[Bone mineralization among male adolescents: critical years for bone mass gain].
OBJECTIVE
To verify the behavior of the mineral bone content and density in male adolescents according to age and secondary sexual characters.


METHODS
47 healthy adolescents between 10 and 19 years of age were assessed according to weight, height, body mass index, puberty stage, calcium intake, bone mineral density and content in the lumbar spine and in the proximal femur. The bone mass was measured through bone densitometries. The intake of calcium was calculated through a 3-day diet. The BMI (body mass index) was calculated with the Quetelet Index and the puberty stage was defined according to Tanner's criteria. The analysis used descriptive statistics such as average and standard deviation, and variance estimates to compare the different age groups. Moreover, the Tukey test was used to determine the significant differences.


RESULTS
It was evident that the calcium intake in the different ages assessed has not reached the minimum value of 800 mg. The bone mineral density and content showed an increase after the age of 14, as well as when the teenagers reached the sexual maturation stage G4. The mineralization parameters showed a high level when the teenagers were in the G3 stage, however, without statistical significance.


CONCLUSIONS
The results indicate an important level of bone mineralization during adolescence. Maturation levels superior to G3 have shown more mineralization. This study proves that the critical years for bone mass gain start after the age of 14-15 years or older.
Silva
Carla C
CC
Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), São Paulo, SP.
Goldberg
Tamara B L
TB
Teixeira
Altamir S
AS
Dalmas
José C
JC
D015502:Absorptiometry, Photon; D000293:Adolescent; D017677:Age Distribution; D015992:Body Mass Index; D015519:Bone Density / Q000502:physiology*; D002136:Calcium, Dietary / Q000008:administration & dosage / Q000032:analysis*; D002648:Child; D005269:Femur / Q000000981:diagnostic imaging; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D011627:Puberty / Q000502:physiology*; D012741:Sexual Maturation / Q000502:physiology*
D002136:Calcium, Dietary