Bone Density in the Obese Child: Clinical Considerations and Diagnostic Challenges.
Calcif Tissue Int
; 100(5): 514-527, 2017 05.
Article
em En
| MEDLINE
| ID: mdl-28105511
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.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Densidade Óssea
/
Obesidade
Tipo de estudo:
Diagnostic_studies
Limite:
Child
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Female
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Humans
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Male
Idioma:
En
Revista:
Calcif Tissue Int
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos