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Effect of calcium supplementation on bone mineral content and calcium absorption in Chinese children with habitually low calcium intake.

by Warren Tak-keung Lee. / Thesis (Ph.D.)--Chinese University of Hong Kong, 1995. / Includes bibliographical references (leaves 161-186). / Chapter CHAPTER 1: --- INTRODUCTION --- p.1 / Chapter 1.1 --- Background --- p.1 / Chapter 1.2 --- Objectives --- p.3 / Chapter CHAPTER 2: --- LITERATURE REVIEW --- p.4 / Chapter 2.1 --- Calcium intakes of Hong Kong Chinese: past and present --- p.4 / Chapter 2.1.1 --- Adults --- p.4 / Chapter 2.1.2 --- Children --- p.5 / Chapter 2.2 --- Calcium Metabolism --- p.6 / Chapter 2.2.1 --- Calcium and bone mass --- p.9 / Chapter 2.2.2 --- Ethnicity and bone mass --- p.9 / Chapter 2.2.3 --- Physical activity and bone mass --- p.10 / Chapter 2.2.4 --- Hormonal control of calcium metabolism --- p.11 / Chapter 2.2.5 --- Intestinal calcium absorption --- p.14 / Chapter (1) --- Calcium transport across the intestine / Chapter (2) --- Active Calcium Transport / Chapter (3) --- Passive calcium transport / Chapter (4) --- Age and calcium absorption / Chapter 2.2.6 --- Dietary components in relation to calcium bioavailability and absorption --- p.17 / Chapter (1) --- Habitual calcium intake / Chapter (2) --- Vitamin D nutritional status / Chapter (3) --- Protein / Chapter (4) --- Phosphorous and Ca:P ratio / Chapter (5) --- Sodium / Chapter (6) --- Lactose / Chapter (7) --- Glucose and Glucose Polymers / Chapter (8) --- Phytate / Chapter (9) --- Oxalate / Chapter (10) --- Plant estrogen (phyto-estrogen) / Chapter 2.2.7 --- Bioavailability from calcium salts --- p.23 / Chapter 2.3 --- Calcium intakes and requirements --- p.25 / Chapter 2.3.1 --- Calcium requirements in adulthood --- p.28 / Chapter 2.3.2 --- Calcium requirements in childhood --- p.29 / Chapter 2.3.3 --- Manifestation of calcium deficiency in children --- p.30 / Chapter 2.4 --- Assessment of Dietary Intakes --- p.32 / Chapter 2.4.1 --- Food weighing method --- p.32 / Chapter 2.4.2 --- Food Recording method --- p.34 / Chapter 2.4.3 --- 24-hour dietary recall --- p.35 / Chapter 2.4.4 --- Food frequency method --- p.36 / Chapter 2.4.5 --- Dietary history method --- p.38 / Chapter 2.4.6 --- Chemical analysis of duplicate meals --- p.39 / Chapter 2.4.7 --- Photographic method --- p.40 / Chapter 2.4.8 --- Selecting suitable methods for the present study --- p.40 / Chapter 2.5 --- Food composition database --- p.41 / Chapter 2.6 --- Evaluation of bone mass in vivo --- p.43 / Chapter 2.6.1 --- Single photon absorptiometry --- p.44 / Chapter 2.6.2 --- Dual photon absorptiometry --- p.46 / Chapter 2.6.3 --- Dual energy X-ray absorptiometry --- p.47 / Chapter 2.6.4 --- Quantitative computerized tomography --- p.47 / Chapter 2.6.5 --- The techniques selected to quantify bone mass in the present study --- p.48 / Chapter 2.7 --- Measurement of intestinal calcium absorption --- p.49 / Chapter 2.7.1 --- Metabolic balance study --- p.49 / Chapter 2.7.2 --- Isotopic techniques (radioisotope or stable isotope) --- p.50 / Chapter (1) --- Radio isotope vs stable isotope / Chapter (2) --- The single-label isotope technique / Chapter (3) --- The double-label isotope technique / Chapter (4) --- "Preparation of stable isotopes for human study, and determination of stable isotopes in body fluids" / Chapter (I) --- Dosage considerations / Chapter (II) --- Intrinsic or Extrinsic labelling / Chapter (III) --- Oral and intravenous administration of isotopes / Chapter 2.7.3 --- The technique selected to determine calcium absorption in the present study --- p.60 / Chapter 2.8 --- Mass spectrometry --- p.60 / Chapter 2.8.1 --- Thermal ionization mass spectrometry --- p.60 / Chapter 2.8.2 --- Fast atom bombardment mass spectrometry --- p.61 / Chapter 2.8.3 --- Inductively coupled plasma mass spectrometry --- p.61 / Chapter 2.8.4 --- Electron impact mass spectrometry and Gas chromatography mass spectrometry --- p.62 / Chapter 2.8.5 --- Neutron activation analysis --- p.62 / Chapter 2.8.6 --- The type of mass spectrometry used to determine stable isotopic ratios in the present study --- p.63 / Chapter 2.9 --- Assessment of physical activity in children --- p.63 / Chapter 2.9.1 --- Activity questionnaire or record --- p.64 / