Assessment and influencing factors of bone health in children and adolescents

WANG Ai; ZHOU Bingqian; YU Jian; CAO Hong

doi:10.11852/zgetbjzz2023-0932

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (9) : 980-983. DOI: 10.11852/zgetbjzz2023-0932

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Assessment and influencing factors of bone health in children and adolescents

WANG Ai¹, ZHOU Bingqian¹, YU Jian¹, CAO Hong²

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Abstract

Osteoporosis begins in childhood, and the accumulation of bone strength and bone mass during growth and development is essential for the prevention of osteoporosis and fragility fractures. Dual energy X-ray absorptiometry, as the preferred bone mass assessment technique for children and adolescents with osteoporosis, can be combined with clinically significant fractures to make a diagnosis of osteoporosis. Peak bone mass and bone mineral density(BMD) can be increased through intervention of factors such as physical activity, nutritional intake, medication, and lifestyle. Hospitals, families, schools, the internet and other parties should join forces to strengthen the popularization of osteoporosis knowledge and promote the disease cognition and bone protection behavior of children and adolescents. This article reviews the definition, assessment tools and influencing factors of osteoporosis in children and adolescents, so as to provide reference for promoting the prevention and intervention of osteoporosis in children and adolescents.

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children / adolescents / osteoporosis / bone mineral density

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WANG Ai, ZHOU Bingqian, YU Jian, CAO Hong. Assessment and influencing factors of bone health in children and adolescents[J]. Chinese Journal of Child Health Care. 2024, 32(9): 980-983 https://doi.org/10.11852/zgetbjzz2023-0932

