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Bone Health in School Age Children: Effects of Nutritional Intake on Outcomes
Abstract
The maximum rate of bone mass accumulation is during early adolescence. As such, a focus on optimizing mineral nutrition in school age children, defined here as approximately 5 to 15 years of age, is crucial to minimize the risk of bone loss that occurs later in life leading to osteoporosis and fractures. Optimizing bone mass in this age group requires attention to an overall healthy diet including adequate calcium, phosphorus, magnesium, and vitamin D. Special concerns may exist related to children who follow a restricted diet such as a vegan diet, those with intolerance or allergies to dairy, and those with chronic health conditions including young adolescents with eating disorders. Public policy messages should focus on positive aspects of bone health nutrition in this age group and avoid overly specific statements about the exact amounts of foods needed for healthy bones. In this regard, dietary recommendations for minerals vary between North America and Europe and these are higher than the values that may be necessary in other parts of the world. The management of many children with chronic illnesses includes the use of medications that may affect their bone mineral metabolism. Routine lab testing for bone mineral metabolism including the serum 25-hydroxyvitamin D level is not indicated, but is valuable for at-risk children, especially those with chronic illnesses.
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“For instance, insufficient calcium and vitamin D can impair bone mineralisation, increasing the risk of fractures [27].”
From Youth and Adolescent Athlete Musculoskeletal Health: Dietary and Nutritional Strategies to Optimise Injury Prevention and Support Recovery (2024) · cites this paper as [27]
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“Additionally, magnesium plays a pivotal role in bone turnover, calcium homeostasis, parathyroid hormone regulation, and vitamin D activation [27].”
From Youth and Adolescent Athlete Musculoskeletal Health: Dietary and Nutritional Strategies to Optimise Injury Prevention and Support Recovery (2024) · cites this paper as [27]
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Sugar-sweetened beverage consumption and bone health: a systematic review and meta-analysis
Ahn, H., & Park, Y. K. (2021) · Nutrition Journal · doi:10.1186/s12937-021-00698-1 · Cited by 56
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Cited by
Alcock, R., Hislop, M., Vidgen, H. A., & Desbrow, B. (2024) · Journal of Functional Morphology and Kinesiology · doi:10.3390/jfmk9040221 · Cited by 33
Metadata
- Authors
- Abrams, S. A.
- Venue
- Frontiers in Nutrition
- Publisher
- Frontiers Media SA
- Published
- 2021-11-19
- Volume
- 8
- ISSN
- 2296-861X
- Cited by
- 26
- References
- 1
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