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Why is peak bone mass controversial - ajy

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The aims of this study were to investigate; 1 the timing of peak BMC by studying bone size and volumetric BMD vBMD as separate entities and 2 to determine the relative contributions of bone size and vBMD to bone mass "consolidation". A total of healthy Caucasian children 63 boys and 69 girls, ages years and healthy Caucasian adults 66 men and 68 women, ages years were studied. Achieving strong bone mass and strength at the end of this vigorous growth period is crucially important to ensuring protection against the risk of osteoporotic fractures that may occur in later life.

Peak bone mass is a significant milestone because the greater the peak bone mass, the more protection one has against developing osteopenia and osteoporosis. After the age of 30 we start losing bone at a steady rate as we age. A person who reaches peak bone mass with lower bone mineral density therefore has less bone to lose and is more likely to develop osteopenia or osteoporosis sooner. Thus, the risk of fractures is greater as life progresses. The best time to build bone density is during the youthful years of rapid growth.

Childhood, adolescence, and early adulthood are the times when we can significantly increase our peak bone mass through diet and exercise. By the time we reach age 30, we slowly begin to lose bone mass. For most of us, bone loss can be significantly slowed through proper nutrition and regular exercise.

This fact worsens the negative impact of smoking on peak bone mass and puts older smokers at additional risk for bone loss and fracture.

The impact of alcohol intake on peak bone mass is not clear. The effects of alcohol on bone have been studied more extensively in adults, and the results indicate that high consumption of alcohol has been linked to low bone density. Experts assume that high consumption of alcohol in youth has a similar adverse effect on skeletal health.

Would you like to order publications on bone disorders to be mailed to you? Visit our online order form. Osteoporosis: Peak Bone Mass in Women. Factors affecting peak bone mass For your information During childhood and adolescence, much more bone is deposited than withdrawn, so the skeleton grows in both size and density. Factors affecting peak bone mass A variety of genetic and environmental factors influence peak bone mass.

For your information For updates and for any questions about any medications you are taking, please contact: U. Remodeling starts in the teen years and continues throughout life. In the peri-menopausal period, the remodeling occurs faster than bone formation; hence, there is a loss of bone mass. Exercise is critical for bone health throughout life. What are the most beneficial exercises and what may be less effective?

Aerobic activities like walking have less benefit for building bone than strength or resistance training or more strenuous activities, such as running or playing soccer. Kauffman's distinguished physical therapy career spans over four decades and includes work in U. Army and Reserve Unit hospitals, nursing homes, home care, research, lecturing, and private practice.


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