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Osteoporosis after brain tumour treatmentOOsteoporosis after brain tumour treatmentOsteoporosis after brain tumour treatmentEnglishNeurology;Orthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)BrainNervous system;Skeletal systemConditions and diseasesAdult (19+)NA2022-02-09T05:00:00Z9.3000000000000054.2000000000000592.000000000000Flat ContentHealth A-Z<p>Find out how osteoporosis can develop in your child as a result of brain tumour treatment, and how this can be prevented. </p><h2>How do normal bones develop? </h2><p>Bones are made of protein fibres that bind minerals (calcium and phosphate) to become hard and strong. New bone tissue is continually being formed by cells called osteoblasts, and old bone tissue is continually removed (resorbed) by other cells called osteoclasts. This process of constantly making new bone (bone formation) and resorbing old bone (bone resorption) keeps our bones healthy and strong. </p><p>In children, bone formation should occur faster than bone resorption. This happens until a person reaches their late 20s, when bone reaches its peak bone density (bone strength). After that, bone loss gradually occurs faster than bone formation.</p><h2>What is osteoporosis </h2><p>Osteoporosis is a weakening of the bones, which makes them break more easily. This could happen when the rate of bone formation is less than bone resorption. Eventually, the bones become fragile and are more likely to break (fracture) even with relatively small amounts of force. In children, osteoporosis is diagnosed when a child has a fracture in the bones of the spine or when they easily break other bones in the body. </p><p>This is different from the term "osteopenia" which is a word that is used to describe bones that may look weaker on X-ray. Not everyone with osteopenia has osteoporosis. </p><h2>Key points</h2><ul><li>Children who have been treated for brain tumours may be at increased risk of bone loss, which can make the bones become weaker and break more easily. This is called osteoporosis. </li><li>Children who are at risk for weaker bones should try to maintain a healthy and active lifestyle, as well as take the recommended daily amounts of calcium and vitamin D intake. </li></ul>
Ostéoporose après le traitement des tumeurs cérébralesOOstéoporose après le traitement des tumeurs cérébralesOsteoporosis after brain tumour treatmentFrenchNeurology;Orthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)BrainNervous system;Skeletal systemConditions and diseasesAdult (19+)NA2022-02-09T05:00:00Z9.3000000000000054.2000000000000592.000000000000Flat ContentHealth A-Z<p>Découvrez comment l’ostéoporose peut se développer chez votre enfant à la suite du traitement d’une tumeur cérébrale et comment il est possible de l’éviter. </p><h2>Comment les os normaux se développent-ils? </h2><p>Les os sont composés de fortes fibres à base de protéines et de sel d’os qui contient du calcium, du phosphate et d’autres minéraux. Les cellules qui portent le nom d’ostéoblastes forment constamment du nouveau tissu osseux, et l’ancien tissu est continuellement enlevé (résorbé) tout au long de notre vie par d’autres cellules nommées ostéoclastes. Ce processus constant de renouvellement et d’élimination des os fait en sorte que ces derniers restent sains et forts. </p><p>Pendant la jeunesse, la formation des os est habituellement plus rapide que la perte osseuse. Habituellement, nos os atteignent leur pleine densité (force des os) pendant la fin de la vingtaine. Dans le milieu de la trentaine, nous commençons graduellement à perdre des os à un rythme plus rapide que nous en produisons. Ce processus est naturel. </p><h2>Qu’est-ce que l’ostéoporose? </h2><p>L’ostéoporose est un affaiblissement des os, qui les rend plus fragiles. Elle peut survenir lorsque le taux de formation osseuse est inférieur à la résorption osseuse. Finalement, les os deviennent fragiles et sont plus susceptibles de se fracturer, même sous l’effet d’une force relativement faible. Chez les enfants, on diagnostique l’ostéoporose lorsqu’un enfant présente une fracture des os de la colonne vertébrale ou lorsqu’il se casse facilement d’autres os dans l’organisme.</p><p>Cette affection diffère de l’« ostéopénie », un terme utilisé pour décrire les os qui peuvent sembler plus fragiles à la radiographie. Toutes les personnes présentant une ostéopénie ne sont pas atteintes d’ostéoporose. </p><h2>À retenir</h2><ul><li>Les enfants traités pour une tumeur cérébrale peuvent présenter un risque accru de perte osseuse, ce qui peut affaiblir les os.</li><li>Les enfants qui risquent d’avoir des os fragiles doivent essayer de maintenir un mode de vie sain et actif, et prendre les quantités quotidiennes recommandées de calcium et de vitamine D. </li></ul>

 

 

