{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T18:55:34Z","timestamp":1791053734231,"version":"4.1.0"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Paediatric health care providers (HCPs) play an important role in optimizing bone health. Early intervention is essential to maximize the accrual of peak bone mass in adolescence and young adulthood and to reduce osteoporosis and fracture risk later in life. Children and adolescents with chronic health conditions may have several risk factors for poor bone health, including underlying inflammatory conditions, reduced weight-bearing activity, delayed puberty, and inadequate intake of calcium and vitamin D. Some medications\u2014particularly glucocorticoids\u2014can compromise bone mass and place a child at risk for fragility fractures. This practice point describes a targeted approach to identifying bone health risk factors in children and youth with chronic health conditions, highlights office initiatives aimed at optimizing bone mass accrual, and links HCPs to useful web-based tools and medical references. Indications for referral to a bone health specialist and bone-specific pharmacotherapeutic interventions are also reviewed.<\/jats:p>","DOI":"10.1093\/pch\/pxac036","type":"journal-article","created":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T15:50:24Z","timestamp":1658159424000},"page":"232-236","source":"Crossref","is-referenced-by-count":3,"title":["Evaluating and optimizing bone health in children with chronic health conditions"],"prefix":"10.1093","volume":"27","author":[{"given":"Celia","family":"Rodd","sequence":"first","affiliation":[{"name":"Canadian Paediatric Society, Community Paediatrics Committee , Ottawa, Ontario , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Kirouac","sequence":"additional","affiliation":[{"name":"Canadian Paediatric Society, Community Paediatrics Committee , Ottawa, Ontario , 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