Optimizing Bone Mass Accrual in Healthy Adolescents
Adolescence provides a uniquely important period of opportunity to improve skeletal health across the lifespan, potentially even reducing the lifetime risk of osteoporosis. Because inherited factors account for as much as 80% of predicted peak bone mass, the relatively few factors amenable to modification become essential to understand for those clinicians who monitor the growth and development of children and adolescents. The modifiable factors include such lifestyle choices as dietary intake, physical activity, maintaining a healthy weight for height, contraceptive choice, and use of tobacco and alcohol. In addition to ensuring normal pubertal development, primary care providers can help guide patients to healthy choices for the bone that are aligned perfectly with other lifelong benefits.
KeywordsAdolescence Puberty Bone mass accrual Areal bone mineral density (aBMD) Peak bone mass (PBM)
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