EndocrinologyEndocrinologyEndocrinologyEEnglishEndocrinologyChild (0-12 years);Teen (13-18 years)NAEndocrine systemConditions and diseasesAdult (19+) CaregiversNALanding PageLearning Hub<p>Learn about endocrine disorders including disorders affecting growth, bones, the thyroid, and puberty. The pages below discuss different endocrine disorders affecting children and teens, diagnosis, treatments and how to manage life-long conditions.</p><p>Learn about endocrine disorders including disorders affecting growth, bones, the thyroid, and puberty. The pages below discuss different endocrine disorders affecting children and teens, diagnosis, treatments and how to manage life-long conditions.</p><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Adrenal</h2></div><div class="panel-body list-group" style="display:none;"><p>The adrenal glands are small, triangular-shaped glands located on top of both kidneys. Learn about conditions of the adrenal glands including congenital adrenal hyperplasia, adrenal insufficiency and Addison's disease.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/Documents/cahbooklet.pdf">Congenital adrenal hyperplasia booklet</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/adrenal-insufficiency/">Adrenal insufficiency: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/how-to-give-florinef-to-babies.pdf">How to give florinef to babies</a></li><li class="list-group-item"><a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Hydrocortisone%20suspension.pdf">Hydrocortisone suspension</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/Downloads/Cushing%20Syndrome%20in%20Childhood.pdf">Cushing's syndrome</a></li><li class="list-group-item"><a class="overview-links" href="http://www.addisonsociety.ca/pdfs/cas-brochure.pdf">Addison's disease</a></li><li class="list-group-item"><a class="overview-links" href="/body/interactive?module=sex-development">How the body works: Sex development</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Calcium parathyroid & bone</h2></div><div class="panel-body list-group" style="display:none;"><p>Read about the importance of bone health for children, conditions that affect the bones and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.bones.nih.gov/health-info/bone/bone-health/juvenile">Kids and their bones: A guide for parents</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1970&language=English">Bone health: The role of calcium and vitamin D</a></li><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/documents/vitdrickets.pdf">Vitamin D deficiency and rickets</a></li><li class="list-group-item"><a class="overview-links" href="https://rarediseases.info.nih.gov/diseases/12943/x-linked-hypophosphatemia">X-linked hypophosphatemic rickets (XLH)</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=948&language=English">Osteoporosis: Overview</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/hypoparathyroidism/">Hypoparathyroidism</a></li><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/documents/php.pdf">Pseudohypoparathyroidism</a></li><li class="list-group-item"><a class="overview-links" href="https://www.stanfordchildrens.org/en/topic/default?id=hyperparathyroidism-in-children-90-P01958">Hyperparathyroidism</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/hypocalcemia">Hypocalcemia</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/hypercalcemia">Hypercalcemia</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=209&language=English">Pamidronate: Informational handout for families</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4175&language=English">Zoledronate: Informational handout for families</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Growth</h2></div><div class="panel-body list-group" style="display:none;"><p>Children and teens can experience growth problems for several reasons. Learn about growth problems, growth hormone deficiency, short stature and what can be done about these conditions.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>General</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=951&language=English">Growth problems</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=3910&language=English">Virtual care: How to accurately measure your child’s height and weight at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Growth hormone deficiency</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/growth-hormone-deficiency/">Growth hormone deficiency: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4164&language=English">Beginning growth hormone therapy: FAQs</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Short stature (small for gestational age & growth)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/short-stature/">Short stature: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/growth-in-babies-born-small-for-gestational-age/">Growth in babies born small for gestational age: A guide for families</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Hypoglycemia & hyperinsulinism</h2></div><div class="panel-body list-group" style="display:none;"><p>Learn about hypoglycemia and hyperinsulinism, how they impact blood sugar levels, and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4185&language=English">Hypoglycemia in infants and children with hyperinsulinism</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4200&language=English">Diazoxide</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/how-to-give-an-emergency-glucagon-injection.pdf">How