Factors Affecting Peak Bone Mass
Peak bone mass is influenced by a variety of factors: some that you can't change, like gender and race, and some that you can, like nutrition and physical activity.
Gender: Bone mass or density is generally higher in men than in women. Before puberty, boys and girls develop bone mass at similar rates. After puberty, however, boys tend to acquire greater bone mass than girls.
For most people, the amount of bone tissue in the skeleton (known as bone mass) peaks by their late twenties. At that point, bones have reached their maximum strength and density. Up to 90 percent of peak bone mass is acquired by age 18 in girls and age 20 in boys, which makes youth the best time for your kids to “invest” in their bone health.
Building your children's “bone bank” account is a lot like saving for their education: The more they can put away when they're young, the longer it should last as they get older.
Osteoporosis is most common in older people but can also occur in young and middle-aged adults. Optimizing peak bone mass and developing lifelong healthy bone behaviors during youth are important ways to help prevent or minimize osteoporosis risk as an adult
Race: For reasons still not well understood, African American girls tend to achieve higher peak bone mass than Caucasian girls, and African American women are at lower risk for osteoporosis later in life. More research is needed to understand the differences in bone density between the various racial and ethnic groups. However, because all women, regardless of race, are at significant risk for osteoporosis, girls of all races need to build as much bone as possible to protect them against this disease.
Hormonal factors: Sex hormones, including estrogen and testosterone, are essential for the development of bone mass. Girls who start to menstruate at an early age typically have greater bone density. Those who frequently miss their menstrual periods sometimes have lower bone density.
Nutritional status: Calcium is an essential nutrient for bone health. In fact, calcium deficiencies in young people can account for a 5- to 10-percent lower peak bone mass and may increase the risk for bone fracture in later life. A well-balanced diet including adequate amounts of vitamins and minerals such as magnesium, zinc, and vitamin D is also important for bone health.
Physical activity: Physical activity is important for building healthy bones, and provides benefits that are most pronounced in the areas of the skeleton that bear the most weight. These areas include the hips during walking and running and the arms during gymnastics and weight lifting.
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