Abstract
The foundation of bone health is established in the first three decades of life [1]. Peak bone mass, acquired by early adulthood, serves as the bone bank, for the remainder of adult life. The more robust the skeletal mass at its peak, the greater the amount of bone loss (from aging, menopauswe, and other factors) that can be tolerated without clinical signs of osteoporosis The pace of bone mineral acquisition is similar to that of linear bone growth, with rapid gains in infancy, slower increases during childhood, and major gains at puberty [2]. Approximately half of peak bone mass is gained during the teenage years, making this a critical period for optimizing conditions for skeletal health. Unlike growth patterns, however, peak bone mineral acquisition lags 8 months behind peak height velocity [3]. Furthermore, gains in bone mineral continue into the third decade after bone growth has ceased [4]. Bone mineral acquired by early adulthood is a key determinant of the lifetime risk of osteoporosis. Peak bone mass accounts for at least half of the variability in skeletal mass in the elderly, with the remainder attributable to subsequent bone loss [1]. Largely, peak bone mass is predetermined by heritable factors. Family and twin studies suggest that 60% to 80% of the differences in peak bone mass between individuals can be attributed to genetics [5, 6].
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References
Hui SL, Slemenda CW, Johnston CCThe contribution of bone loss to post menopausal osteoporosis. Osteoporosis Int1990, 1:30–34.
Bonjour JP, Rizzoli R: Bone acquisition in adolescence. In Osteoporosis, vol I, end 2. Edited by Marcus R, Kelsey J, Feldman D. San Diego: Academic Press; 2001:621 – 638.
Bailey DA, McKay HA, Mirwald RL, et al.: A six-year longitudinal study of the relationship of physical activity to bone mineral accrual in growing children: the University of Saskatchewan bone mineral accrual study. J Bone Miner Res1999, 14:1672–1679.
Recker RR, Davies M, Hinders SM, et al.: Bone gain in young adult women. JAMA 1992, 268:2403–2408.
Kelly PJ, Eisman JA, Sambrook PN: Interaction of genetic and environmental influences on peak bone density. Osteoporosis Int1990, 1:56–60.
Krall EA, Dawson-Hughes B: Heritable and lifestyle determinants of bone mineral density. J Bone Miner Res1993, 8:1–9.
Villa ML, Nelson L, Nelson D: Race, ethnicity, and osteoporosis. In Osteoporosis, vol I, edn 2. Edited by Marcus R, Kelsey J, Feldman D. San Diego: Academic Press; 2001:569–584.
Gilsanz V, Skaggs DL, Kovanlikaya A, et al.: Differential effect of race on the axial and appendicular skeletons of children. J Clin Endocrinol Metab1998, 83:1420–1427.
Seeman E: Growth in bone mass and size: Are racial and gender differences in bone mineral density more apparent than real? [editorial]. J Gin Endocrinol Metab1998, 83:1414–1419.
Hobson EE, Ralston SH:The genetics of osteoporosis. The Endocrinologist1997, 7:429–435.
Miller JZ, Slemenda CW, Meaney FJ, et al:The relationship of bone mineral density and anthropometric variables in healthy male and female children. Bone Miner1991, 14:137–152.
Cadogan J, Blumsohn A, Barker ME, Eastell R: A longitudinal study of bone gain in pubertal girls: anthropometric and biochemical correlates. J Bone Miner Res1998, 13:1602–1612.
Moro M, van der Meulen MCH, Kiratli BJ, et al.: Body mass is the primary determinant of midfemoral bone acquisition during adolescent growth. Bone1996, 19:519–526.
Johnston CC Jr, Miller JZ, Slemenda CW, et al.: Calcium supplementation and increases in bone mineral density in children. N Engl J Med1992, 327:82–87.
Bonjour J-Ph, Carrie A-L, Ferrari S, et al.: Calcium-enriched foods and bone mass growth in prepubertal girls: a randomized, double-blind, placebo-controlled trial. J Clin Invest1997, 99:1287–1294.
National Institutes of Health: Optimal calcium intake. NIH Consensus Statement. 1994, 12:1–31.
Haaspasalo H, Kannus P, Sievannen H, et al.: Effect of long-term unilateral activity on bone mineral density of female junior tennis players. J Bone Miner Res1998, 13:310–319.
Ferretti JL, Schiessl H, Frost HM: On new opportunities for absorptiometry. J Clin Densitometry1998, 1:41–53.
Lloyd T, Beck TJ, Lin H-M, et al.: Modifiable determinants of bone status in young women. Bone2002, 30:416–421.
Specker BL: Evidence for an interaction between calcium intake and physical activity on changes in bone mineral density. J Bone Miner Res1996, 11:1539–1544.
Rubin K, Schirduan V, Gendreau P, et al.: Predictors of axial and peripheral bone mineral density in healthy children and adolescents, with special attention to the role of puberty. J Pediatr1993, 123:863–870.
