{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:11:24Z","timestamp":1772118684290,"version":"3.50.1"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"vor","delay-in-days":83,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"National Health and Medical Research Council of Australia"},{"name":"Victorian Government's Operational Infrastructure Support Program"}],"content-domain":{"domain":["asbmr.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The long-term bone health of young adults born extremely preterm (EP; &amp;lt;28\u2009weeks' gestation) or extremely low birth weight (ELBW; &amp;lt;1000\u2009g birth weight) in the post-surfactant era (since the early 1990s) is unclear. This study investigated their bone structure and estimated bone strength using peripheral quantitative computed tomography (pQCT)-based finite element modeling (pQCT-FEM). Results using this technique have been associated with bone fragility in several clinical settings. Participants comprised 161 EP\/ELBW survivors (46.0% male) and 122 contemporaneous term-born (44.3% male), normal birth weight controls born in Victoria, Australia, during 1991\u20131992. At age 25\u2009years, participants underwent pQCT at 4% and 66% of tibia and radius length, which was analyzed using pQCT-FEM. Groups were compared using linear regression and adjusted for height and weight. An interaction term between group and sex was added to assess group differences between sexes. Parameters measured included compressive stiffness (kcomp), torsional stiffness (ktorsion), and bending stiffness (kbend). EP\/ELBW survivors were shorter than the controls, but their weights were similar. Several unadjusted tibial pQCT-FEM parameters were lower in the EP\/ELBW group. Height- and weight-adjusted ktorsion at 66% tibia remained lower in EP\/ELBW (mean difference [95% confidence interval] \u2212180 [\u2212352, \u22128] Nm\/deg). The evidence for group differences in ktorsion and kbend at 66% tibia was stronger among males than females (pinteractions\u2009&amp;lt;0.05). There was little evidence for group differences in adjusted radial models. Lower height- and weight-adjusted pQCT-FEM measures in EP\/ELBW compared with controls suggest a clinically relevant increase in predicted long-term fracture risk in EP\/ELBW survivors, particularly males. Future pQCT-FEM studies should utilize the tibial pQCT images because of the greater variability in the radius possibly related to lower measurement precision. \u00a9 2023 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).<\/jats:p>","DOI":"10.1002\/jbmr.4926","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T09:09:48Z","timestamp":1697620188000},"page":"1800-1808","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Quantifying Bone Strength Deficits in Young Adults Born Extremely Preterm or Extremely Low Birth Weight"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4814-2545","authenticated-orcid":false,"given":"Thang","family":"Dao","sequence":"first","affiliation":[{"name":"Melbourne Medical School The University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dale Lee","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7667-7312","authenticated-orcid":false,"given":"Lex W","family":"Doyle","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Melbourne Melbourne Australia"},{"name":"Newborn Research Royal Women's Hospital Melbourne Australia"},{"name":"Department of Obstetrics and Gynecology University of Melbourne Melbourne Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter VS","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy","family":"Olsen","sequence":"additional","affiliation":[{"name":"Clinical Sciences Murdoch Children's Research Institute Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashwini","family":"Kale","sequence":"additional","affiliation":[{"name":"Bone and Mineral Medicine, Department of Diabetes and Endocrinology The Royal Melbourne Hospital Melbourne Australia"},{"name":"Department of Medicine, The Royal Melbourne Hospital The University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanie LY","family":"Cheong","sequence":"additional","affiliation":[{"name":"Newborn Research Royal Women's Hospital Melbourne Australia"},{"name":"Department of Obstetrics and Gynecology University of Melbourne Melbourne Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2431-7902","authenticated-orcid":false,"given":"John D","family":"Wark","sequence":"additional","affiliation":[{"name":"Bone and 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