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Calcified Tissue International
Published in: Calcified Tissue International 5/2017

01-05-2017 | Original Research

Bone Density in the Obese Child: Clinical Considerations and Diagnostic Challenges

Authors: Jennifer C. Kelley, Nicola Crabtree, Babette S. Zemel

Published in: Calcified Tissue International | Issue 5/2017

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Abstract

The prevalence of obesity in children has reached epidemic proportions. Concern about bone health in obese children, in part, derives from the potentially increased fracture risk associated with obesity. Additional risk factors that affect bone mineral accretion, may also contribute to obesity, such as low physical activity and nutritional factors. Consequences of obesity, such as inflammation, insulin resistance, and non-alcoholic fatty liver disease, may also affect bone mineral acquisition, especially during the adolescent years when rapid increases in bone contribute to attaining peak bone mass. Further, numerous pediatric health conditions are associated with excess adiposity, altered body composition, or endocrine disturbances that can affect bone accretion. Thus, there is a multitude of reasons for considering clinical assessment of bone health in an obese child. Multiple diagnostic challenges affect the measurement of bone density and its interpretation. These include greater precision error, difficulty in positioning, and the effects of increased lean and fat tissue on bone health outcomes. Future research is required to address these issues to improve bone health assessment in obese children.
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Metadata
Title
Bone Density in the Obese Child: Clinical Considerations and Diagnostic Challenges
Authors
Jennifer C. Kelley
Nicola Crabtree
Babette S. Zemel
Publication date
01-05-2017
Publisher
Springer US
Published in
Calcified Tissue International / Issue 5/2017
Print ISSN: 0171-967X
Electronic ISSN: 1432-0827
DOI
https://doi.org/10.1007/s00223-016-0233-4

Other articles of this Issue 5/2017

Calcified Tissue International 5/2017 Go to the issue

Review

Adipose, Bone, and Myeloma: Contributions from the Microenvironment

Review

Evolution of the Marrow Adipose Tissue Microenvironment

Review

The Central Nervous System and Bone Metabolism: An Evolving Story

Original Research

The Impact of Fat and Obesity on Bone Microarchitecture and Strength in Children

Original Research

The Activity of Adiponectin in Bone

Review

Restrictive Eating Disorders and Skeletal Health in Adolescent Girls and Young Women

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

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Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

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