Bachrach BE, Smith EP:The role of sex steroids in bone growth and development: evolving new concepts. The Endocrinologist1996, 6:362–368.
Bachrach LK: Osteoporosis in childhood and adolescence. In Osteoporosis, vol 2, edn 2 . Edited by Marcus R, Kelsey J, Feldman D. San Diego: Academic Press; 2001:151–167.
Saggese G, Baroncelli Bl, Bertelloni S, et al.: Effects of long-term treatment with growth hormone on bone and mineral metabolism in children with growth hormone deficiency.J Pediatr1993, 122:37–45.
Kotaniemi A, Savolainen A, Kautianinen H, Kroger H: Estimation of central osteopenia in children with chronic polyarthritis treated with glucocorticoids. Pediatr1993, 91:1127–1129.
Radetti G, Castellan C, Tato L, et al.: Bone mineral density in children and adolescent females treated with high doses of L-thyroxine. Horm Res1993, 3:127–131.
Ray NF, Chan JK, Thamer M, Melton LJ III: Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: Report from the National Osteoporosis Foundation. J Bone Miner Res1997, 12:24–35.
USDA Continuing Survey of Food Intakes by Individuals, 1994–95: Agricultural Research Service, US Department of Agriculture. Washington, DC.
Gordon-Larsen R, McMurray RG, Popkin BM: Adolescent physical activity and inactivity vary by ethnicity:The National Longitudinal Study of Adolescent Health. J Pediatr1999, 135:301–306.
Theintz G, Buchs B, Rizzoli R, et al.: 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 Metab1992, 75:1060–1065.
Carter DR, Bouxsein ML, Marcus R: New approaches for interpreting projected bone densitometry data. J Bone Miner Res1992, 7:137–145.
Lu PW, Cowell CT, Lloyd-Jones SA, et al.:Volumetric bone mineral density in normal subjects, aged 5–27 years. J Clin Endocrinol Metab1996, 81:1586–1590.
Katzman DK, Bachrach LK, Carter DR, Marcus R: Clinical and anthropometric correlates of bone mineral acquisition in healthy adolescent girls. J Clin Endocrinol Metab1991, 73:1332–1339.
Kroger H, Kotaniemi A, Vainio P, Alhava E: Bone densitometry of the spine and femur in children by dual-energy x-ray absorptiometry. Bone Miner Res1992, 17:75–85.
Seeman E: From density to structure: growing up and growing old on the surfaces of bone. J Bone Miner Res1997, 12:509–521.
Teegarden D, Proulx WR, Martin BR, et al.: Peak bone mass in young women. J Bone Miner Res1995, 10:711–715.
Blimkie CJR, Levevre J, Beunen GP, et al.: Fractures, physical activity, and growth velocity in adolescent Belgian boys. Med Sci Sports Exerc1993, 25:801–808.
Bailey DA:The Saskatchewan pediatric bone mineral accrual study: bone mineral acquisition during the growing years. Int J Sports Med1997, 18:S191–S194.
Wang M-C, Aguirre M, Bhudhikanok GS, et al.: Bone mass and hip axis length in healthy Asian, Black, Hispanic and White American youths. J Bone Miner Res1997, 12:1922–1935.
Gilsanz V, Loro ML, Roe TF, et al.: Vertebral size in elderly women with osteoporosis: mechanical implications and relationship to fractures. J Clin Invest1995, 95:2332–2337.
Faulkner KG, Cummings SR, Black D, et al.: Simple measurement of femoral geometry predicts hip fracture: the study of osteoporotic fractures J Bone Miner Res1993, 8:1211–1217.
Bachrach LK, Hastie T, Wang M-C, et al.: Bone mineral acquisition in healthy Asian, Hispanic, Black and Caucasian youth. A longitudinal study. J Clin Endocrinol Metab1999, 84:4702–4712.
Bilezikian JP, Morishima A, Bell J, Grumbach MM: Increased bone mass a result of estrogen therapy in a man with aromatase deficiency. N Engl J Med1998, 339:599–603.
Wiren KM, Orwell ES: Skeletal biology of androgens. In Osteopenia. Edited by Marcus R, Feldman D, Kelsey J. San Diego: Academic Press; 2001, 1:339–359.
Marcus R, Leary D, Schneider DL, et al.:The contribution of testosterone to skeletal development and maintenance: lessons from the androgen insensitivity syndrome. J Clin Endocrinol Metab2000, 85:1032–1037.
Matkovic V, Heaney RP: Calcium balance during human growth: evidence for threshold behavior. Am J Clin Nutr1992, 55:992–996.
Abrams SA, O’Brien KO, Liang LK, Stuff JE: Differences in calcium absorption and kinetics between black and white girls aged 5–16 years. J Bone Miner Res1995, 10:829–833.
