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What Is New in Pediatric Bone Health.
Jennifer J Beck1, Susan T Mahan2, Philip Nowicki3
1Orthopaedic Institute for Children/UCLA, Los Angeles, CA.
Journal of Pediatric Orthopedics
|July 7, 2021
Summary
Pediatric bone health is impacted by obesity, disparities, and Vitamin D deficiency, increasing fracture risk. Early recognition and intervention are crucial for better outcomes in children.
Area of Science:
- Orthopedics
- Pediatrics
- Endocrinology
Background:
- Pediatric bone health research has focused on nutrition, obesity, ethnic disparities, orthopaedic conditions, trauma, spine issues, and sports medicine over the last five years.
- Key factors influencing pediatric bone health include nutrition, obesity, socioeconomic status, and Vitamin D levels.
Purpose of the Study:
- To review recent research (2015-2020) on pediatric bone health, covering nutrition, obesity, disparities, orthopaedic conditions, trauma, spine disorders, and sports medicine.
- To synthesize current knowledge on factors affecting pediatric bone health and identify areas for future research.
Main Methods:
- A comprehensive literature search was conducted on the PubMed database.
- Keywords included "bone health," "Vitamin D," "pediatric," "obesity," "fractures," "spine," "scoliosis," "race," "ethnicity," and "sports medicine."
- Eighty-five relevant papers published between January 1, 2015, and August 31, 2020, were selected for review.
Main Results:
- Obesity negatively impacts pediatric bone health, with leptin playing a significant role.
- Vitamin D deficiency is linked to increased fracture risk and severity in children, and monitoring aids compliance.
- Disparities in socioeconomic status and ethnicity directly influence bone health outcomes.
- Low Vitamin D levels correlate with low back pain, spondylolysis, and adolescent idiopathic scoliosis, potentially increasing curve progression and surgical risks.
- Increased youth sports participation has led to more bone injuries, with growing understanding of Relative Energy Deficiency in Sport's impact.
Conclusions:
- Enhanced awareness of pediatric bone health issues is vital for improved recognition and treatment.
- Further research is essential for diagnosis, treatment, outcomes, and prevention strategies for pediatric bone diseases.
- Proactive screening and management of factors like Vitamin D deficiency can mitigate complications in pediatric orthopaedic care.
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