References

[1] 中华医学会骨质疏松和骨矿盐疾病分会. 原发性骨质疏松症诊疗指南(2022)[J]. 中华骨质疏松和骨矿盐疾病杂志, 2022, 15(6): 573-611.
Chinese Society of Osteoporosis and Bone Mineral Diseases. Guideline for diagnosis and treatment of primary osteoporosis (2022)[J]. Chin J Osteoporosis and Bone Miner Res, 2022, 15(6): 573-611.(in Chinese)
[2] Zhu X, Zheng H. Factors influencing peak bone mass gain[J]. Front Med, 2021, 15(1): 53-69.
[3] Baroncelli GI, Bertelloni S, Sodini F, et al. Osteoporosis in children and adolescents[J]. Pediatric Drugs, 2005, 7(5): 295-323.
[4] Ward LM, Weber DR, Munns CF, et al. A contemporary view of the definition and diagnosis of osteoporosis in children and adolescents[J]. J Clin Endocrinol Metab, 2020, 105(5): e2088-e2097.
[5] Rauch F, Plotkin H, Dimeglio L, et al. Fracture prediction and the definition of osteoporosis in children and adolescents: The ISCD 2007 pediatric official positions[J]. J Clin Densitom, 2008, 11(1): 22-28.
[6] Bishop N, Arundel P, Clark E, et al. Fracture prediction and the definition of osteoporosis in children and adolescents: The ISCD 2013 pediatric official positions[J]. J Clin Densitom, 2014, 17(2): 275-280.
[7] Ciancia S, van Rijn RR, Hogler W, et al. Osteoporosis in children and adolescents: When to suspect and how to diagnose it[J]. Eur J Pediatr, 2022, 181(7): 2549-2561.
[8] Rubio-Gutierrez JC, Mendez-Hernandez P, Gueguen Y, et al. Overview of traditional and environmental factors related to bone health[J]. Environ Sci Pollut Res Int, 2022, 29(21): 31042-31058.
[9] Ward LM. Glucocorticoid-induced osteoporosis: Why kids are different[J]. Front Endocrinol (Lausanne), 2020, 11: 576.
[10] Costantini A, Makitie RE, Hartmann MA, et al. Early-onset osteoporosis: Rare monogenic forms elucidate the complexity of disease pathogenesis beyond type I collagen[J]. J Bone Miner Res, 2022, 37(9): 1623-1641.
[11] Proia P, Amato A, Drid P, et al. The impact of diet and physical activity on bone health in children and adolescents[J]. Front Endocrinol (Lausanne), 2021, 12: 704647.
[12] Troy KL, Mancuso ME, Butler TA, et al. Exercise early and often: Effects of physical activity and exercise on women's bone health[J]. Int J Environ Res Public Health, 2018, 15(5): 878.
[13] Pan K, Zhang C, Yao X, et al. Association between dietary calcium intake and BMD in children and adolescents[J]. Endocr Connect, 2020, 9(3): 194-200.
[14] Makris K, Bhattoa HP, Cavalier E, et al. Recommendations on the measurement and the clinical use of vitamin D metabolites and vitamin D binding protein - A position paper from the IFCC Committee on bone metabolism[J]. Clin Chim Acta, 2021, 517: 171-197.
[15] Zhang XL, Zhang Q, Zhang X, et al. Effect of vitamin D(3) supplementation in winter on physical performance of university students: A one-month randomized controlled trial[J]. J Int Soc Sports Nutr, 2023, 20(1): 2258850.
[16] Stounbjerg NG, Thams L, Hansen M, et al. Effects of vitamin D and high dairy protein intake on bone mineralization and linear growth in 6- to 8-year-old children: the D-pro randomized trial[J]. Am J Clin Nutr, 2021, 114(6): 1971-1985.
[17] Hung C, Munoz M, Shibli-Rahhal A. Anorexia nervosa and osteoporosis[J]. Calcif Tissue Int, 2022, 110(5): 562-575.
[18] Makitie O, Zillikens MC. Early-onset osteoporosis[J].Calcif Tissue Int,2022, 110(5): 546-561.
[19] Fernandez-Torres J, Zamudio-Cuevas Y, Martinez-Nava GA, et al. Impact of cadmium mediated by tobacco use in musculoskeletal diseases[J]. Biol Trace Elem Res, 2022, 200(5): 2008-2015.
[20] Nilsen OA, Emaus N, Christoffersen T, et al. The influence of snuff and smoking on bone accretion in late adolescence.The Tromso study, fit futures[J].Arch Osteoporos, 2021, 16(1): 143.
[21] Gordon RJ, Gordon CM. Adolescents and bone health[J]. Clin Obstet Gynecol, 2020, 63(3): 504-511.
[22] Seabra O, Pereira VG, Espindula AP, et al. Even without changing the bone mineral density, alcohol consumption decreases the percentage of collagen, the thickness of bone trabeculae, and increases bone fragility[J]. An Acad Bras Cienc, 2022, 94(Suppl 3): e20210661.
[23] Turner RT, Sattgast LH, Jimenez VA, et al. Making sense of the highly variable effects of alcohol on bone[J]. Clinical Reviews in Bone and Mineral Metabolism, 2021(7). doi:10.1007/s12018-021-09277-8
[24] Wilson-Barnes SL, Lanham-New SA, Lambert H. Modifiable risk factors for bone health & fragility fractures[J]. Best Pract Res Clin Rheumatol, 2022, 36(3): 101758.
[25] Fintini D, Cianfarani S, Cofini M, et al. The bones of children with obesity[J]. Front Endocrinol (Lausanne), 2020, 11: 200.
[26] Deng KL, Yang WY, Hou JL, et al. Association between body composition and bone mineral density in children and adolescents: A systematic review and Meta-analysis[J]. Int J Environ Res Public Health, 2021, 18(22):12126..
[27] Wang GX, Fang ZB, Li HL, et al. Effect of obesity status on adolescent bone mineral density and saturation effect: A cross-sectional study[J]. Front Endocrinol (Lausanne), 2022, 13: 994406.
[28] Oumer KS, Liu Y, Yu Q, et al. Awareness of osteoporosis among 368 residents in China: A cross-sectional study[J]. BMC Musculoskelet Disord, 2020, 21(1): 197.
[29] Rastgoo F, Vasli P, Rohani C, et al. Predictors of osteoporosis preventive behaviors among adolescent: A cross-sectional study[J]. Pediatr Endocrinol Diabetes Metab, 2021, 27(3): 183-190.
[30] Ciancia S, Hogler W, Sakkers R, et al. Osteoporosis in children and adolescents: How to treat and monitor?[J]. Eur J Pediatr, 2023, 182(2): 501-511.