[The influence of nutrition and social environment on the bone maturation of children]. 2007

J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
Jefe de Sección de Dietética y Nutrición del Hospital Universitario San Cecilio de Granada y Profesora Titular del Departamento de Enfermería de la Universidad de Granada, España. jtristan@ugr.es

Child growth constitutes a very sensitive indicator for the assessment of their health state. Any deviation from standard parameters could entail the appearance of any congenital or acquired disorder. Identifying with precision children's bone age during their growth period can be very useful in different situations. From a clinical point of view, it is a tool for diagnosis, which can offer the possibility of monitoring treatment effects in the case of standard deviations. This is why we need to study in depth current methods and carry out regular controls that insure their reliability. Currently, the most frequent radiological methods in our country for the determination of children's bone age were designed in the middle of the 20th century on the basis of X-rays performed on children from other countries. Thus, it would be interesting to find out whether social, economic, nutritional and health changes in Spain have influenced child growth and development in a significant way. Hence it would invalidate traditional methods for the determination of bone age. This study came from a main hypothesis: the child's environment significantly influences the concordance of bone age and chronological age. Our aim was to study a possible relationship between nutrition and bone development. Thus, the fastest way of testing this hypothesis was to implement a cross-sectional prevalence study in order to determine the percentage of children showing a chronological age concording with bone age. The study was entirely carried out in the Traumatology Hospital of Granada, which belongs to the University Hospital Virgen de las Nieves. We used the information provided by the Emergency Department about slight traumatisms. The cross-section sample was adapted to our main hypothesis. The overall number of patients was 100, which exceeds the necessary cases to test the reliability of this particular study. On the other hand, in order to determine the concordance of bone age and its different variables, an analitical study was also carried out, which includes: an univariant analysis, a bivariate analysis and a multivariate analysis, with the various tests they usually include. We found out that children showing a delayed bone age eat less bread than those showing an advanced bone age. It would be necessary to determine whether bone age and bone mass have inversely related values before considering it as concordant information. We could only determine that, currently, advanced bone maturation is usually associated with rapid growth. It is possible that children who eat more bread actually show an advanced bone age, a more rapid growth and a reduced bone mass. However, in this study, the outcomes must be considered just as preliminar, due to the size of the cross-section sample. Our research on the influence of nutrition should also include a further longitudinal study.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D009752 Nutritional Status State of the body in relation to the consumption and utilization of nutrients. Nutrition Status,Status, Nutrition,Status, Nutritional
D009765 Obesity A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011297 Prenatal Exposure Delayed Effects The consequences of exposing the FETUS in utero to certain factors, such as NUTRITION PHYSIOLOGICAL PHENOMENA; PHYSIOLOGICAL STRESS; DRUGS; RADIATION; and other physical or chemical factors. These consequences are observed later in the offspring after BIRTH. Delayed Effects, Prenatal Exposure,Late Effects, Prenatal Exposure
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D001846 Bone Development The growth and development of bones from fetus to adult. It includes two principal mechanisms of bone growth: growth in length of long bones at the epiphyseal cartilages and growth in thickness by depositing new bone (OSTEOGENESIS) with the actions of OSTEOBLASTS and OSTEOCLASTS. Bone Growth

Related Publications

J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
January 2007, Nutricion hospitalaria,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
March 1971, Journal of reproduction and fertility,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
June 1984, Archivos latinoamericanos de nutricion,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
August 1975, The Medical journal of Australia,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
January 1976, Cahiers de sociologie et de demographie medicales,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
June 1983, Journal of comparative psychology (Washington, D.C. : 1983),
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
January 2006, Health psychology : official journal of the Division of Health Psychology, American Psychological Association,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
December 1975, Harefuah,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
March 2004, Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz,
J M Tristán Fernández, and F Ruiz Santiago, and A Pérez de la Cruz, and G Lobo Tanner, and M J Aguilar Cordero, and F Collado Torreblanca
June 2021, The Journal of sports medicine and physical fitness,
Copied contents to your clipboard!