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A normal reference of bone mineral density (BMD) measured by dual energy x-ray absorptiometry in healthy thai children and adolescents aged 5-18 years: A new reference for southeast asian populations

dc.contributor.authorPairunyar Nakavacharaen_US
dc.contributor.authorJulaporn Pooliamen_US
dc.contributor.authorLinda Weerakulwattanaen_US
dc.contributor.authorPornpimol Kiattisakthaveeen_US
dc.contributor.authorKatharee Chaichanwattanakulen_US
dc.contributor.authorRacahnee Manorompatarasarnen_US
dc.contributor.authorKulkanya Chokephaibulkiten_US
dc.contributor.authorVip Viprakasiten_US
dc.contributor.otherMahidol Universityen_US
dc.date.accessioned2018-11-09T01:44:37Z
dc.date.available2018-11-09T01:44:37Z
dc.date.issued2014-05-21en_US
dc.description.abstractEthnic-specific normative data of bone mineral density (BMD) is essential for the accurate interpretation of BMD measurement. There have been previous reports of normative BMD data for Caucasian and Asian children including Japanese, Chinese, Korean and Indian. However, the normative BMD data for Southeast Asian including Thai children and adolescents are not currently available. The goals of our study were 1) to establish normative data of BMD, bone mineral content (BMC), bone area (BA) and lean body mass (LBM) for healthy Thai children and adolescents; aged 5-18 years measured by dual energy X-ray absorptiometry (DXA, Lunar Prodigy) and 2) to evaluate the relationships between BMD vs. age, sex, puberty, weight, height, calcium intake and the age of menarche in our population. Gender and age-specific BMD (L2-4; LS and total body; TB), BMADLS (apparent BMD of the lumbar spine), BMC (L2-4 and total body), BA (L2-4 and total body) and LBM were evaluated in 367 children (174 boys and 193 girls). All parameters increased progressively with age. A rapid increase in BMD, BMC and BMADLS was observed at earlier ages in girls. Gender and Tanner stage-specific BMD normative data were also generated. The dynamic changes of BMD values from childhood to early and late puberty of Thai children appeared to be consistent with those of Caucasian and Asian populations. Using a multiple-regression, weight and Tanner stage significantly affected BMDLS, BMDTB and BMADLS in both genders. Only in girls, height was found to have significant influence on BMDTB and BMADLS. The positive correlation between BMD and several demographic parameters, except the calcium intake, was observed. In summary, we established a normal BMD reference for Thai children and adolescents and this will be of useful for clinicians and researchers to appropriately assess BMD in Thais and other Southeast Asian children. © 2014 Nakavachara et al.en_US
dc.identifier.citationPLoS ONE. Vol.9, No.5 (2014)en_US
dc.identifier.doi10.1371/journal.pone.0097218en_US
dc.identifier.issn19326203en_US
dc.identifier.other2-s2.0-84901369400en_US
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/123456789/33015
dc.rightsMahidol Universityen_US
dc.rights.holderSCOPUSen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84901369400&origin=inwarden_US
dc.subjectAgricultural and Biological Sciencesen_US
dc.subjectBiochemistry, Genetics and Molecular Biologyen_US
dc.subjectMedicineen_US
dc.titleA normal reference of bone mineral density (BMD) measured by dual energy x-ray absorptiometry in healthy thai children and adolescents aged 5-18 years: A new reference for southeast asian populationsen_US
dc.typeArticleen_US
dspace.entity.typePublication
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84901369400&origin=inwarden_US
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