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A Pediatric Challenge

Arch Pediatr Adolesc Med. 2000;154:542-543.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

OSTEOPOROSIS AFFECTS 25 to 30 million American adults and fractures related to osteoporosis cost the US health care system an estimated $13.8 billion per year.¹ One of the major determinants of future fracture risk is the amount of bone present at skeletal maturity, often referred to as "peak bone mass."² Peak bone mass is achieved during the late stages of pubertal development and between 40% and 60% of peak bone mass is accrued during the adolescent years.^3-6 By 2 years postmenarche, bone mass gains decline rapidly.⁶ Adolescence is therefore a crucial time for bone development, and any factors adversely impacting on bone acquisition during adolescence can potentially have long-standing detrimental effects.

In this issue of the ARCHIVES, Wyshak⁷ demonstrates an association between carbonated beverage consumption and bone fractures in 460 9th and 10th grade high school girls. She found that girls who consumed carbonated beverages had a 3 times increased . . . [Full Text of this Article]

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