Bone mineralization and physical development of children.

Larisa A Scheplyagina, Tatyana Y Moisseyeva
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Abstract

A cross-sectional study of BMD and physical development values in children of various age-specific groups was carried out. In all, the study included 357 children (194 boys and 163 girls) aged from 5 to 16 years. The study did not include children with inherited or acquired diseases of the musculoskeletal system, chronic diseases of the liver or kidneys, diabetes, thyrotoxicosis or malabsorption syndrome or professional athletes. BMD values were estimated by dual X-ray absorbtiometry (DXA) of the lumbar part of the spine (L2-L4) using a "DPX-MD+" device equipped with a "child" software program. Out of all the examined children, 58.9% had harmonic physical development, and 13.1% had a decreased body height and body mass. It was revealed that BMC and BMD values in the lumbar part of the spine intensively increased with age. BMC closely correlates with body height (r = 0.8; p < 0.000) and body mass (r = 0.7; p < 0.000). BMD also correlates with anthropometric parameters. The lowest BMC and BMD values and Z-score as well can be found in children with a low body height and body mass (<10th percentile).

骨矿化与儿童身体发育。
对不同年龄组儿童的骨密度和身体发育值进行了横断面研究。这项研究总共包括了357名5至16岁的儿童(194名男孩和163名女孩)。该研究不包括患有遗传性或获得性肌肉骨骼系统疾病、慢性肝脏或肾脏疾病、糖尿病、甲状腺毒症或吸收不良综合征的儿童,也不包括专业运动员。采用配备“儿童”软件程序的“DPX-MD+”装置,通过腰椎(L2-L4)的双x线吸收仪(DXA)估计骨密度值。在所有接受检查的儿童中,58.9%的儿童身体发育正常,13.1%的儿童身高和体重下降。结果表明,随着年龄的增长,腰椎的BMC和BMD值明显增加。BMC与身高密切相关(r = 0.8;P < 0.000)和体重(r = 0.7;P < 0.000)。骨密度也与人体测量参数相关。最低的BMC和BMD值以及Z-score也可以在低身高和低体重的儿童中发现(
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