Journal
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
Volume 160, Issue 10, Pages 1026-1032Publisher
AMER MEDICAL ASSOC
DOI: 10.1001/archpedi.160.10.1026
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Funding
- NICHD NIH HHS [R01 HD043869] Funding Source: Medline
- PHS HHS [5 T71-MC-00009-14 00] Funding Source: Medline
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Pediatric and adolescent care professionals have increasingly recognized the importance of understanding the skeletal health of their patients. Peak bone mass, the bone bank on which an individual will draw for their entire adult life, is likely achieved by late adolescence, with the critical window for accumulation occurring much earlier. This review outlines the known conditions that are associated with impaired bone mineral accrual and clinical settings in which the evaluation of at-risk adolescents should be considered. We describe the methods available to the health care professional for evaluating bone density, along with the limitations of each technology. Potential therapeutic options for patients identified to have a low bone mineral density are discussed. Finally, current recommendations regarding physical activity and nutrition, beneficial interventions for all adolescents, are presented.
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