Thursday, December 01, 2022

Understanding Juvenile Osteoporosis

Osteoporosis is a bone-weakening disease that usually occurs in older adults, but young people can also get it. Doctors usually divide osteoporosis into two categories: idiopathic (caused by unknown) and secondary (due to a known condition).

Secondary osteoporosis in young people is often caused by malnutrition, or by not getting enough nutrients in your diet. It is also associated with chronic health conditions including asthma, diabetes and epilepsy.

Identifying and treating juvenile osteoporosis is important to help a young person’s bones develop properly. We’ll take an overview of the possible causes and risk factors for this type of osteoporosis, and how treatments work.

Healthy bones are able to handle impact, bear weight, and be flexible. Osteoporosis affects the density and mass of a person’s bones, making them weak and more likely to fracture.

Osteoporosis is commonly called the “silent disease,” because many people don’t know they have it until they break a bone. The most common place The hip, spine, and wrist are prone to fractures in osteoporosis. In younger people, it can involve the ankle, and the bones of the hands and feet.

While bone formation is complete for an adult skeleton around the age of 25Your body is constantly building and breaking down bone.

Osteoporosis in children is rare. This is because childhood and adolescence are when bones are usually at their strongest. But because young people’s bones are still developing, osteoporosis can present differently than in adults. If untreated, juvenile osteoporosis can not only cause pain and injury, but can have a serious impact on a young person’s physical development.

Juvenile osteoporosis is usually divided into one of two categories, depending on whether its cause can be identified. A 2022 study of 960 youth with osteoporosis found that 95.3 percent had secondary osteoporosis, while 4.7 percent had idiopathic osteoporosis.

Let us see how this classification works.

Secondary osteoporosis is the result of another medical condition or behavior that causes bones to weaken.

According to the National Institutes of Health (NIH), medical conditions that can cause secondary osteoporosis include:

Medications that can cause secondary osteoporosis include:

Overall, risk factors that may contribute to secondary osteoporosis in children include:

  • malnutrition
  • being underweight
  • Anemia (low red blood cell count)
  • Another chronic health condition (especially asthma, diabetes, or epilepsy)
  • delayed puberty
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Ideally, treating the underlying cause of secondary osteoporosis can help a young person build strong bones.

Idiopathic juvenile osteoporosis (IJO) occurs when a young person has osteoporosis, but doctors cannot identify an underlying cause. In most children with this condition, the onset is around age 7, however, infants and teens can also experience idiopathic osteoporosis.

In most cases, IJO will initially cause symptoms in children that include pain in the lower back, hips, and legs. Children start having problems walking or even break bones or bones. Typically, IJO leads to Metaphyseal and vertebral fractures, Metaphyseal injuries occur on the growing plates at the ends of long bones. Vertebral fractures affect the joints of the spine.

Some people with IJO may have changes in physical appearance, such as a curved spine or sunken chest. It is not clear whether IJO directly causes these conditions.

Diagnosing juvenile arthritis involves taking a medical history and listening to a child’s history of symptoms. Often, these descriptions can come from a caregiver who has noticed changes in a child.

In addition to considering symptoms, a health care professional may also recommend imaging studies to determine how significant a young person’s bone loss may be.

Diagnostic imaging methods for osteoporosis are:

These tests are usually more effective than X-rays in helping the doctor identify bone loss. They are all painless and do not involve invasive techniques.

The doctor may do other tests, such as blood tests, to rule out other possible causes. it includes osteogenesis imperfecta, rickets, Wilson’s disease, or celiac disease.

If secondary osteoporosis is occurring, a doctor will consider how best to treat or adjust treatments to reduce bone loss in a young person.

There are also lifestyle changes that can help a young person strengthen their bones and prevent injuries caused by osteoporosis. This includes:

  • going to physical therapy to strengthen muscles and increase flexibility
  • using assistive devices, such as crutches, to increase mobility
  • Increase calcium and vitamin D intake to strengthen bones
  • maintaining a healthy weight, as being underweight is a risk factor

Sometimes, a doctor may prescribe medications commonly used to treat osteoporosis in adults. Is known bisphosphonatesThese drugs help in reducing the rate of bone breakdown. However, doctors have not studied these drugs enough as a treatment for juvenile osteoporosis.

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Juvenile osteoporosis is rare, which makes it more difficult to study (with large groups of participants).

Bones develop at a young age and typically reach their peak mass or strength by age 18 in women and age 20 in men. Building strong bone mass at a young age is important to ensure a young person has healthy bone tissue for a lifetime.

getting enough nutrients

Preventive methods include ensuring that the child consumes enough calcium-rich foods. According to the NIH, here are the ideal calcium intakes for young people:

Dairy products such as milk, yogurt and cheese contain calcium. However, there are non-dairy options for calcium intake as well.

Calcium-rich foods include:

  • Sardines (canned in oil, with bones)
  • Tofu, Firm, with Extra Calcium
  • calcium-fortified orange juice
  • calcium-fortified cereals
  • turnip greens
  • Cauliflower
  • Tortillas
  • Broccoli

You can also talk to your doctor about this Should your child take calcium Or vitamin D supplements to build and maintain healthy bones.

stay active

Engaging in regular weight-bearing activity also helps children build healthy bones. Examples of bone-building exercises can include walking, hiking, lifting weights and dancing. (On the other hand, swimming or bicycling are not weight-bearing exercises.)

Physical activity for children is not necessarily organized around a game or sport, and it may look like going for a walk or playing on a playground.

The World Health Organization recommends the following exercise guidelines By age groups:

Juvenile osteoporosis is a rare condition in children and adolescents that causes bone loss, increasing the likelihood of fractures. It can cause pain and affect the structural development of young people, sometimes leading to skeletal irregularities over a long period of time.

This type of osteoporosis is classified as “secondary” as a result of another health condition or medication, or “idiopathic,” meaning unknown cause. Prevention mainly includes good nutrition, adequate physical activity and management of other health conditions. Treatment may include physical therapy, medications, and nutritional supplements.

Getting a timely diagnosis can help a child begin a plan of care to strengthen their bones and prevent fractures. If your child has certain risk factors for juvenile osteoporosis, or is displaying symptoms, consider scheduling a screening.


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