to give emergency glucagon</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/instructions-for-the-emergency-department.pdf">Hyperinsulinism: Emergency care plan for a hypoglycemic episode</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Pituitary</h2></div><div class="panel-body list-group" style="display:none;"><p>The pituitary gland makes several important hormones. Find out which endocrine disorders affect the pituitary gland and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4085&language=English">Hypopituitarism</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4089&language=English">Adrenocorticotrophic hormone (ACTH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4090&language=English">Antidiuretic hormone (ADH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4091&language=English">Gonadotropin (FSH, LH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4093&language=English">Thyroid stimulating hormone (TSH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4092&language=English">Growth hormone (GH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/growth-hormone-deficiency/">Growth hormone deficiency: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4164&language=English">Beginning growth hormone therapy: FAQs</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/septo-optic-dysplasia">Septo-optic dysplasia</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Puberty</h2></div><div class="panel-body list-group" style="display:none;"><p>There are several conditions that can impact puberty. Other conditions may not occur until your child enters puberty. Learn more about puberty and conditions that can affect it.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>General</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://youngwomenshealth.org/2010/04/21/puberty/">Puberty: Girls</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=623&language=English">Puberty in girls</a></li><li class="list-group-item"><a class="overview-links" href="https://youngmenshealthsite.org/guides/puberty/">Puberty: Boys</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=624&language=English">Puberty in boys</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/hypogonadism">Low production of sex hormones (hypogonadism)</a></li><li class="list-group-item"><a class="overview-links" href="https://kidshealth.org/en/teens/boybrst.html">Breast tissue in boys (gynecomastia)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Early puberty</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/precocious-puberty/">Early puberty</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=171&language=English">Leuprolide (Lupron)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Delayed puberty</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/delayed-puberty-girls/">Delayed puberty in girls</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/delayed-puberty-boys/">Delayed puberty in boys</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Polycystic ovary syndrome (PCOS)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=10&language=English">Polycystic ovary syndrome (PCOS)</a></li><li class="list-group-item"><a class="overview-links" href="https://youngwomenshealth.org/2014/02/25/polycystic-ovary-syndrome/">Polycystic ovary syndrome (PCOS): General information</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Thyroid</h2></div><div class="panel-body list-group" style="display:none;"><p>The thyroid is a butterfly-shaped gland that sits at the front of the neck. Learn about conditions that can affect the thyroid and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>General</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/pediatric-thyroid-disorders">Thyroid function, anatomy and hormones</a></li><li class="list-group-item"><a class="overview-links" href="https://thyroid.ca/resource-material/information-on-thyroid-disease/thyroid-disease-in-childhood/">Thyroid disease in childhood</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2526&language=English">Thyroid disease and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/how-to-give-l-thyroxine-to-babies-updated-may-2018.pdf">How to give L-thyroxine tablets to babies</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/pediatric-thyroid-function-tests-brochure.pdf">Pediatric thyroid function tests</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Hypothyroidism</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2309&language=English">Hypothyroidism</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4084&language=English">Congenital hypothyroidsim</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Hyperthyroidism</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/documents/hyperthyroidbooklet.pdf">Hyperthyroidism booklet created by BC Children's Hospital</a></li><li class="list-group-item"><a class="overview-links" href="https://www.stanfordchildrens.org/en/topic/default?id=hyperthyroidism-graves-disease-90-P01955">Graves disease in a newborn created by Stanford Children's Hospital</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/hyperthyroidism_children_adolescents_brochure.pdf">Hyperthyroidism in children and adolescents</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4209&language=English">Methimazole</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Thyroid nodules and cancer</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.thyroidcancercanada.org/en/thyroid-cancer/what-is-it">What is thyroid cancer?