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© 2004 The American Society for Nutritional Sciences J. Nutr. 134:696S-700S, March 2004


Supplement: Nutritional Influences on Bone Growth in Children

Factors that Affect Bone Mineral Accrual in the Adolescent Growth Spurt1,2

Susan J. Whiting*,3, Hassanali Vatanparast*, Adam Baxter-Jones{dagger}, Robert A. Faulkner{dagger}, Robert Mirwald{dagger} and Donald A. Bailey{dagger},**

* College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan Canada, S7N 5C9; {dagger} College of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan Canada, S7N 1M3; and ** Department of Human Movement Studies, University of Queensland, Brisbane, Australia

3To whom correspondence should be addressed. E-mail: susan.whiting{at}usask.ca.

The development of bone mass during the growing years is an important determinant for risk of osteoporosis in later life. Adequate dietary intake during the growth period may be critical in reaching bone growth potential. The Saskatchewan Bone Mineral Accrual Study (BMAS) is a longitudinal study of bone growth in Caucasian children. We have calculated the times of maximal peak bone mineral content (BMC) velocity to be 14.0 ± 1.0 y in boys and 12.5 ± 0.9 y in girls; bone growth is maximal ~6 mo after peak height velocity. In the 2 y of peak skeletal growth, adolescents accumulate over 25% of adult bone. BMAS data may provide biological data on calcium requirements through application of calcium accrual values to factorial calculations of requirement. As well, our data are beginning to reveal how dietary patterns may influence attainment of bone mass during the adolescent growth spurt. Replacing milk intake by soft drinks appears to be detrimental to bone gain by girls, but not boys. Fruit and vegetable intake, providing alkalinity to bones and/or acting as a marker of a healthy diet, appears to influence BMC in adolescent girls, but not boys. The reason why these dietary factors appear to be more influential in girls than in boys may be that BMAS girls are consuming less than their requirement for calcium, while boys are above their threshold. Specific dietary and nutrient recommendations for adolescents are needed in order to ensure optimal bone growth and consolidation during this important life stage.


KEY WORDS: • calcium intake • children • adolescents • calcium requirement • soft drinks • fruit and vegetables




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