Neonatal Bone Health: A Case Study

Improved Essays
Introduction:
Neonatal bone health is a problem of growing interest and concern because of the increasing recognition of its impact upon childhood, adolescence and even adulthood. Osteoporosis in adulthood often has its roots in childhood. Some forms may be prevented by proper attention to neonatal and childhood bone health. A premature infant likely suffers lifelong decreased bone mineral density as a result of its early birth and the lack of adequate mineral stores that are typically present in full-term infants (Done, 2012). Caffeine is now one of the most commonly prescribed drugs in the NICU to treat apnea of prematurity. Later studies in preterm infants confirmed the diuretic effect of caffeine, and revealed a significant increase in creatinine clearance and urinary calcium excretion. The effect
…show more content…
Its structural function is critical for locomotion, respiration, and protection of internal organs. While metabolic function acts largely as a storehouse for calcium, phosphorus, and carbonate, it can contribute to buffering changes in hydrogen ion concentration.
There are two major types of bone: the cortical bone and the trabecular (cancellous bone). The cortical bone composes 80 percent of the skeletal weight. Although its major function is to provide mechanical strength and protection, but it can also participate in metabolic responses, particularly when there is severe or prolonged mineral deficiency. The other category is the Trabecular bone. It is found inside long bones, particularly at the ends, throughout the bodies of the vertebrae, and in the inner portions of the pelvis and other large flat bones. Trabecular bone is an important contributor to mechanical support, particularly in the vertebrae. It is also more metabolically active than cortical bone and provides the initial supplies of mineral in acute deficiency states (Robey,

Related Documents

  • Improved Essays

    Red Bone Research Paper

    • 608 Words
    • 3 Pages

    The functions of a bone are support, protection, attachment site for muscles making movement possible, storage of the minerals, calcium and phosphate or mineral homeostasis, blood cell production occurs in red bone marrow called hematopoiesis, and energy storage in yellow bone marrow.…

    • 608 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Vertebral Compression Fracture (Lumbar) Overview- The vertebral compression fracture occurs when the vertebrae fracture or collapse, not necessarily a result of an evident trauma. Vertebral fractures, the vertebral body are typically compressed in a wedge shape (more evident in lateral projection to the x-ray) due to the normal kyphosis of the thoracic region, which focuses the forces before. In the lumbar vertebral fractures, the vertebral body is generally flattened, sometimes rotated sideways.…

    • 376 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    Cortical bone, in comparison, may have a half life of a decade and up to 30 years. Bone to blood distribution increases in times of stress, fractures, calcium deficiency and hyperthyroidism due to deterioration of these mineralizing…

    • 1339 Words
    • 6 Pages
    Superior Essays
  • Decent Essays

    This process is essential in the maintenance of bone strength and mineral homeostasis. The skeleton is a metabolically active organ that undergoes continuous remodeling throughout life. This remodeling is necessary both to maintain the structural integrity of the skeleton and to subserve its metabolic functions as a storehouse of calcium and phosphorus. Normal bone remodeling cycle requires that the process of bone resorption and bone formation take place in a coordinated fashion, which in turn depends on the orderly development and activation of osteoclasts and osteoblasts, respectively. This property of bone, which constantly resorbs the old bone and forms new bone, makes the bone a very dynamic tissue that permits the maintenance of bone tissue, the repair of damaged tissue, and the homeostasis of the phosphocalcic metabolism.…

    • 273 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Periosteal lesions are non-specific changes to the underlying bone that can occur due to a range of diseases or other problems affecting the skeleton (Ortner, 2003). These lesions occur because the periosteum, which is the dense layer of connective tissue enveloping the bone, maintains osteoblastic capability throughout life. The lesions are not restricted to infections, but rather can be a result of any bone formation following a traumatic event affecting the skeleton (Ortner, 2003). Waldron (2009) agrees that periosteal lesions and expands on that by stating that the lesions can also be a lone finding. There are many different variants of periosteal lesions due to the fact that they can have various causations.…

    • 1543 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Fibrous Dysplasia Essay

    • 707 Words
    • 3 Pages

    Amongst the twelve major organ systems of the human body, the skeletal system, consisting of two hundred and six bones, works to provide support, protection, and movement. Many can argue that the skeletal system is the most important system due to it’s complex framework of long bones, short bones, flat bones, etc… but sometimes, the skeletal system may not be able to perform to its fullest potential. A simple bone disorder can cause a large amount of chaos externally, as well as internally. Fibrous dysplasia, for instance, can weaken bones and eventually cause a fracture. Fibrous dysplasia is an “uncommon bone disorder in which scar-like (fibrous) tissue develops in place of normal bone.”…

