D. Current and innovative methods for noninvasive bone densitometry . Radiol Clin North Am . 1990;28:257-278. 10. Wasnich RD, Ross PD, Davis JW, Vogel JM. A comparison of single and multi-site BMC measurements for assessment of spine fracture probability . J Nucl Med. 1989;30:1166-1171. 11. Hui SL, Slemenda CW, Johnston CC. Baseline measurement of bone mass predicts fracture in white women . Ann Intern Med. 1989;111:355-361.Crossref 12. Cummings SR, Black DM, Nevitt MC, et al. Appendicular bone density and age predict hip fracture in women . JAMA . 1990;263:665-668.Crossref 13. Bonjour JP, Theintz G, Buchs B, Slosman D, Rizzoli R. Critical years and stage of puberty for spinal and femoral bone mass accumulation during adolescence . J Clin Endocrinol Metab. 1991;73:555-563.Crossref 14. Glastre C, Braillon P, David L, Cochat P, Meunier PJ, Delmas PD. Measurement of bone mineral content of the lumbar spine by dual energy x-ray absorptiometry in normal children: correlations with growth parameters . J Clin Endocrinol Metab. 1990;70:1330-1333.Crossref 15. Hall FM, Davis MA, Baran DT. Bone mineral screening for osteoporosis . N Engl J Med. 1987;316:212-214.Crossref 16. Johnston CC, Melton LJ, Lindsay R, Eddy DM. Clinical indications for bone mass measurements: a report from the Scientific Advisory Board of the National Osteoporosis Foundation . J Bone Miner Res. 1989;4;2( (suppl) ):1-28. 17. Boyle LT. Bones for the future . Acta Pediatr Scand Suppl . 1991;373:58-65.Crossref 18. Drinkwater BL, Nilson K, Ott S, Chestnut CH III. Bone mineral density after resumption of menses in amenorrheic athletes . JAMA . 1986;256:380-382.Crossref 19. Prior JC, Vigna YM, Schechter MT, Burgess AE. Spinal bone loss and ovulatory disturbances . N Engl J Med. 1990;323:1221-1227.Crossref 20. Sentipal JM, Wardlaw GM, Mahan J, Matkovic V. Influence of calcium intake and growth indices on vertebral bone mineral density in young females . Am J Clin Nutr. 1991;54:425-428. 21. Chan GM. Dietary calcium and bone mineral status of children and adolescents . AJDC . 1991;145:631-634. 22. Seeman E, Hopper JL, Bach LA, et al. Reduced bone mass in daughters of women with osteoporosis . N Engl J Med. 1989;320:554-558.Crossref 23. Riggs BL, Wahner HW. Bone densitometry and clinical decision-making in osteoporosis . Ann Intern Med. 1988;108:293-295.Crossref 24. Johnson BE, Lucasey B, Robinson RG, et al. Contributing diagnoses in osteoporosis: the value of a complete medical evaluation . Arch Intern Med. 1989;149:1069-1072.Crossref 25. Fogelman I. An evaluation of the contributions of bone mass measurements to clinical practice . Semin Nucl Med. 1989;19:62-68.Crossref 26. Kanders B, Dempster DW, Lindsay R. Interaction of calcium nutrition and physical activity on bone mass in young women . J Bone Miner Res. 1988;3:145-149.Crossref 27. Gallagher JC, Kable WT. Effect of progestin therapy on cortical and trabecular bone: comparison with estrogen . Am J Med. 1991;90:171-178.Crossref 28. Eastell R, Riggs BL. New approaches to the treatment of osteoporosis . Clin Obstet Gynecol . 1987;30:860-870.Crossref 29. Bachrach LK, Katzman DK, Litt IF, Guido D, Marcus R. Recovery from osteopenia in adolescent girls with anorexia nervosa . J Clin Endocrinol Metab. 1991;72:602-606.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Bones of Today, Bones of Tomor014

American Journal of Diseases of Children , Volume 146 (1) – Jan 1, 1992

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References (29)

Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1992.02160130024014
Publisher site
See Article on Publisher Site

