Riassunto
Circa il 90% della massa ossea viene accumulata entro le prime due decadi di vita soprattutto per l’effetto di fattori genetici (80%). I fattori ambientali, in particolare l’attività fisica e l’apporto dietetico di calcio, sono importanti per il raggiungimento del potenziale genetico e per l’acquisizione di un adeguato picco di massa ossea che sembra rappresentare uno dei principali fattori per la prevenzione dell’osteoporosi nell’età adulto-senile [1]. La misurazione della massa ossea durante l’età evolutiva ha quindi un ruolo fondamentale per identificare i soggetti che potrebbero essere esposti a un aumentato rischio di fratture da osteoporosi nell’età adulta.
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Bibliografia
Cooper C, Westlake S, Harvey N et al (2006) Review: developmental origins of osteoporotic fracture. Osteoporos Int 17:337–347
Baroncelli GI, Bertelloni S, Sodini F, Saggese G (2005) Osteoporosis in children and adolescents: etiology and management. Paediatr Drugs 7:295–323
Bianchi ML (2007) Osteoporosis in children and adolescents. Bone 41:486–495
Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporos Int 7:7–22
Baroncelli GI (2008) Quantitative ultrasound methods to assess bone mineral status in children: technical characteristics, performance, and clinical application. Pediatr Res 63:220–228
Baroncelli GI, Federico G, Vignolo M et al; The Phalangeal Quantitative Ultrasound Group (2006) Cross-sectional reference data for phalangeal quantitative ultrasound from early childhood to young-adulthood according to gender, age, skeletal growth, and pubertal development. Bone 39:159–173
Pedrotti L, Mora R, Bertani B et al (2007) Densitometria ossea a ultrasuoni in eta? pediatrica: creazione di un database in una popolazione italiana con densitometro multisede Omnisense. Pediatr Med Chir 29:194–201
Mora S, Bachrach L, Gilsanz V (2003) Noninvasive techniques for bone mass measurement. In: Glorieux F, Pettifor J, Jueppner H (eds) Pediatric bone: biology and diseases. Academic Press, San Diego, California, pp 303–324
Neu CM, Manz F, Rauch F et al (2001) Bone densities and bone size at the distal radius in healthy children and adolescents: a study using peripheral quantitative computed tomography. Bone 28:227–232
Ward KA, Mughal Z, Adams JE (2007) Tools for measuring bone in children and adolescents. In: Sawyer AJ, Bachrach LK, Fung EB (eds) Bone densitometry in growing patients: guidelines for clinical practice. Humana Press, Totowa, New Jersey, pp 15–40
Baroncelli GI, Federico G, Bertelloni S et al (2003) Assessment of bone quality by quantitative ultrasound of proximal phalanges of the hand and fracture rate in children and adolescents with bone and mineral disorders. Pediatr Res 54:125–136
Fewtrell MS; British Paediatric and Adolescents Bone Group (2003) Bone densitometry in children assessed by dual x ray absorptiometry: uses and pitfalls. Arch Dis Child 88:795–798
Lewiecki EM, Gordon CM, Baim S et al (2008) Special report on the 2007 adult and pediatric Position Development Conferences of the International Society for Clinical Densitometry. Osteoporos Int 19:1369–1378
Baroncelli GI, Saggese G (2000) Critical ages and stages of puberty in the accumulation of spinal and femoral bone mass: the validity of bone mass measurements. Horm Res 54(Suppl 1):2–8
Carter DR, Bouxsein ML, Marcus R (1992) New approaches for interpreting projected bone densitometry data. J Bone Miner Res 7:137–145
Kroger H, Kotaniemi A, Kroger L, Alhava E (1993) Development of bone mass and bone density of the spine and femoral neck. A prospective study of 65 children and adolescents. Bone Miner 23:171–182
Mølgaard C, Thomsen BL, Prentice A et al (1997) Whole body bone mineral content in healthy children and adolescents. Arch Dis Child 76:9–15
Fewtrell MS, Gordon I, Biassoni L, Cole TJ (2005) Dual X-ray absorptiometry (DXA) of the lumbar spine in a clinical paediatric setting: does the method of size-adjustment matter? Bone 37: 413–419
Crabtree NJ, Leonard MB, Zemel BS (2007) Dual-energy X-ray absorptiometry In: Sawyer AJ, Bachrach LK, Fung EB (eds) Bone densitometry in growing patients: guidelines for clinical practice. Humana Press, Totowa, New Jersey, pp 41–57
Cheng S, Njeh CF, Fan B et al (2002) Influence of region of interest and bone size on calcaneal BMD: implications for the accuracy of quantitative ultrasound assessments at the calcaneus. Br J Radiol 75:59–68
Baroncelli GI, Federico G, Bertelloni S et al (2001) Bone quality assessment by quantitative ultrasound of proximal phalanxes of the hand in healthy subjects aged 3–21 years. Pediatr Res 49:713–718
Kaga M, Takahashi K, Suzuki H et al (2002) Ultrasound assessment of tibial cortical bone acquisition in Japanese children and adolescents. J Bone Miner Metab 20:111–115
Magkos F, Manios Y, Babaroutsi E, Sidossis LS (2005) Contralateral differences in quantitative ultrasound of the heel: the importance of side in clinical practice. Osteoporos Int 16:879–886
Lequin MH, van Rijn RR, Robben SG et al (1999) Evaluation of short-term precision for tibial ultrasonometry. Calcif Tissue Int 64:24–27
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Baroncelli, G.I., Bertelloni, S., Vierucci, F. (2009). Misurazione della massa ossea in pediatria. In: Osteoporosi e malattie metaboliche dell’osso. Springer, Milano. https://doi.org/10.1007/978-88-470-1357-5_39
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DOI: https://doi.org/10.1007/978-88-470-1357-5_39
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