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Bone Densitometry in Growing Patients pp 59–72Cite as

Clinical Indications for the Use of DXA in Pediatrics

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Part of the book series: Current Clinical Practice ((CCP))

Abstract

The demand for bone mineral assessments in pediatrics has grown in the past decade. This trend likely reflects greater awareness of the importance of early bone health for osteoporosis prevention (1),(2). An estimated 60% of the variable risk of osteoporosis has been attributed to the magnitude of peak bone mass reached by early adulthood; the remaining 40% is explained by subsequent bone loss. Genetic factors, undernutrition, hormone disorders, medications, immobilization, and chronic illness during childhood and adolescence may compromise the rate at which bone size, mineral content, and quality are accrued (1–(3). If not reversed, this results in reduced peak bone, increasing the lifetime risk of osteoporotic fracture. In severely affected children, low-impact or fragility fractures can begin in childhood.

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Author information

Authors and Affiliations

  1. Division of Endocrinology, Stanford University School of Medicine, Stanford, CA

    Laura K. Bachrach MD

  2. Department of Pediatrics, The Children’s Hospital, the Cleveland Clinic, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH

    Michael A. Levine MD

  3. Institute of Endocrinology and Diabetes, The Children’s Hospital at Westmead, Westmead, New South Wales, Australia

    Christopher T. Cowell MD

  4. Department of Endocrinology, Birmingham Children’s Hospital, Birmingham, UK

    Nicholas J. Shaw MB, ChB

Authors
  1. Laura K. Bachrach MD
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  2. Michael A. Levine MD
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  3. Christopher T. Cowell MD
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  4. Nicholas J. Shaw MB, ChB
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Editor information

Editors and Affiliations

  1. Pediatric Bone Health Consortium and Children’s Hospital & Research Center at Oakland, Oakland, CA

    Aenor J. Sawyer MD

  2. Stanford University School of Medicine, Stanford, CA

    Laura K. Bachrach MD

  3. Children’s Hospital & Research Center at Oakland, Oakland, CA

    Ellen B. Fung PhD, RD

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© 2007 Humana Press Inc., Totowa, NJ

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Bachrach, L.K., Levine, M.A., Cowell, C.T., Shaw, N.J. (2007). Clinical Indications for the Use of DXA in Pediatrics. In: Sawyer, A.J., Bachrach, L.K., Fung, E.B. (eds) Bone Densitometry in Growing Patients. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-211-3_4

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  • DOI: https://doi.org/10.1007/978-1-59745-211-3_4

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-634-4

  • Online ISBN: 978-1-59745-211-3

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