</a></li><li class="list-group-item"><a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3430&language=English&hub=cancer">Thyroid cancer for teens</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=3205&language=English">Thyroid biopsy/FNA using image guidance</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/what-to-expect-after-thyroid-biopsy.pdf">What to expect after thyroid biopsy</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/what-to-expect-after-surgery-thyroidectomy.pdf">What to expect after surgery (thyroidectomy)</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/instructions-for-patients-receiving-radioiodine-therapy.pdf">Instructions for patients receiving radioiodine therapy</a></li><li class="list-group-item"><a class="overview-links" href="https://static1.squarespace.com/static/58ff955aff7c503f699674d7/t/59754ff83a041155fa4a65ce/1500860412769/TCC_LID_Booklet_E_web_2017.pdf">Low iodine diet created by Thyroid Cancer Canada</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4086&language=English">Hypocalcemia: Post-surgical monitoring</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/thyroid-nodules-children-adolescents-brochure.pdf">Thyroid nodules in children and adolescents</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/pediatric-differentiated-thyroid-cancer-brochure.pdf">Pediatric differentiated thyroid cancer</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Endocrine disorders after treatment for childhood brain tumours</h2></div><div class="panel-body list-group" style="display:none;"><p>Brain tumours and their treatments can impact the hypothalamus and pituitary gland. As a result, children may need treatment for endocrine disorders. Learn more in the pages below.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1430&language=English">Diabetes insipidus after brain tumour treatment</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1425&language=English">Thyroid abnormalities after brain tumour treatment</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1424&language=English">Effects of brain tumours and treatment on growth in childhood</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1429&language=English">Effects of brain tumours and treatment on the adrenal glands</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1428&language=English">Puberty and fertility in boys after diagnosis and treatment for brain tumours</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4014&language=English">Puberty and fertility in girls after diagnosis and treatment for brain tumours</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1426&language=English">Osteoporosis after brain tumour treatment</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1427&language=English">Excess weight gain after brain tumour treatment</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Other endocrine disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>Read about other endocrine disorders that affect children and teens, and find resources from other organizations to help support you and your child.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.negenetics.org/genetic-education-materials-school-success-gemss">Genetic education materials for school success (GEMSS)</a></li><li class="list-group-item"><a class="overview-links" href="https://www.kidsbonescanada.org/">Kids Bones Canada</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/klinefelter-syndrome/">Klinefelter syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/Growth-Disorders/McCune-Albright-Syndrome-or-Fibrous-Dysplasia/">McCune-Albright syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/noonan-syndrome">Noonan syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.pwsa.co.uk/">Prader-Willi syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/Growth-Disorders/Russell-Silver-Syndrome/">Russell Silver syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/">The Magic Foundation</a></li><li class="list-group-item"><a class="overview-links" href="https://kidshealth.org/en/parents/turner.html">Turner syndrome</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Nutrition, physical activity and mental health</h2></div><div class="panel-body list-group" style="display:none;"><p>The Meant2Prevent Resource Hub has trusted youth-focused resources that promote healthy living, mental health and lifestyle habits. Also find resources from AboutKidsHealth on supporting mental health and wellbeing. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://meant2prevent.ca/">Meant2Prevent Resource Hub</a></li><li class="list-group-item"><a class="overview-links" href="/mental%20health">Mental Health Learning Hub</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=642&language=English">Physical activity guidelines</a></li><li class="list-group-item"><a class="overview-links" href="/nutrition">Nutrition</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Diabetes Learning Hub</h2></div><div class="panel-body list-group" style="display:none;"><p>Visit the Diabetes Learning Hub to learn more about type 1 and type 2 diabetes, insulin, and managing your child's care.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/diabetes">Diabetes Learning Hub</a></li></ol></div>https://assets.aboutkidshealth.ca/AKHAssets/Endocrinology%20learning%20hub.jpgendocrinology

 

 

