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Published on: August 13, 2019
[Growth spurts of the bone from infancy to puberty.]
1Department of Clinical Medical Research Center, International University of Health and Welfare/Women's Medical Center of Sanno Medical Center, Tokyo, Japan.
Insights
Human bone growth is most significant during infancy, with the first year seeing the greatest height increase. Nutrition is crucial for this early development, impacting peak bone mass attainment.
Area of Science:
- Human physiology
- Pediatric bone development
- Calcium metabolism
Background:
- Bone growth occurs in infancy (1-4 years) and puberty (12-17 years).
- Infantile growth spurts, particularly in the first year, are the most substantial, contributing to a 1.5-fold height increase.
- Bone development begins in fetal stages with active calcification in the third trimester.
Purpose of the Study:
- To review human bone growth from the fetal stage through infancy and puberty.
- To examine the relationship between bone/calcium metabolism and overall skeletal development.
- To highlight the factors influencing peak bone mass attainment.
Main Methods:
- Literature review of bone growth and metabolism studies.
- Analysis of skeletal development across different life stages (fetal, infancy, puberty).
- Examination of nutritional impacts on early height and bone mass.
Main Results:
- The first year of life represents the period of maximum bone growth.
- Nutrition is the primary determinant of height growth in the first three years.
- Peak bone mass is achieved after puberty, influenced by early life development.
Conclusions:
- Bone growth and calcium metabolism are continuous processes starting before birth.
- Early life nutrition and growth spurts are critical for achieving optimal peak bone mass.
- Understanding these processes is essential for lifelong skeletal health.
Abstract:
Growth spurts of the bone occur during infancy(1 to 4 years)and puberty(12 to 17 years). While, generally, pubertal spurts appear to draw more attention than infantile spurts, the latter constitute maximum growth spurts. Indeed, those during the first year of life lead to a 1.5-fold increase in height or a height increase of 25 cm, thus representing the greatest of all growth spurts that occur in humans during their lifetimes. Again, while height growth continues through the first 3 years of life, nutrition represents the single greatest contributing factor to height growth during this period. Again, while, as with other organ primordia, the bone primordium is formed during the organogenesis stage, calcification becomes most active during the third trimester of pregnancy. Thus, this review provides an overview of bone growth in humans, in relation to bone/calcium metabolism, which begins in the fetal stage before birth and continues through infancy and puberty, finally leading to attainment of peak bone mass in humans.
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