Abstract
The aim of the present study was to evaluate quantitative ultrasound parameters of the finger phalanges bones (AD-SoS, amplitude-dependent speed of sound, and BTT, bone transmission time) of schoolchildren, using a DBM Sonic device (IGEA, Carpi, Italy), to obtain normative values for the Brazilian population. The sample consisted of 1,775 healthy schoolchildren, all females, aged 8–17 years. We observed a progressive increase for the variables of weight, height, body mass index (BMI), AD-SoS, and BTT with advancing age. Results for AD-SoS showed increasing and significant variation from 8 to 17 years old (1,938–2,103 m/s, an increase of 8.52%, P < 0.0001), and also for BTT (0.84–1.45 μs, an increase of 72.6%, P < 0.0001). A gradual increase in the values of AD-SoS and BTT was observed with advances in pubertal stages. There was an interaction between the variables of age, height, and pubertal stages, predicting AD-SoS (R 2 = 0.49) and BTT (R 2 = 0.53). The study showed that AD-SoS and BTT, evaluated by means of bone ultrasonometry of the phalanges in females, increase gradually with age, being more evident during puberty, probably as a reflex of the structural organization of bone growth and development, or changes in the content of the bone tissue.
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References
Bonjour JP, Theintz G, Buchs B, Sloman D, Rizzoli R (1991) Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J Clin Endocrinol Metab 73:555–563
Theintz G, Buchs B, Rizzoli R, Sloman D, Clavien H, Sizonenko PC, Bonjour JP (1992) Longitudinal monitoring of bone mass accumulation in healthy adolescents: evidence for a marked reduction after 16 years of age at the levels of lumbar spine and femoral neck in female subjects. J Clin Endocrinol Metab 75:1060–1065
Mora S, Gilsanz V (2003) Establishment of peak bone mass. Endocrinol Metab Clin N Am 32:39–63
Katzman DK, Bachrach LK, Carter DR, Marcus R (1991) Clinical and anthropometric correlates of bone mineral acquisition in healthy adolescent girls. J Clin Endocrinol Metab 73:1332–1339
Heaney RP, Abrams S, Dawson-Hughes B, Looker A, Marcus R, Matkovic V, Weaver C (2000) Peak bone mass. Osteoporos Int 11:985–1009
Boot AM, Ridder MAJ, Pols HAPP, Krenning EP, Muinck Keizer-Schrama MPF (1997) Bone mineral density in children and adolescents: relation to puberty, calcium intake, and physical activity. J Clin Endocrinol Metab 82:57–62
Hans D, Wu C, Njeh CF, Zhao S, Augat P, Newitt D, Link T, Lu Y, Majumdar S, Genant HK (1999) Ultrasound velocity of trabecular bones reflects mainly bone density and elasticity. Calcif Tissue Int 64:18–23
Prais D, Diamond G, Kattan A, Salzberg J, Inbar D (2008) The effect of calcium intake and physical activity on bone quantitative ultrasound measurements in children: a pilot study. J Bone Miner Metab 26(3):248–253
Lu PW, Cowell CT, Lloyd-Jones SA, Briody JN, Howman-Giles R (1996) Volumetric bone mineral density in normal subjects, aged 5–27 years. J Clin Endocrinol Metab 81:1586–1590
Wren TAL, Liu X, Pitukcheewanont P, Gilsanz V (2005) Bone acquisition in health children and adolescents: comparisons of dual-energy X-ray absorptiometry and computed tomography measures. J Clin Endocrinol Metab 90:1925–1928
Carter DR, Bouxsein ML, Marcus R (1992) New approaches for interpreting projected bone densitometry data. J Bone Miner Res 7:137–145
Sundberg M, Gardsell P, Johnell O, Ornstein E, Karlsson MK, Sernbo I (2003) Pubertal bone growth in femoral necks predominantly characterized by increased bone size and not by increased bone density: 4-year longitudinal study. Osteoporos Int 14:548–558
Wüster C, Aalbanese C, De Aloysio D, Duboeuf F, Gambacciani S, Gonelli S, Glüer CC, Hans D, Joly J, Reginster JY, De Terlizzi F, Cadossi R (2000) Phalangeal osteosonogrammetry study: age-related changes, diagnostic sensitivity, and discrimination power. J Bone Miner Res 15:1603–1614
