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Published on: January 29, 2018
Influence of birth weight on calcaneal bone stiffness in Belgian preadolescent children
Karen Van den Bussche1, Nathalie Michels, Luis Gracia-Marco
1Department of Public Health, Ghent University, Ghent, Belgium. karen.vdbussche@gmail.com
Insights
Birth weight is linked to calcaneal bone stiffness in children, measured by broadband ultrasound attenuation (BUA) and speed of sound (SOS). This association suggests early life factors may impact future osteoporosis risk.
Area of Science:
- Pediatrics
- Bone Health
- Public Health
Background:
- Birth weight is a critical indicator of intrauterine development.
- Childhood bone health is crucial for lifelong skeletal integrity.
- Osteoporosis risk is influenced by factors established early in life.
Purpose of the Study:
- To examine the relationship between birth weight and calcaneal bone stiffness in healthy preadolescent children.
- To assess calcaneal bone properties using quantitative ultrasound (QUS) in relation to birth weight.
- To explore potential early life predictors of bone health.
Main Methods:
- A cohort of 827 Belgian children (ages 3.6-11.2 years) from the IDEFICS study participated.
- Birth weight was recorded via parental questionnaire.
- Calcaneal quantitative ultrasound (QUS) measured broadband ultrasound attenuation (BUA), speed of sound (SOS), and stiffness index (SI).
Main Results:
- Birth weight showed a positive association with BUA (r=0.13, p=0.002) and a negative association with SOS (r=-0.16, p<0.001).
- These associations persisted after adjusting for age and sex.
- The link between birth weight and calcaneal bone properties diminished after accounting for anthropometric covariates.
Conclusions:
- Birth weight, reflecting intrauterine conditions, is associated with calcaneal bone ultrasound parameters (BUA and SOS) in preadolescent children.
- These findings suggest that early life factors, indicated by birth weight, may influence bone health trajectory.
- Further research with QUS is warranted to confirm these associations and their long-term implications for osteoporosis risk.
Abstract:
The aim of this study was to investigate the relation between birth weight and calcaneal bone stiffness in a large sample of Belgian, healthy, preadolescent children. Participants were 827 children (3.6-11.2 years, 51.6 % boys) from the Belgian cohort of the IDEFICS study. Birth weight was obtained using a parental questionnaire, and quantitative ultrasound (QUS) measurements were performed to determine calcaneal broadband ultrasound attenuation (BUA), speed of sound (SOS), and stiffness index (SI) using the Lunar Achilles device. Average birth weights were 3435.7 ± 512.0 g for boys and 3256.9 ± 471.1 g for girls. Average calcaneal QUS measurements were 89.6 ± 24.0 (23.3-153.9) dB/MHz for BUA, 1621.4 ± 49.6 (1516.3-1776.5) m/s for SOS, and 92.8 ± 15.6 (49.0-163.0) for SI. Birth weight was positively associated with BUA (r = 0.13, p = 0.002) and SOS (r = -0.16, p < 0.001). The associations remained after correcting for age and sex in multiple regression analyses but disappeared after correcting for anthropometric covariates. Our findings suggest that birth weight, as a rough proxy indicator for genetic and environmental influences during intrauterine life, is associated with BUA and SOS in preadolescent children and may therefore influence the risk of osteoporosis later in life. Further studies using QUS are needed to investigate the consistency of the results of this study.
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