TUESDAY, Dec. 4 (HealthDay News) -- Teen girls who smoke may be
at greater risk for osteoporosis, according to a new study that
found girls who smoke build up less bone during this critical
growth period in their lives.
In osteoporosis, bones lose mineral density and become brittle.
People with the condition -- which is much more common in women
than men -- are susceptible to fractures.
"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,"
said principal investigator, Lorah Dorn, director of research in
the division of adolescent medicine at Cincinnati Children's
Hospital Medical Center, in a center news release.
The researchers examined how smoking, depression, anxiety and
alcohol affected the buildup of bone among 262 girls ranging in age
from 11 to 19 years old.
Over the course of three years, the girls underwent clinical
exams and had their total body bone mineral content and bone
mineral density measured. The girls were also asked if they had any
symptoms of depression or anxiety, and reported how often they
smoked or used alcohol.
Although all the girls had about the same bone mass at the age
of 13, regardless of how much they smoked, those who smoked
frequently were found to have a lower rate of lumbar spine and
total hip bone mineral density by age 19 than girls who smoked
More significant symptoms of depression were also associated
with lower bone mineral density in the lumbar spine among girls in
all age groups. Meanwhile, alcohol had no affect girls' bone
"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," Dorn said.
However, larger studies incorporating other races (the study
included black and white girls) and geographic areas are needed,
the researchers said, adding that the girls involved in their study
consumed less calcium and got less physical activity than what is
recommended in national guidelines.
"Osteoporosis is a costly health problem affecting an estimated
10 million Americans, with an additional 34 million considered at
risk," Dorn noted.
The study was published Dec. 4 in the
Journal of Adolescent Health.
The study found a link between smoking and lower bone density in
teen girsl; it did not prove a cause-and-effect relationship.
Visit the U.S. Centers for Disease Control and Prevention to
learn more about
youth and tobacco use.
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