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Growth and Bone Mineral Accretion During Puberty in Chinese Girls: A Focus on Calcium Retention and the Role of Calcium

Chapter

Abstract

The pubertal years are an important period for linear growth and bone mineral accretion. Peak height velocity (PHV) occurs at 3–0 years prior to menarche in Chinese girls, which is similar to the timing for PHV reported in Western girls. However, Chinese girls tend to have a lower peak height velocity (6.0 cm/year) compared to that of American girls (8.3 cm/year) and a longer active growth period. The timing of peak bone mineral accretion in Chinese girls is also similar to that of Western girls, which is 1 year later than PHV and around the age of menarche. As peak bone mineralization occurs 1 year later than peak linear growth, there is a decrease in size-corrected bone mineral density in that year before menarche, which may be related to the increased risk of fracture during the pubertal growth spurt. Chinese girls with low habitual dietary calcium intake have high calcium retention efficiency during puberty. For Chinese girls aged 10–15 years, the calculated apparent calcium retention efficiency is as high as 40.9%. Calcium intake is a significant independent predictor of total body bone mass in Chinese girls during puberty. Ensuring adequate nutrition during this period is important for achieving full potential in linear growth and attaining optimal peak bone mass.

Keywords

Bone Mass Calcium Intake Dietary Calcium Intake Areal Bone Mineral Density Pubertal Growth Spurt 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

BA

Bone area

BMC

Bone mineral content

BMD

Bone mineral density

DXA

Dual energy X-ray absorptiometry

PBM

Peak bone mass

PHV

Peak height velocity

YSM

Year since menarche

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Endocrinology and DiabetesSir Charles Gairdner HospitalNedlandsAustralia
  2. 2.School of Medicine and PharmacologyUniversity of Western AustraliaPerthAustralia

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