为儿童的骨健康提供有效的咨询
Barbara Minkowitz1, Colleen M Spingarn1
1Department of Orthopedics, Morristown Medical Center, Atlantic Health System, Morristown, NJ, USA.
概括
优化孩子的孩子.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿童营养学 儿童营养学
- 公共卫生 公共卫生
背景情况:
- 儿童时期骨健康不佳会增加受伤和骨折的风险.
- 骨质的峰值在很大程度上是在20岁时实现的,强调早期干预.
- 儿童骨质疏松症需要主动优化骨健康.
研究的目的:
- 突出优化儿童骨健康的重要性.
- 强调需要有效的患者和家庭咨询.
- 倡导修订维生素D补充指南.
主要方法:
- 关于儿科骨健康的当前文献的综述.
- 分析影响骨健康的因素,包括营养和运动.
- 评估现有的维生素D补充指南.
主要成果:
- 骨健康需要关键营养素,如和维生素D,C和K,以及体力活动.
- 目前以年龄为基础的维生素D剂量可能对身体质量指数 (BMI) 高的儿童来说不足.
- 建议进行常规维生素D监测,并考虑基于体重的剂量.
结论:
- 从小就优先考虑骨健康对于最大限度地提高峰值骨质量至关重要.
- 有效的咨询对于患者和家庭坚持骨健康策略至关重要.
- 应重新考虑维生素D剂量指南,以纳入体重/BMI,以进行个性化补充.
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