Teenage girls who smoke accumulate less bone during a critical growth period and carry a higher risk of developing osteoporosis later in life, according to new research in the Journal of Adolescent Health.
In a study published Dec. 4, researchers at Cincinnati Children's Hospital Medical Center report the data can be useful for developing strategies to help prevent osteoporosis (a disease where bones lose mineral density and become brittle) and bone fractures. The study points to the largest negative impact on bone mineral density occurring in the lumbar region of the spine and the hips – areas of particular fracture risk for older women with osteoporosis.
"Osteoporosis is a costly health problem affecting an estimated 10 million Americans, with an additional 34 million considered at risk," said Lorah Dorn, PhD., principal investigator and director of research in the Division of Adolescent Medicine at Cincinnati Children's. "To our knowledge this is the first longitudinal study to test and demonstrate that smoking by girls, as well as symptoms of depression, have a negative impact on bone accrual during adolescence."
Numerous studies have been conducted in adults showing a link between smoking and decreased bone density accrual. Dorn and her colleagues focused their research on adolescent girls as they progressed through their teens because this is when 50 percent of bone accrual occurs.
"As much bone is accrued in the two years surrounding a girl's first menstrual cycle as is lost in the last four decades of life," Dorn explained.
The researchers set out to determine the impact of smoking, symptoms of depression and anxiety and alcohol use on bone accrual in girls aged 11 to 19 years. The study enrolled 262 healthy girls from the Cincinnati area in age groups of 11, 13, 15 and 17 years.
The girls received annual clinical exams for three years at which measurements were taken for total body bone mineral content and bone mineral density. Using established measures the girls self-reported how often they smoked or used alcohol and any symptoms of depression or anxiety.
Researchers said high-frequency smoking was associated with a lower rate of lumbar spine and total hip bone mineral density from the age of 11 to age 19. Higher depressive symptoms were associated with lower lumbar spine bone mineral density in all ages. Also, the researchers reported that alcohol intake had no impact on any bone outcomes.
Dorn said the data show that bone mass was essentially equal among study participants at age 13, regardless of how much or little the girls smoked. As the girls progressed through their teen years, heavier smokers had a lower rate of bone mass accrual in the hip and spine than girls who smokes less frequently.
Girls in the study who reported a higher rate of symptoms for depression continued to accrue bone, but at a lower upward trajectory than girls who reported fewer depressive symptoms.
The researchers stressed that the current study should be followed up with additional research to include a broader geographic area and races other than black and white girls. They also noted the sample of girls in the current study fell below recommended national guidelines for calcium intake and physical activity, and that the findings may not generalize to girls who meet those standards.
Cincinnati Children's Hospital Medical Center: http://www.cincinnatichildrens.org
This press release was posted to serve as a topic for discussion. Please comment below. We try our best to only post press releases that are associated with peer reviewed scientific literature. Critical discussions of the research are appreciated. If you need help finding a link to the original article, please contact us on twitter or via e-mail.
For the first time, researchers have tracked the spread of Ebola, almost in real time, during an outbreak. The virus is quickly changing its DNA. But it's still unclear what these mutations mean.
Think of all the adults you know. Think of your parents and grandparents. Think of the teachers you had at school, your doctors and dentists, the people who collect your rubbish, and the actors you see on TV. All of these people probably have little mites crawling, eating, sleeping, and having sex on their faces.
A trial vaccine against Ebola could be tested on healthy volunteers in the UK in September, says an international health consortium.
The ALS Association has raised more than $94 million in recent weeks via its online ice bucket challenge — compared with $2.7 million this time last year. Now what?
Implant attached to bone in pioneering technique that helps prevent infection and discomfort
A new method for removing allergens from peanuts means help could soon be on the way for the roughly 2.8 million Americans with a potentially life-threatening allergy to the popular food, the U.S. Department of Agriculture said on Tuesday.
Survey finds many social media users hesitate to express opinions unless they know their followers will agree with them
Ebola has a nasty reputation for damaging the body, especially its blood vessels. But when you look at the nitty-gritty details of what happens after a person is infected, a surprising fact surfaces.
You think bringing a new toothbrush to market is easy? The seven-year saga of two dental entrepreneurs struggling to bring their patented brush to consumers suggests otherwise.
Scholars have long tried to understand how culture affects communities. New research argues that the parking behavior of drivers may tell us something about the economic productivity of nations.