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[Physical exercise and bone development in chronically ill children]
Nathalie J Farpour-Lambert1, Laetitia Keller-Marchand, René Rizzoli
1Division d'endocrinologie et diabétologie pédiatriques Département de pédiatrie Hôpitaux Universitaires, Genève. nathalie.farpourlambert@hcuge.ch
Revue Medicale De La Suisse Romande
|April 21, 2004
Summary
Children with chronic diseases face higher risks of poor bone health. Exercise may improve bone mineral density in children with juvenile idiopathic arthritis and type 1 diabetes.
Area of Science:
- Pediatrics
- Orthopedics
- Endocrinology
Context:
- Children with chronic diseases often experience impaired bone development, increasing osteoporosis risk.
- Factors like delayed growth, low physical activity, and certain medications exacerbate bone health issues.
- The impact of physical activity on bone development in these children is not well understood.
Purpose:
- To investigate the relationship between physical fitness, muscle strength, and bone mineral density in children with juvenile idiopathic arthritis (JIA).
- To evaluate the effects of a moderate-impact exercise training program on bone mineral density in children with JIA and type 1 diabetes mellitus.
Summary:
- Preliminary findings indicate a positive correlation between physical fitness, muscle strength, and hip bone mineral density in children with JIA.
- Bone mineral density was found to be lower on the more affected side in children with JIA.
- Two randomized controlled trials are underway to assess exercise interventions for bone health in JIA and type 1 diabetes.
Impact:
- This research aims to establish the benefits of exercise for bone health in pediatric chronic disease populations.
- Findings could inform clinical guidelines for managing and preventing osteoporosis in children with chronic conditions.
- Understanding exercise's role can lead to targeted interventions to improve long-term bone health outcomes.