    • 707 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    This essay looks at how diet and exercise contribute to the overall health of bones. Both diet and exercise are instrumental in helping to keep bones at optimal health by preventing bone-related diseases and by keeping them strong and healthy. The skeleton has many roles within the body. For example, bones are important structurally to allow movement and provide support by acting as levers for muscles. They protect vital organs, for example the rib cage helps to protect the heart and lungs from injury.…

    • 233 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Have you ever heard the phrase, “the human body is a walking periodic table?” Well if not that then the saying that chemistry is all around you is probably relatable. The truth of the matter is that chemistry isn’t just around you, it also occurs inside of you as well! That’s right the body has chemical reactions happening all the time and you don’t even know it. Some of the ways that the elements are distributed throughout the body are in the bones, blood, metabolism, genetics, and even diseases.…

    • 711 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Bones are living tissues that changes constantly so that new bone cells can be made to replace the old ones. This is known as the bone remodeling. Osteoporosis is the effect of disturbance in the bone remodeling. Cells such as osteoblasts are responsible in making the new tissues while osteoclasts are responsible to break down the bone tissues. Both of these cells works simultaneously work together in bone remodeling.…

    • 90 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Bone is a major component of the human body which provides structural support, protects vital organs, and stores minerals such as calcium. As the body ages, the process of bone remodeling maintains bone mass; however, bone resorption may eventually overcome formation leading to osteoporosis and subsequent musculoskeletal disorders.1 Approximately ten million individuals in the United States, particularly those 60 years of age and older, are diagnosed with osteoporosis each year.2 This condition induces significant morbidity and mortality provoking approximately 1.5 million fractures of the vertebrae, hip, and wrist annually. Half of all women and one in four men are estimated to experience an osteoporosis-related fracture during their lifetime.3,4 The gold standard method of diagnosing osteopenia or osteoporosis is by measuring bone mineral density (BMD) through dual energy X-ray absorptiometry (DEXA) (Table 1).…

    • 1486 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Calcium is very important for muscle and nerve function. There are two important glands that work to keep the calcium levels within the blood balanced: the thyroid and the parathyroid glands. When the body has low blood calcium levels the parathyroid gland will act and secret PTH which will activate osteoclasts. The osteoclasts will help break down the bone and release the calcium from the bones to the blood stream. While it will also activate vitamin D which will help increase the absorption of calcium from the kidneys and intestines.…

    • 276 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Bone Metabolism

    • 177 Words
    • 1 Pages

    Introduction The alterations of bone metabolism in patients with chronic liver disease (CLD) represent an important complication that has been in the researchers attention in the last years. This pathology associated with osteoporosis or osteopenia, and rarely with osteomalacia may conduct to morbidity (bone pain, skeletal deformities, immobility and fragility fractures).1 All the alterations of bone metabolism that appear in the evolution of CLD are defined as hepatic osteodystrophy (HO).2 HO is a common complication of CLD and it involves impairment of bone mineral density (BMD) so that an assessment should be made in patients with CLD in order to preserve the quality of life and also the long term prognosis.3 There are many factors that…

    • 177 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Glucocorticoids Essay

    • 2910 Words
    • 12 Pages

    The prolonged use of therapeutic glucocorticoids is associated with a range of adverse effects (figure 1). The detrimental effects on bone have received the greatest focus and there are now a range of therapeutic strategies available to reduce the negative effects of glucocorticoids on bone [1]. Endogenous or exogenous glucocorticoid excess is also associated with other serious clinical features such as the development of insulin resistance, impaired glucose tolerance and frank diabetes [2]. Glucocorticoids also cause changes in fat distribution favouring accumulation of central (visceral) fat at the expense of subcutaneous adipose tissue. Traditionally it has been thought that these adverse effects were mediated by direct effects of glucocorticoids on adipose tissue or…

    • 2910 Words
    • 12 Pages
    Great Essays
  • Decent Essays

    What Is Calcium?

    • 162 Words
    • 1 Pages

    Calcium is an essential mineral and has a numerous health benefits for the body: Calcium is required for the development and maintenance of bones and teeth and our needs change throughout our lives. Children need enough calcium to support their growing bones and teeth. Calcium helps to keep the bones in their proper shape and prevents many skeletal complaints like arthritis and osteoporosis. Calcium is necessary for healthy nerve transmission , the formation of cellular membranes and the ability of the blood to clot.…

    • 162 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Bone tissues are structural and supportive tissues of the body system. It is actually made up of the composite material which is the calcium phosphate in termed of hydroxyapatite that give bone their rigidity…

    • 1149 Words
    • 5 Pages
    Superior Essays