Matkovic V, Ilich JZ, Andon MB, et al.: Urinary calcium, sodium, and bone mass of young females. Am J Clin Nutr1995, 62:417–425.
Bailey DA, Faulkner RA, McKay HA: Growth, physical activity, and bone mineral acquisition. Exerc Sports Sci Rev1996, 24:233–266.
McKay HA, Petit MA, Schutz RW, et al.: Augmented trochanteric bone mineral density after modified physical education classes: a randomized school-based exercise intervention study in prepubescent and early pubescent children. J Pediatr2000, 136:156–162.
MacKelvie KJ, McKay HA, Khan KM, Crocker PR: A school-based exercise intervention augments bone mineral accrual in early pubertal girls. J Pediatr2001, 139:501–508.
Fuchs RK, Bauer JJ, Snow CM: Jumping improves hip and lumbar spine bone mass in prepubescent children: a randomized controlled trial. J Bone Miner Res2001, 16:148–156.
Kontulainen S, Sievanen H, Kannus P, et al.: Effect of long-term impact-loading on mass, size, and estimated strength of humerus and radius of female racquet-sports players: a peripheral quantitative computed study between young and old starters and controls. J Bone Miner Res2002, 17:2281–2289.
Hui SL, Slemenda CS, Johnson CC Jr: Age and bone mass as predictors of fracture in a prospective study. J Clin Invest1988, 81:1804–1809.
Southard RN, Morris JD, Maha JD, et al.: Bone mass in healthy children: measurement with quantitative DXA. Radiology1991, 179:735–738.
Bonjour JR, Theintz G, Buchs B, et al.: Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J Clin Endocrinol Metab1991, 73:555–563.
Faulkner RA, Bailey DA, Drinkwater DT, et al.: Bone densitometry in Canadian children 8–17 years of age. Calcif Tissue Int1996, 59:344–351.
Ellis KJ, Shypailo RJ, Hardin DS, et al.: Z score prediction model for assessment of bone mineral content in pediatric diseases. J Bone Miner Res2001, 16:1658–1664.
van der Sluis IM, de Ridder MA, Boot AM, et al.: Reference data for bone density and body composition measured with dual energy x ray absorptiometry in white children and young adults. Arch Dis Child2002, 87:341–347.
Genant HK: Universal standardization for dual x-ray absorptiometry: patient and phantom cross-calibration results.) Bone Miner Res1995, 10:997–998.
Leonard MB, Propert KJ, Zemel BS, et al.: Discrepancies in pediatric bone mineral density reference data: potential for misdiagnosis of osteopenia.; Pediatr1999, 135:182–188.
Bhudhikanok GS, Wang M-C, Marcus R, et al.: Bone acquisition and loss in children and adults with cystic fibrosis: a longitudinal study. J Pediatr1998, 133:18–27.
Warren MP: Health issues for women athletes: exercise-induced amenorrhea. J Clin Endocrinol Metab1999, 84:1892–1896.
Young N, Formica C, Szmukler G, Seeman E: Bone density at weight-bearing and nonweight-bearing sites in ballet dancers: the effects of exercise, hypogonadism, and body weight. J Clin Endocrinol Metab1994, 78:449–454.
Robinson TL, Snow-Harter C Taaffe DR, et al.: Gymnasts exhibit higher bone mass than runners despite similar prevalence of amenorrhea and oligomenorrhea. J Bone Miner Res1995, 10:26–35.
Taaffe DR, Snow-Harter C, Connolly DA, et al.: Differential effects of swimming versus weight-bearing activity on bone mineral status of eumenorrheic athletes. J Bone Miner Res1995, 10:586–593.
Herzog W, Minne H, Deter C, et al.: Outcome of bone mineral density in anorexia nervosa I 1.7 years after first admission. J Bone Miner Res1993, 8:597–605.
Bachrach LK, Katzman DK, Litt IF, et al.: Recovery from osteopenia in adolescent girls with anorexia nervosa. J Clin Endocrinol Metab1991, 72:602–606.
Kooh SW, Noriega E, Leslie K, et al.: Bone mass and soft tissue composition in adolescents with anorexia nervosa. Bone1996, 19:181–188.
Grinspoon S, Thomas L, Miller K, et al.: Effects of recombinant human IGF-I and oral contraceptive administration on bone density in anorexia nervosa. J Clin Endocrinol2002, 87:2883–2891.
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Bachrach, L.K. (2003). Bone Acquisition and Peak Bone Mass. In: Orwoll, E.S. (eds) Atlas of Osteoporosis. Current Medicine Group, London. https://doi.org/10.1007/978-1-4757-4561-0_2
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DOI: https://doi.org/10.1007/978-1-4757-4561-0_2
Publisher Name: Current Medicine Group, London
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