Acquisition of peak bone mass.

Thierry Chevalley, René Rizzoli

Best practice & research. Clinical endocrinology & metabolism 2022 Mar

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Peak bone mass (PBM) is a key determinant of bone mass and fragility fractures later in life. The increase in bone mass during childhood and adolescence is mainly related to an increase in bone size rather to changes in volumetric bone density. Race, gender, and genetic factors are the main determinants of PBM achievement. Nevertheless, environmental factors such as physical activity, calcium and protein intakes, weight and age at menarche, are also playing an important role in bone mass accrual during growth. Therefore, optimization of calcium and protein intakes and weight-bearing physical activity during growth is an important strategy for optimal acquisition of PBM and bone strength and for contributing to prevent fractures later in life. Copyright © 2022 Elsevier Ltd. All rights reserved.

Citation

Thierry Chevalley, René Rizzoli. Acquisition of peak bone mass. Best practice & research. Clinical endocrinology & metabolism. 2022 Mar;36(2):101616