Mineral bone density and calcium supply in children of school age with pathology of the musculoskeletal system
G.S. MANSUROVA1, I.V. RYABCHIKOV1, S.V. MALTSEV2
1Kazan (Volga Region) Federal University, Kazan
2Russian Medical Academy of Continuous Professional Education, Kazan
Contact details:
Mansurova G.Sh, Ph. D. (medicine), Associate Professor of the Department of Emergency Medical Care and Simulation Medicine
Address: 18 Kremlevskaya St., Russian Federation, Kazan, 420012, tel.: +7 (843) 236-68-02, e-mail: [email protected]
Deficiency of calcium intake in modern children is mainly due to inadequate consumption of milk and dairy products. Calcium deficiency is especially important in children with the pathology of the musculoskeletal system. On the basis of the Center for Outpatient Traumatology and Orthopedics of the Children’s Republican Clinical Hospital of the Ministry of Health of the RT, 485 children aged 6 to 18 years were examined. Bone mineral density was determined using the dual-energy X-ray absorptiometry (DEXA) method. Disturbance of bone mineral density was more often detected in children of secondary school age (44,6%, p < 0,05). Analysis of the amount of milk and dairy products included in the daily diet showed that only 13,6% (66 children) consume sufficient quantities. It was found that the supply of calcium for most children was below the recommended daily intake rate.
Key words: pathology of the musculoskeletal system, schoolchildren, gastro-intestinal tract diseases, calcium, milk.
REFERENCES
- Sonneville K.R., Gordon C.M., Kocher M.S. et al. Vitamin D, calcium, and dairy intakes and stress fractures among female adolescents. Arch Pediatr. Adolesc. Med, 2012, vol. 166, pp. 595–600.
- Kalkwarf H.J., Khoury J.C., Lanphear B.P. Milk intake during childhood and adolescence, adult bone density, and osteoporotic fractures in US women. Am. J. Clin. Nutr, 2003, vol. 77 (1), pp. 257–265.
- Normy fiziologicheskikh potrebnostey v energii i pishchevykh veshchestvakh dlya razlichnykh grupp naseleniya Rossiyskoy Federatsii. Metodicheskie rekomendatsii. MR 2.3.1.2432-08, utv. Rospotrebnadzorom 18.12.2008 [Norms of physiological needs for energy and nutrients for various groups of the population of the Russian Federation. Guidelines. MR 2.3.1.2432-08, approved Rospotrebnadzor 18.12.2008].
- Artem’eva N.K., Lavrichenko S.P. Influence of actual nutrition on the health of primary school children. Pedagogiko-psikhologicheskie i mediko-biologicheskie problemy fizicheskoy kul’tury i sporta, 2014, vol. 4, no. 33, pp. 23–28 (in Russ.).
- Pavlov N.N., Kleshchina Yu.V., Eliseev Yu.Yu. Assessment of the actual nutrition and nutritional status of modern children and adolescents. Chelovek i ego zdorov’e, 2011, no. 1, pp. 128–132 (in Russ.).
- Lanou J.A., Berkow E.S., Barnard D.N. Calcium, dairy products, and bone health in children and young adults: a reevaluation of the evidence. Pediatrics, 2005, vol. 115, pp. 736–743.
- Konstantynowicz J., Nguyen T.V., Kaczmarski M. et al. Fractures during growth: potential role of a milk-free diet. Osteoporos Int, 2007, vol. 18 (12), pp. 1601–1607.
- Volkova L.Yu. Alimentary factors of bone tissue formation in children and adolescents. Ways of preventing possible violations. VSP, 2015, no. 1, pp. 124–131 (in Russ.).
- Victor M. Aguayo and Purnima Menon. Childhood stunting: a global perspective. Matern Child Nutr, 2016, vol. 12 (1), pp. 12–26.
- Shavaliev R.F., Kulikov O.V., Samolina I.V., Farkhutdinova G.M. Results of preventive examinations of children 0–17 years old in the Republic of Tatarstan for 2013–2015. PM, 2016, vol. 7, no. 99, pp. 23–27 (in Russ.).
- Mal’tsev S.V., Arkhipova N.N. Osteoporosis is a pediatric problem with geriatric consequences. Prakticheskaya meditsina, 2008, vol. 7, no. 31, pp. 14–17 (in Russ.).