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Adolescents and Bone Health.
Rebecca J Gordon1, Catherine M Gordon1,2
1Division of Endocrinology.
Clinical Obstetrics and Gynecology
|June 10, 2020
Summary
Adolescent bone health is crucial for peak bone mass acquisition. Optimizing calcium, vitamin D, exercise, and weight are key for fragile bones, with bisphosphonates as an option.
Area of Science:
- Pediatric Endocrinology
- Bone Biology
- Adolescent Medicine
Background:
- Adolescence is a critical period for achieving peak bone mass.
- Bone fragility in adolescents necessitates proactive management strategies.
- Modifiable lifestyle factors significantly impact adolescent skeletal health.
Purpose of the Study:
- To review current management strategies for adolescent bone health.
- To discuss interventions for adolescents at risk of bone fragility.
- To explore the skeletal effects of hormonal contraceptives in adolescents.
Main Methods:
- Literature review of studies on adolescent bone health.
- Analysis of guidelines for managing bone fragility in adolescents.
- Discussion of hormonal contraceptive impact on bone mineral density.
Main Results:
- Initial management for bone fragility includes calcium, vitamin D, weight-bearing exercise, and healthy body weight.
- Bisphosphonate therapy is indicated in specific adolescent cases.
- The effect of hormonal contraceptives on bone mineral density requires careful consideration in at-risk individuals.
Conclusions:
- Optimizing lifestyle factors is fundamental for adolescent bone health.
- Long-term monitoring is essential for conditions like eating disorders and primary ovarian insufficiency.
- Further research is needed to clarify the impact of hormonal contraceptives on adolescent bone density.
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