head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2018, vol. 24, issue4
Subject Area: Medicine
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DOI: 10.5272/jimab.2018244.2290
Published online: 13 December 2018

Review article

J of IMAB. 2018 Oct-Dec;24(4):2290-2294
BONE HEALTH FACTORS IN ADOLESCENTS FROM VARNA
Darina N. Hristova1ORCID logo Corresponding Autoremail, Teodorа T. Dimitrova2ORCID logo, Panayot N. Nikolov2ORCID logo,
1) Department of Preclinical and Clinical Sciences, Faculty of Pharmacy, Medical University of Varna, Bulgaria.
2) Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University of Varna, Bulgaria.

ABSTRACT:
Purpose: The purpose of our study is to research nutritional behavior and PA in a representative sample of 12th grade students (18-20 years of age) from Varna.
Methods: We used two questionnaires: on the frequency of food consumption and on the assessment of physical activity. We applied the International Physical Activity Questionnaire, recommended from WHO.
Results: The survey includes 401 young people. These are 11.2% of all 12th grade students in Varna. Тwo portions or more per day of dairy products are consumed by 94.5% young men and 48.7% of young women. More than half of the girls have inadequate intake of bioavailable calcium. The lowest consumption is in the underweight female group. There is a significant positive correlation between low milk consumption and Body Mass Index (BMI) in girls (r = 0.409 **, p <0.001).
Around 1/3 of the youngsters have an adequate intake of fish. The remaining 63.1% of young boys and 68% of girls are at risk of vitamin D deficiency during the winter season.
Low levels of PA were measured in 43.7% of the boys and 20.1% of girls.
Conclusions: The eating behavior of adolescents from Varna shows a shortage of important nutrients for bone development. The consumption of fish is low for both sexes, and ½ of the girls do not consume enough dairy products. Recommendations for optimal PA (high to moderate) were met in 79.90% of young men and 56.30% of girls. Nearly ½ of young women have low PA and are at risk for their bone health.

Keywords: bone mass, adolescent, physical activity, eating behavior,

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Please cite this article as: Hristova DN, Dimitrova TT, Nikolov PN. Bone health factors in adolescents from Varna. J of IMAB. 2018 Oct-Dec;24(4):2290-2294. DOI: 10.5272/jimab.2018244.2290

Corresponding AutorCorrespondence to: Darina Naydenova Hristova, Department of Preclinical and Clinical Sciences, Medical University – Varna; 55, Marin Drinov Str., Varna, Bulgaria; E-mail: darina.naidenova@mu-varna.bg

