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Title:
Birth Weight, Birth Length, and Bone Density in Prepubertal Children: Evidence for an Association That May Be Mediated by Genetic Factors | Calcified Tissue International
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There is an incomplete understanding of the contribution of early growth to bone accrual in childhood. The aims of this longitudinal study were to examine the association between growth variables at birth, 1 month, and 8 years and bone density in prepubertal children. Weight and length at both birth and 1 month of age were measured in 1988 as part of a prospective study for sudden infant death syndrome. A total of 330 children (47%) and 278 of their mothers were then contacted in 1996 for measurement of anthropometrics and bone density. Birth weight, birth length, and length gain (but not weight gain) in the first month all made significant contributions to areal bone density (BMD, g/cm2) at all sites at age 8 even after taking into account subsequent weight and height gain (model R2 14β39% depending on variable and site). Adjustment for potential environmental confounders did not alter these findings, however, adjustment for maternal BMD markedly reduced the early life associations (particularly for birth weight). Though early life factors were weakly associated with bone mineral apparent density (BMAD, g/cm3) in correlation analysis, subsequent height and weight gain were the only significant independent contributors to BMAD. In conclusion, early life anthropometrics make little contribution to BMAD (other than through their correlation with later growth) but make significant independent contributions to BMD suggesting that the growth trajectory of bone is determined very early in life. In addition, the contribution of body size at birth to bone growth in early life appears to be mediated by genetic factors although it is possible that it may be mediated by poorly measured or as yet unidentified determinants of body size at birth.
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month download article/chapter population health research privacy choices/manage cookies full article pdf bone mineral density areal bone density made significant contributions significant independent contributors european economic area scope submit manuscript potential environmental confounders bone accrual conditions privacy policy account subsequent weight early life associations early life appears accepting optional cookies genetic factors published biomechanics development early life factors bone growth main content log journal finder publish body size bone density early growth article log check access related subjects instant access growth variables growth trajectory article cite privacy policy personal data article jones books a optional cookies birth weight manage preferences maternal diabetes infant adiposity genetic factors weight gain data protection essential cookies cookies skip subsequent height institution subscribe journal publish
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headline:Birth Weight, Birth Length, and Bone Density in Prepubertal Children: Evidence for an Association That May Be Mediated by Genetic Factors
description: There is an incomplete understanding of the contribution of early growth to bone accrual in childhood. The aims of this longitudinal study were to examine the association between growth variables at birth, 1 month, and 8 years and bone density in prepubertal children. Weight and length at both birth and 1 month of age were measured in 1988 as part of a prospective study for sudden infant death syndrome. A total of 330 children (47%) and 278 of their mothers were then contacted in 1996 for measurement of anthropometrics and bone density. Birth weight, birth length, and length gain (but not weight gain) in the first month all made significant contributions to areal bone density (BMD, g/cm2) at all sites at age 8 even after taking into account subsequent weight and height gain (model R2 14β39% depending on variable and site). Adjustment for potential environmental confounders did not alter these findings, however, adjustment for maternal BMD markedly reduced the early life associations (particularly for birth weight). Though early life factors were weakly associated with bone mineral apparent density (BMAD, g/cm3) in correlation analysis, subsequent height and weight gain were the only significant independent contributors to BMAD. In conclusion, early life anthropometrics make little contribution to BMAD (other than through their correlation with later growth) but make significant independent contributions to BMD suggesting that the growth trajectory of bone is determined very early in life. In addition, the contribution of body size at birth to bone growth in early life appears to be mediated by genetic factors although it is possible that it may be mediated by poorly measured or as yet unidentified determinants of body size at birth.
datePublished:2014-02-11T00:00:00Z
dateModified:2014-02-11T00:00:00Z
pageStart:304
pageEnd:308
sameAs:https://doi.org/10.1007/s002230001148
keywords:
Key words: Bone density β Childhood β Growth β Genetics β Body size.
Biochemistry
general
Endocrinology
Orthopedics
Cell Biology
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headline:Birth Weight, Birth Length, and Bone Density in Prepubertal Children: Evidence for an Association That May Be Mediated by Genetic Factors
description: There is an incomplete understanding of the contribution of early growth to bone accrual in childhood. The aims of this longitudinal study were to examine the association between growth variables at birth, 1 month, and 8 years and bone density in prepubertal children. Weight and length at both birth and 1 month of age were measured in 1988 as part of a prospective study for sudden infant death syndrome. A total of 330 children (47%) and 278 of their mothers were then contacted in 1996 for measurement of anthropometrics and bone density. Birth weight, birth length, and length gain (but not weight gain) in the first month all made significant contributions to areal bone density (BMD, g/cm2) at all sites at age 8 even after taking into account subsequent weight and height gain (model R2 14β39% depending on variable and site). Adjustment for potential environmental confounders did not alter these findings, however, adjustment for maternal BMD markedly reduced the early life associations (particularly for birth weight). Though early life factors were weakly associated with bone mineral apparent density (BMAD, g/cm3) in correlation analysis, subsequent height and weight gain were the only significant independent contributors to BMAD. In conclusion, early life anthropometrics make little contribution to BMAD (other than through their correlation with later growth) but make significant independent contributions to BMD suggesting that the growth trajectory of bone is determined very early in life. In addition, the contribution of body size at birth to bone growth in early life appears to be mediated by genetic factors although it is possible that it may be mediated by poorly measured or as yet unidentified determinants of body size at birth.
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Biochemistry
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Cell Biology
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