January 1992

Bones of Today, Bones of Tomor014

Am J Dis Child. 1992;146(1):22-25. doi:10.1001/archpedi.1992.02160130024014

With improving knowledge and advancing technology, physicians who care for the young are assuming an expanding role in the prevention of diseases that become evident during adulthood, but have their origins in childhood and adolescence. Cardiovascular disorders such as essential hypertension and atherosclerosis are no longer exclusively the purview of internists. Modifiable risk factors can be identified and improved in the pediatric age group with the goal of preventing or ameliorating heart disease in later life. Likewise, the prevention of osteoporosis, often deemed a geriatric disorder, may now be considered the legitimate domain of pediatricians.1 Recent studies point to the significance of achieving adequate peak bone mass in girls during the growth period, prior to their obligatory, accelerated postmenopausal bone loss.2 Adolescents are particularly noteworthy in this regard, since almost half of the adult skeletal mass is formed during the second decade and calcium accumulation normally triples during

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