REFERENCES:
1. Rizzoli R, Bianchi ML, Garabédian M, McKay HA, Moreno LA. Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly. Bone. 2010 Feb;46(2):294-305. [PubMed]
2. St. Petrova. Recommendations for healthy nutrition of the  population in Bulgaria, 18-65 years. 2010 Anex Science   Dietetics. pub. Arbilis [in Bulgarian]
3. National Health and Medical Research Council. Dietary Guidelines for Children and Adolescents in Australia; Commonwealth of Australia: Canberra, Australia, 2003.
4. Norman AW, Bouillon R, Whiting SJ, Vieth R, Lips P. 13th workshop consensus for vitamin D nutritional guidelines. J Steroid Biochem Mol Biol. 2007 Mar;103(3-5):204-5. [PubMed]
5. Baird DL, Syrette J, Hendrie GA, Riley MD, Bowen J, Noakes M. Dairy food intake of Australian children and adolescents 2-16 years of age: 2007 Australian National Children's Nutrition and Physical Activity Survey. Public Health Nutr. 2012 Nov;15(11):2060-73. [PubMed] [Crossref]
6. Baykova D. Mеdico – biological assessment of consumption of foods by adult population in Bulgaria. Science of nutrition between discussion and evidences. 2012: 89-93. [in Bulgarian]
7. Alemzadeh R, Kichler J, Babar G, Calhoun M. Hypovitaminosis D in obese children and adolescents: relationship with adiposity, insulin sensitivity, ethnicity, and season. Metabolism. 2008 Feb;57(2): 183–191.
8. Hardy LL, Grunseit A, Khambalia A, Bell C, Wolfenden L, Milat AJ. Co-occurrence of Obesogenic Risk Factors Among Adolescents. J Adolesc Health. 2012 Sep;51(3):265-71. [PubMed]
9. Saggese G, Vierucci F, Boot AM, Czech-Kowalska J, Weber G, Camargo CA Jr, et al. Vitamin D in childhood and adolescence: an expert position statement. Eur J Pediatr. 2015 May;174(5):565-76. [PubMed]
10. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007 Aug;39(8):1423-34. [PubMed]
11. Society for Adolescent Health and Medicine. Recommended vitamin D intake and management of low vitamin D status in adolescents: a position statement of the society for adolescent health and medicine. J Adolesc Health. 2013 Jun;52(6):801-3. [PubMed] [Crossref]
12. SCIENTIFIC OPINION 2: Scientific Opinion on the substantiation of a health claim related to vitamin D and contribution to normal bone and tooth development pursuant to Article 14 of Regulation (EC) No 1924/20061 EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). EFSA Journal. 2014;12(2):3579 [12 pp.]
13. Terushkin V, Bender A, Psaty EL, Engelsen O, Wang SQ, Halpern AC. Estimated equivalency of vitamin D production from natural sun exposure versus oral vitamin D supplementation across seasons at two US latitudes. J Am Acad Dermatol. 2010 Jun;62(6):929.e1-9. [PubMed] [Crossref]
14. Cashman KD,  Dowling KG, Škrabáková Z, Gonzalez-Gross M, Valtueña J,  De Henauw S, et al. Vitamin D deficiency in Europe: pandemic? Am J Clin Nutr. 2016 Apr; 103(4): 1033–1044. [PubMed] [Crossref]
15. U.S. Department of Agriculture, Agricultural Research Service. 2011. USDA National Nutrient Database for Standard Reference, Release 24. Nutrient Data Laboratory Home Page.
16. Torstveit MK, Sundgot-Borgen J. Wark J. Low bone mineral density is two to three times more prevalent in non-athletic premenopausal women than in elite athletes: a comprehensive controlled study. Br J Sports Med. 2005 May; 39(5): 282–287. [PubMed] [Crossref]
17. Martinez-Gomez D, Ruiz JR, Ortega FB, Veiga OL, Moliner-Urdiales D, Mauro B, et al. Recommended levels of physical activity to avoid an excess of body fat in European adolescents: the HELENA Study. Am J Prev Med. 2010 Sep;39(3):203-11. [PubMed] [Crossref]
18. Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence Based Physical Activity for School-age Youth. J Pediatr. 2005 Jun;146(6):732-7. [PubMed] [CrossRef]
19. Dietary guidelanes for Americans 2015-2020. Eigth edition. Appendix 1. Physical activity guidelines for Americans. [Internet]
20. Waxman A. Prevention of chronic diseases: WHO global strategy on diet, physical activity and health. Food Nutr Bull. 2003 Sep;24(3):281-4. [PubMed]
21. WHO (2016) Library Cataloguing-in-Publication Data. Physical activity strategy for the WHO European region 2016-2025.
22. Bickham DS, Walls CE, Shrier LA, Rich M. Characteristics of Screen Media use Associated With Higher Body Mass Index in Young Adolescents. Pediatrics. 2013 May; 131(5): 935–941. [PubMed] [Crossref]
23. Bickham DS, Blood EA, Walls CE, Shrier LA, Rich M. Characteristics of screen media use associated with higher BMI in young adolescents. Pediatrics. 2013 May;131(5):935-41. [PubMed] [Crossref]
24. Cizza G, Rother KI. An ounce of prevention: securing bone health in adolescence. J Adolesc Health. 2013 Apr;52(4):379-81. [PubMed] [Crossref]
25. Wolfram N, Rigby M, Sjöström M, Frazzico RG, Kirch W. Nutrition and Physical Activity. Health Information Sources in EU Member States, and Activities in the Commission, WHO, and European Networks. Springer, 2008.
26. Hardy LL, Grunseit A, Khambalia A, Bell C, Wolfenden L, Milat AJ. Co-occurrence of Obesogenic Risk Factors Among Adolescents. J Adolesc Health. 2012 Sep;51(3):265-71. [PubMed] [Crossref]
27. Senderovich H, Kosmopoulos A. An Insight into the Effect of Exercises on the Prevention of Osteoporosis and Associated Fractures in High-risk Individuals. Rambam Maimonides Med J. 2018 Jan 29;9(1). [PubMed] [Crossref].

Received: 14June 2018
Published online: 13 December 2018

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