Osteoporosis after brain tumour treatment1426.00000000000Osteoporosis after brain tumour treatmentOsteoporosis after brain tumour treatmentOEnglishNeurology;Orthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)BrainNervous system;Skeletal systemConditions and diseasesAdult (19+)NA2022-02-09T05:00:00Z9.3000000000000054.2000000000000592.000000000000Flat ContentHealth A-Z<p>Find out how osteoporosis can develop in your child as a result of brain tumour treatment, and how this can be prevented. </p><h2>How do normal bones develop? </h2><p>Bones are made of protein fibres that bind minerals (calcium and phosphate) to become hard and strong. New bone tissue is continually being formed by cells called osteoblasts, and old bone tissue is continually removed (resorbed) by other cells called osteoclasts. This process of constantly making new bone (bone formation) and resorbing old bone (bone resorption) keeps our bones healthy and strong. </p><p>In children, bone formation should occur faster than bone resorption. This happens until a person reaches their late 20s, when bone reaches its peak bone density (bone strength). After that, bone loss gradually occurs faster than bone formation.</p><h2>What is osteoporosis </h2><p>Osteoporosis is a weakening of the bones, which makes them break more easily. This could happen when the rate of bone formation is less than bone resorption. Eventually, the bones become fragile and are more likely to break (fracture) even with relatively small amounts of force. In children, osteoporosis is diagnosed when a child has a fracture in the bones of the spine or when they easily break other bones in the body. </p><p>This is different from the term "osteopenia" which is a word that is used to describe bones that may look weaker on X-ray. Not everyone with osteopenia has osteoporosis. </p><h2>Key points</h2><ul><li>Children who have been treated for brain tumours may be at increased risk of bone loss, which can make the bones become weaker and break more easily. This is called osteoporosis. </li><li>Children who are at risk for weaker bones should try to maintain a healthy and active lifestyle, as well as take the recommended daily amounts of calcium and vitamin D intake. </li></ul><h2>Osteoporosis in children treated for brain tumours </h2><p>Children who have been treated for <a href="/article?contentid=1306&language=english&hub=braintumours">brain tumours</a> may be at a higher risk for osteoporosis. There are many reasons for this, including: </p><ul><li>Long-term use of <a href="/article?contentid=1354&language=english">steroids</a>, such as dexamethasone. </li><li><a href="/article?contentid=1353&language=english&hub=braintumours">Radiation therapy</a> may cause bone loss at the site that was treated. </li><li>Radiation may cause growth hormone deficiency or hypothyroidism, which if untreated can cause osteoporosis. </li><li>Prolonged periods of decreased activity, such as being bed-ridden. Being inactive for long periods of time can cause further bone loss. </li><li>Early puberty, late puberty, or early menopause can cause lower peak bone mass. </li><li>Some <a href="/article?contentid=1357&language=english">chemotherapy drugs</a> can affect the bones directly. </li></ul><h2>What can be done to help prevent osteoporosis? </h2><p>All children who are at-risk for osteoporosis benefit from the following: </p><ul><li>Stay as physically active as possible. Weight-bearing exercises such as brisk walking, hiking, soccer, baseball, dancing, and skating help strengthen muscles and increase bone density.</li><li>Take the recommended daily amounts of <a href="/article?contentid=1448&language=english">calcium</a> and <a href="/article?contentid=1970&language=english">vitamin D</a> for age. Calcium is needed for new bone to form, and vitamin D helps the body absorb calcium. Very salty foods, caffeine, alcohol, and carbonated drinks make it more difficult for the body to absorb calcium and should be avoided when possible. </li></ul><p>Your child’s treatment team will assess your child’s exercise levels, diet, and fracture history to better understand their risk of osteoporosis. If there is a concern for osteoporosis, your child may require care by a specialized bone health team. The team will then decide if additional testing, such as X-rays or a bone mineral density scan, is required. In some cases, medication is used to treat osteoporosis. </p>Osteoporosis after brain tumour treatmentFalse

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