Barkmann R, Lüsse S, Stampa B, Sakata S, Heller M, Glüer CC (2000) Assessment of the geometry of human finger phalanges using quantitative ultrasound in vivo. Osteoporos Int 11:745–755
Ballester JG, San Julian CA, Ariznabarreta LS (2001) Bone mineral density determination by osteosonography in healthy children and adolescents: normal values. An Esp Pediatr 54:540–546
Halaba Z, Pluskiewicz W (1997) The assessment of development of bone mass in children by quantitative ultrasound through the proximal phalanxes of the hand. Ultrasound Med Biol 23:1331–1335
Baroncelli GI, Federico G, Bertelloni S, de Terlizzi F, Cadossi R, Saggese G (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
Wüster C, Hadji P (2001) Use of quantitative ultrasound densitometry (QUS) in male osteoporosis. Calcif Tissue Int 69:225–228
Horlick M, Wang J, Pierson RN, Thornton JC (2004) Prediction models for evaluation of total-body bone mass with dual-energy x-ray absorptiometry among children and adolescents. Pediatrics 114:337–345
Dib L, Arabi A, Maalouf J, Nabulsi M, Gel-Hajj Fuleihan (2005) Impact of anthropometric, lifestyle, and body composition variables on ultrasound measurements in school children. Bone (NY) 36:736–742
Baroncelli GI, Federico G, Vignolo M, Valerio G, Del Puente A, Maghnie M, Baserga M, Farello G, Saggese G (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 (NY) 39:159–173
Vignolo M, Parodi A, Mascagni A, Torrisi C, De Terlizzi F, Aicardi G (2006) Longitudinal assessment of bone quality by quantitative ultrasonography in children and adolescents. Ultrasound Med Biol 32:1003–1010
National Center for Health Statistics (2000). Available at: http://www.cdc.gov/growthcharts. Accessed 25 Nov 2006
Marshall WA, Tanner SM (1969) Variations in the pattern of pubertal changes in girls. Arch Dis Child 44:291–303
Njeh CF, Boivin CM, Langton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporos Int 7:7–22
Njeh CF, Richards A, Boivin CM, Hans D, Fuerst T, Genant HK (1999) Factors influencing the speed of sound through the proximal phalanges. J Clin Densitom 2:241–249
Cadossi R, Canè V (1996) Pathways of transmission of ultrasound energy through the distal metaphysis of the second phalanx of pigs: an in vitro study. Osteoporos Int 6:196–206
Barkmann R, Rohrschneider W, Vierling M, Tröger J, De Terlizzi F, Cadossi R, Heller M, Glüer CC (2002) German pediatric reference data for quantitative transverse transmission ultrasound of finger phalanges. Osteoporos Int 13:55–61
Cadossi R, de Terlizzi F, Cane V, Fini M, Wuster C (2000) Assessment of bone architecture with ultrasonometry: experimental and clinical experience. Horm Res 54(Suppl 1):9–18
Lee SH, Desai SS, Shetty G, Song HR, Lee SH, Hur CY, Lee JC (2007) Bone mineral density of proximal femur and spine in Korean children between 2 and 18 years of age. J Bone Miner Metab 25(6):423–430
Rubin K, Schirduan V, Gendreau P, Sarfarazi M, Mendola R, Daisky G (1993) Predictors of axial and peripheral bone mineral density in health children and adolescents, with special attention to the role of puberty. J Pediatr 123:863–870
Acknowledgments
The authors express their thanks to the Municipal Education Office, the Regional Education Centre of Cascavel/PR, directors and teachers of the schools, family members and girls who participated in the research, and to all the staff who helped in the data gathering.
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Santos, K.D., Petroski, E.L., Ribeiro, R.R. et al. Bone quantity and quality in Brazilian female schoolchildren and adolescents. J Bone Miner Metab 27, 507–512 (2009). https://doi.org/10.1007/s00774-009-0067-5
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DOI: https://doi.org/10.1007/s00774-009-0067-5