Preview

Rheumatology Science and Practice

Advanced search

Clinical assessment of bone mass in children

https://doi.org/10.14412/1995-4484-2005-563

Abstract

Objective. To give clinical assessment of bone mass main indices in healthy children living in Moscow and Moscow region. Material and methods. 357 healthy children aged 5-16 years (194 male, 163 female) were included. Physical development, bone mineral density (BMD) by 2-power radiological absorptiometry, bone mineral content (BMC) were evaluated. Results. Significant variability of height in children age groups was revealed. 40,2% had disharmonious physical development. BMC and BMD were closely associated with height (r=0,8, p=0,0001) and body mass (r=0,7, p=0,0001). Bone mass indices were proved to be significantly less in children with height and body mass less then 10% percentile. BMD growth rate was less than mineral accumulation rate. Method of body mass clinical assessment in children was elaborated. Conclusion. Application of elaborated tables of conjugated values of anthropometric and densitometric indices allows to decrease of osteopenia overdiagnosis in children and determine causes of insufficient bone mineral content.

References

1. <div><p>Беневоленская Л.И. Руководство по остеопорозу. М., 2003, 524</p><p>Будова А.П., Балашов А.Т. Опыт использования остеоденситометрии в педиатрической популяции Мурманской области. Тез. конф. "Пробл. остеопор. в травматол. ортопед.", 2003, 8-9</p><p>Лукина О.Ф. Показатели вентиляционной функции легких у здоровых детей и подростков. В кн. Физиология роста и развития детей и подростков. М., 2000, 345350</p><p>Михайлов С.А., Малинин В.Л., Мазуренко О.Г. Минеральная плотность костной ткани в популяционной выборке у лиц мужского пола 15-16 лет. Тез. конф. "Пробл. остеопор. в травматол. и ортопед.", М., 2003, 74-75</p><p>Моисеева Т. Ю. Минерализация костной ткани растущего организма. Автореф. дисс. д.м.н. М., 2004, 24</p><p>Проблемы подросткового возраста (избранные главы). Под ред. А.А.Баранова, ЛА. Щеплягиной. М., 2003, 477</p><p>Савельев Б.П., Ширяева И.С. Функциональные параметры системы дыхания у детей и подростков. М., Медицина, 2001, 232</p><p>Щеплягина ЛА., Моисеева Т.Ю. Минерализация костной ткани у детей. Росс, педиатр, жур., 2003, 3, 16гг.</p><p>Atkinson S.A., Brunton J.A, Weiler Н. et al. Pattern of growth and body composition in premature compared t term infants from term to six months. FASEB J., 1994, 8, A278</p><p>Isseman R.M., Atkinson S.A., Radoja C. et al. Longitudinal assessment of growth, mineral metabolism, and bone mass in pediatric Crohn's disease. J.Pediatr. Gastroenterol. Nutr., 1993, 17, 401-406</p><p>Barsanti S., Bertelloni S., Sorrentino M.C. et al. Bone mineral density in childhood obesity. Horm. Res., 1996, 46, 2, 78.</p><p>Bachrach L.K., Loutit C.W., Moss R.B. Osteopenia in adults with cystic fibrosis. Am.Jmed., 1994, 96, 27-34</p><p>Bonjour L. Ph., Theintz G., Buchs B. et al. Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J.Clinical Endocrin.Metabol., 1991, 73, 3, 555-563</p><p>Carrie Fassler A.L., Bongiour L.Ph. Osteoporosis as pediatric problem. Pediatr. Clin. North Am., 1995, 43, 4, 81124.</p><p>Gordon C.L., Halton J.M., Atkinson S.A., Webber C.E. The contribution of growth and puberty to peak bone mass. Growth due Aging., 1991, 55, 257-262.</p><p>Joung N. Formica C., Szmukler G. et al. Bone density at weight-bearing and nonweight-bearing sites in ballet dancers: the effects of exercise, hypogonadism, and body weight. J.Clin. Endocrinol. Metab., 1994, 78, 449-454</p><p>Leonard M.B., Propert K.J., Zemel B.S. et al. Discrepancies in pediatric bone mineral density reference data: potentials for misdiagnosis of osteopenia. J.Pediatric, 1999, 135, 182-188</p><p>Molgaard Ch, Thomsen B.L., Prentice A. et al. Whole body bone mineral content in healthy children and adolescents. Repr. Arch, of Dis. Childhood, 1997, 76, 1,9-15</p><p>Schonau E. Problems of bone analysis in childhood and adolescence. Pediatr. Nephrol., 1998, 12, 5, 420-429.</p><p>Stallings V.A., Oddleifson N.W., Negrini B.Y. et al. Bone mineral content and dietary calcium intake in children prescribed a low-lactose diet. J. Pediatric. Gastroenerol. Nutr., 1994, 18, 440-445.</p><p>Svergel M.S., Kirschtein М., Busch C. et al. Oscillometric twenty four how ambulatory blood pressure values in healthy children and adolescents: multicenter trial including 1141 subjects. J.Pediatric., 1997, 130, 178-184</p><p>Weng T.R., Levison H.A. Standards of pulmonary function in children. Am.Rev.Resp.Dis., 1969, 99, 6, 879-894</p></div><br />


Review

For citations:


Sheplyagina L.A., Moiseeva T.Y., Kruglova I.V. Clinical assessment of bone mass in children. Rheumatology Science and Practice. 2005;43(1):79-84. (In Russ.) https://doi.org/10.14412/1995-4484-2005-563

Views: 722


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)