Optimizing Bone Health in Children and Adolescents

Daniels, Stephen R.; Abrams, Steven A.; Corkins, Mark R.; Ferranti, Sarah D. de; Golden, Neville H.; Magge, Sheela N.; Schwarzenberg, Sarah Jane

doi:10.1542/peds.2014-2173

Cited by 399 publications

(356 citation statements)

References 125 publications

Supporting

Mentioning

328

Contrasting

Unclassified

Order By: Relevance

“…All strategies to optimize bone health should be considered. 36 Calcium intake should meet current recommended daily intake of 500 mg for children 1 to 3 years of age, 800 mg for children 4 to 8 years of age, and 1300 mg for children and adolescents 9 to 18 years of age. 7,36,37 Routine screening of vitamin D levels is not indicated in healthy youth.…”

Section: Therapy For Childhood Skeletal Fragilitymentioning

confidence: 99%

“…36 Calcium intake should meet current recommended daily intake of 500 mg for children 1 to 3 years of age, 800 mg for children 4 to 8 years of age, and 1300 mg for children and adolescents 9 to 18 years of age. 7,36,37 Routine screening of vitamin D levels is not indicated in healthy youth. However, the adequacy of total body vitamin D stores should be assessed in youth at risk of bone fragility by measuring by measuring serum concentrations of 25-hydroxyvitamin D. Concentrations of at least 20 ng/mL (50 nmol/L) have been recommended for healthy children, but some experts aim for a serum 25-hydroxyvitamin D concentration >30 ng/mL in populations at increased risk of fracture.…”

Section: Therapy For Childhood Skeletal Fragilitymentioning

confidence: 99%

“…However, the adequacy of total body vitamin D stores should be assessed in youth at risk of bone fragility by measuring by measuring serum concentrations of 25-hydroxyvitamin D. Concentrations of at least 20 ng/mL (50 nmol/L) have been recommended for healthy children, but some experts aim for a serum 25-hydroxyvitamin D concentration >30 ng/mL in populations at increased risk of fracture. 7,36 Weight-bearing activity should be encouraged, and even short periods of high-intensity exercise (eg, jumping 10 minutes/ day, 3 times/week) have produced measurable gains in bone mass. 38 The childhood and teenage years appear to be of particular importance for bone accretion.…”

Section: Therapy For Childhood Skeletal Fragilitymentioning

confidence: 99%

See 2 more Smart Citations

Bone Densitometry in Children and Adolescents

Bachrach¹,

Gordon²,

Sills³

et al. 2016

Pediatrics

149

104

View full text Add to dashboard Cite

Concerns about bone health and potential fragility in children and adolescents have led to a high interest in bone densitometry. Pediatric patients with genetic and acquired chronic diseases, immobility, and inadequate nutrition may fail to achieve expected gains in bone size, mass, and strength, leaving them vulnerable to fracture. In older adults, bone densitometry has been shown to predict fracture risk and reflect response to therapy. The role of densitometry in the management of children at risk of bone fragility is less clear. This clinical report summarizes current knowledge about bone densitometry in the pediatric population, including indications for its use, interpretation of results, and risks and costs. The report emphasizes updated consensus statements generated at the 2013 Pediatric Position Development Conference of the International Society of Clinical Densitometry by an international panel of bone experts. Some of these recommendations are evidence-based, whereas others reflect expert opinion, because data are sparse on many topics. The statements from this and other expert panels provide general guidance to the pediatrician, but decisions about ordering and interpreting bone densitometry still require clinical judgment. The interpretation of bone densitometry results in children differs from that in older adults. The terms “osteopenia” and “osteoporosis” based on bone densitometry findings alone should not be used in younger patients; instead, bone mineral content or density that falls >2 SDs below expected is labeled “low for age.” Pediatric osteoporosis is defined by the Pediatric Position Development Conference by using 1 of the following criteria: ≥1 vertebral fractures occurring in the absence of local disease or high-energy trauma (without or with densitometry measurements) or low bone density for age and a significant fracture history (defined as ≥2 long bone fractures before 10 years of age or ≥3 long bone fractures before 19 years of age). Ongoing research will help define the indications and best methods for assessing bone strength in children and the clinical factors that contribute to fracture risk. The Pediatric Endocrine Society affirms the educational value of this publication.

show abstract

Section: Therapy For Childhood Skeletal Fragilitymentioning

confidence: 99%

Section: Therapy For Childhood Skeletal Fragilitymentioning

confidence: 99%

Section: Therapy For Childhood Skeletal Fragilitymentioning

confidence: 99%

See 1 more Smart Citation

Bone Densitometry in Children and Adolescents

Bachrach¹,

Gordon²,

Sills³

et al. 2016

Pediatrics

149

104

View full text Add to dashboard Cite

show abstract

“…The American Academy of Pediatrics [8] and the IOM [2] recommend routine daily supplementation with 400 IU/d vitamin D in breastfed and partially breastfed infants, beginning in the first few days of life and continued until the infant has been weaned and is drinking at least 1 L/ d of vitamin D-fortified infant formula or cow milk. Many Indian newborns are now being supplemented with oral vitamin D, despite the fact that the country is blessed with abundant sunshine, the major source of Vitamin D synthesis.…”

Section: Vitamin D Sufficiency Through Sunshine Inmentioning

confidence: 99%