Abstract

Abstract With improving knowledge and advancing technology, physicians who care for the young are assuming an expanding role in the prevention of diseases that become evident during adulthood, but have their origins in childhood and adolescence. Cardiovascular disorders such as essential hypertension and atherosclerosis are no longer exclusively the purview of internists. Modifiable risk factors can be identified and improved in the pediatric age group with the goal of preventing or ameliorating heart disease in later life. Likewise, the prevention of osteoporosis, often deemed a geriatric disorder, may now be considered the legitimate domain of pediatricians.1 Recent studies point to the significance of achieving adequate peak bone mass in girls during the growth period, prior to their obligatory, accelerated postmenopausal bone loss.2 Adolescents are particularly noteworthy in this regard, since almost half of the adult skeletal mass is formed during the second decade and calcium accumulation normally triples during References 1. Wasnich RD, Ross PD, Davis JW. Osteoporosis: current practice and future perspectives . Trends Endocrinol Metab. 1991;2:59-62.Crossref 2. Ott SM. Attainment of peak bone mass . J Clin Endocrinol Metab. 1990;71:1082A-1082C.Crossref 3. Matkovic V. Calcium metabolism and calcium requirements during skeletal modeling and consolidation of bone mass . Am J Clin Nutr. 1991;54( (suppl) ): 245S-260S. 4. Matkovic V, Fontana D, Tominac C, Goel P, Chestnut CH III. Factors that influence peak bone mass formation: a study of calcium balance and the inheritance of bone mass in adolescent females . Am J Clin Nutr. 1990;52:878-888. 5. Johnston CC, Slemenda CW, Melton LJ. Clinical use of bone densitometry . N Engl J Med. 1991;324:1105-1109.Crossref 6. White CM, Hergendroeder AC, Klish WJ. Bone mineral density in 15- to 21-year-old eumenorrheic and amenorrheic subjects . AJDC . 1992;146:31-35. 7. Bachrach LK, Guido D, Katzman D, Litt IF, Marcus R. Decreased bone density in adolescent girls with anorexia nervosa . Pediatrics . 1990;86:440-447. 8. Dhuper S, Warren MP, Brooks-Gunn J, Fox R. Effects of hormonal status on bone density in adolescent girls . J Clin Endocrinol Metab. 1990;71:1083-1088.Crossref 9. Sartoris DJ, Resnick D. Current and innovative methods for noninvasive bone densitometry . Radiol Clin North Am . 1990;28:257-278. 10. Wasnich RD, Ross PD, Davis JW, Vogel JM. A comparison of single and multi-site BMC measurements for assessment of spine fracture probability . J Nucl Med. 1989;30:1166-1171. 11. Hui SL, Slemenda CW, Johnston CC. Baseline measurement of bone mass predicts fracture in white women . Ann Intern Med. 1989;111:355-361.Crossref 12. Cummings SR, Black DM, Nevitt MC, et al. Appendicular bone density and age predict hip fracture in women . JAMA . 1990;263:665-668.Crossref 13. Bonjour JP, Theintz G, Buchs B, Slosman D, Rizzoli R. Critical years and stage of puberty for spinal and femoral bone mass accumulation during adolescence . J Clin Endocrinol Metab. 1991;73:555-563.Crossref 14. Glastre C, Braillon P, David L, Cochat P, Meunier PJ, Delmas PD. Measurement of bone mineral content of the lumbar spine by dual energy x-ray absorptiometry in normal children: correlations with growth parameters . J Clin Endocrinol Metab. 1990;70:1330-1333.Crossref 15. Hall FM, Davis MA, Baran DT. Bone mineral screening for osteoporosis . N Engl J Med. 1987;316:212-214.Crossref 16. Johnston CC, Melton LJ, Lindsay R, Eddy DM. Clinical indications for bone mass measurements: a report from the Scientific Advisory Board of the National Osteoporosis Foundation . J Bone Miner Res. 1989;4;2( (suppl) ):1-28. 17. Boyle LT. Bones for the future . Acta Pediatr Scand Suppl . 1991;373:58-65.Crossref 18. Drinkwater BL, Nilson K, Ott S, Chestnut CH III. Bone mineral density after resumption of menses in amenorrheic athletes . JAMA . 1986;256:380-382.Crossref 19. Prior JC, Vigna YM, Schechter MT, Burgess AE. Spinal bone loss and ovulatory disturbances . N Engl J Med. 1990;323:1221-1227.Crossref 20. Sentipal JM, Wardlaw GM, Mahan J, Matkovic V. Influence of calcium intake and growth indices on vertebral bone mineral density in young females . Am J Clin Nutr. 1991;54:425-428. 21. Chan GM. Dietary calcium and bone mineral status of children and adolescents . AJDC . 1991;145:631-634. 22. Seeman E, Hopper JL, Bach LA, et al. Reduced bone mass in daughters of women with osteoporosis . N Engl J Med. 1989;320:554-558.Crossref 23. Riggs BL, Wahner HW. Bone densitometry and clinical decision-making in osteoporosis . Ann Intern Med. 1988;108:293-295.Crossref 24. Johnson BE, Lucasey B, Robinson RG, et al. Contributing diagnoses in osteoporosis: the value of a complete medical evaluation . Arch Intern Med. 1989;149:1069-1072.Crossref 25. Fogelman I. An evaluation of the contributions of bone mass measurements to clinical practice . Semin Nucl Med. 1989;19:62-68.Crossref 26. Kanders B, Dempster DW, Lindsay R. Interaction of calcium nutrition and physical activity on bone mass in young women . J Bone Miner Res. 1988;3:145-149.Crossref 27. Gallagher JC, Kable WT. Effect of progestin therapy on cortical and trabecular bone: comparison with estrogen . Am J Med. 1991;90:171-178.Crossref 28. Eastell R, Riggs BL. New approaches to the treatment of osteoporosis . Clin Obstet Gynecol . 1987;30:860-870.Crossref 29. Bachrach LK, Katzman DK, Litt IF, Guido D, Marcus R. Recovery from osteopenia in adolescent girls with anorexia nervosa . J Clin Endocrinol Metab. 1991;72:602-606.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jan 1, 1992

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