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Pediatric Endocrinology |
Department of Pediatrics, Division of Endocrinology, Sophia Childrens Hospital (A.B., S.M.K.S.), and the Department of Epidemiology and Biostatistics (M.R.), Department of Internal Medicine, Division of Endocrinology (H.P.), and Department of Nuclear Medicine (E.K.), Erasmus University, Rotterdam, The Netherlands
Address all correspondence and requests for reprints to: Dr. A. M. Boot, Sophia Childrens Hospital, Division of Endocrinology, dr. Molewaterplein 60, 3015 GJ Rotterdam, the Netherlands.
The association of height, weight, pubertal stage, calcium intake, and physical activity with bone mineral density (BMD) was evaluated in 500 children and adolescents (205 boys and 295 girls), aged 420 yr. The BMD (grams per cm2) of lumbar spine and total body was measured with dual energy x-ray absorptiometry. Lumbar spine volumetric BMD was calculated to correct for bone size. BMD and volumetric BMD increased with age. During puberty, the age-dependent increment was higher. After adjustment for age, the Tanner stage was significantly associated with all three BMD variables in girls and with spinal BMD in boys. In boys, positive correlations were found between BMD and both calcium intake and physical activity after adjustment for age. Stepwise regression analysis with weight, height, Tanner stage, calcium intake, and physical activity as determinants with adjustment for age resulted in a model with Tanner stage in girls and weight in boys for all three BMD variables. The major independent determinant of BMD was the Tanner stage in girls and weight in boys.
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F. Antoniazzi, F. Bertoldo, S. Lauriola, S. Sirpresi, E. Gasperi, G. Zamboni, and L. Tatò Prevention of Bone Demineralization by Calcium Supplementation in Precocious Puberty during Gonadotropin-Releasing Hormone Agonist Treatment J. Clin. Endocrinol. Metab., June 1, 1999; 84(6): 1992 - 1996. [Abstract] [Full Text] |
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G. I. Baroncelli, S. Bertelloni, C. Ceccarelli, and G. Saggese Measurement of Volumetric Bone Mineral Density Accurately Determines Degree of Lumbar Undermineralization in Children with Growth Hormone Deficiency--Author's Response J. Clin. Endocrinol. Metab., April 1, 1999; 84(4): 1490a - 1491. [Full Text] |
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G. I. Baroncelli, S. Bertelloni, C. Ceccarelli, and G. Saggese Measurement of Volumetric Bone Mineral Density Accurately Determines Degree of Lumbar Undermineralization in Children with Growth Hormone Deficiency J. Clin. Endocrinol. Metab., September 1, 1998; 83(9): 3150 - 3154. [Abstract] [Full Text] |
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J C Y Cheng, S S S F Leung, W T K Lee, J T F Lau, N Maffulli, A Y K Cheung, and K M Chan Determinants of axial and peripheral bone mass in Chinese adolescents Arch. Dis. Child., June 1, 1998; 78(6): 524 - 530. [Abstract] [Full Text] |
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A. Maggioni Nutrition and Physical Activity with Particular Emphasis on Bone Health J. Am. Coll. Nutr., April 1, 1998; 17(2): 103 - 104. [Full Text] [PDF] |
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J. Z. Ilich, M. Skugor, T. Hangartner, A. Baosh, and V. Matkovic Relation of Nutrition, Body Composition and Physical Activity to Skeletal Development: A Cross-Sectional Study in Preadolescent Females J. Am. Coll. Nutr., April 1, 1998; 17(2): 136 - 147. [Abstract] [Full Text] [PDF] |
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A. M. Boot, S. M. P. F. d. M. Keizer-Schrama, H. A. P. Pols, E. P. Krenning, and S. L. S. Drop Bone Mineral Density and Body Composition before and during Treatment with Gonadotropin-Releasing Hormone Agonist in Children with Central Precocious and Early Puberty J. Clin. Endocrinol. Metab., February 1, 1998; 83(2): 370 - 373. [Abstract] [Full Text] |
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A M Boot, J Bouquet, E P Krenning, and S M P F de Muinck Keizer-Schrama Bone mineral density and nutritional status in children with chronic inflammatory bowel disease Gut, February 1, 1998; 42(2): 188 - 194. [Abstract] [Full Text] [PDF] |
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A. M. Boot, M. A. M. J. Engels, G. J. M. Boerma, E. P. Krenning, and S. M. P. F. de Muinck Keizer-Schrama Changes in Bone Mineral Density, Body Composition, and Lipid Metabolism during Growth Hormone (GH) Treatment in Children with GH Deficiency J. Clin. Endocrinol. Metab., August 1, 1997; 82(8): 2423 - 2428. [Abstract] [Full Text] [PDF] |
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