Pediatric Bone Flashcards
Factors that Impact Bone Growth
Forces on the bone
Hormones
Metabolism
Health behavior
Predisposition
Forces on the Bone
Modeling
Remodeling
Hormones
Growth hormone (GH) - Stimulates insulin-like growth factor-1
Sex hormones
Metabolism
High turnover
Deposition greater than resorption = net gain
Calcium
Phosphate homeostasis
Health Behavior
Physical activity
Nutrition
Vitamin D
Sleep
Factors Impairing Bone Growth
Hormone deficiency
Nutrition deficits
Medications
Behaviors
Bone health disorders/diseases
Hormone Deficiency
Growth hormone
Thyroid hormone
Testosterone or estrogen
Nutrition Deficits
Malnutrition
Vitamin D deficiency
Considerations of pediatric obesity
Medications
Impact bone metabolism (Bone absorption, Decreased bone deposition)
Chronic steroid use (can lead to osteoporosis)
Immune system suppression
Some anticonvulsants
Behaviors
Hormone related changes: Sedentary activity and obesity, Elite athletes, people with very low body fat
Smoking in teens and young adults
Environmental exposures
Bone Health Disorders/Diseases
Osteoporosis/osteopenia
Osteogenesis imperfecta
Orthopedic conditions
Preschool
Gross motor play
Diversity of activity exposure
Well visits and monitoring growth
Nutrition
Elementary School
Spontaneous and organized sports activities
Well visits and monitoring growth
Generalized strengthening
Nutrition
Middle and High School
Exercise programs
Sports participation and training
Conditioning and adapting lifelong habits
Injury rehabilitation
Biomechanics
Nutrition
