Osteoporosis and measurement of bone mass in children and adolescents

被引:76
作者
Bachrach, LK [1 ]
机构
[1] Stanford Univ, Sch Med, Stanford, CA 94305 USA
关键词
D O I
10.1016/j.ecl.2005.04.001
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Osteoporosis increasingly is recognized as a pediatric concern. Fragility fractures occur in children and adolescents with genetic disorders and those with a variety of chronic diseases. Others may not fracture in childhood but reach adulthood with a reduced peak bone mass and increased lifelong risk of osteoporosis. This article reviews the indications for pediatric bone density testing, the strengths and limitations of densitometry methods, and the challenges of interpreting the results. The goals are to demystify the densitometry report and to clarify the role of bone density tests in assessing and managing skeletal health in children.
引用
收藏
页码:521 / +
页数:16
相关论文
共 80 条
[1]
Alterations in bone turnover and impaired development of bone mineral density in newly diagnosed children with cancer:: A 1-year prospective study [J].
Arikoski, P ;
Komulainen, J ;
Riikonen, P ;
Voutilainen, R ;
Knip, M ;
Kröger, H .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1999, 84 (09) :3174-3181
[2]
RECOVERY FROM OSTEOPENIA IN ADOLESCENT GIRLS WITH ANOREXIA-NERVOSA [J].
BACHRACH, LK ;
KATZMAN, DK ;
LITT, IF ;
GUIDO, D ;
MARCUS, R .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1991, 72 (03) :602-606
[3]
Bachrach LK, 2000, J PEDIATR ENDOCR MET, V13, P983
[4]
Bone mineral acquisition in healthy Asian, Hispanic, black, and Caucasian youth: A longitudinal study [J].
Bachrach, LK ;
Hastie, T ;
Wang, MC ;
Narasimhan, B ;
Marcus, R .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1999, 84 (12) :4702-4712
[5]
Acquisition of optimal bane mass in childhood and adolescence [J].
Bachrach, LK .
TRENDS IN ENDOCRINOLOGY AND METABOLISM, 2001, 12 (01) :22-28
[6]
A six-year longitudinal study of the relationship of physical activity to bone mineral accrual in growing children: The University of Saskatchewan bone mineral accrual study [J].
Bailey, DA ;
Mckay, HA ;
Mirwald, RL ;
Crocker, PRE ;
Faulkner, RA .
JOURNAL OF BONE AND MINERAL RESEARCH, 1999, 14 (10) :1672-1679
[7]
Lumbar bone mineral density at final height and prevalence of fractures in treated children with GH deficiency [J].
Baroncelli, GI ;
Bertelloni, S ;
Sodini, F ;
Saggese, G .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2002, 87 (08) :3624-3631
[8]
Use of bisphosphonate therapy for osteoporosis in childhood and adolescence [J].
Batch, JA ;
Couper, JJ ;
Rodda, C ;
Cowell, CT ;
Zacharin, M .
JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2003, 39 (02) :88-92
[9]
Bhudhikanok GS, 1996, PEDIATRICS, V97, P103
[10]
Bone acquisition and loss in children and adults with cystic fibrosis: A longitudinal study [J].
Bhudhikanok, GS ;
Wang, MC ;
Marcus, R ;
Harkins, A ;
Moss, RB ;
Bachrach, LK .
JOURNAL OF PEDIATRICS, 1998, 133 (01) :18-27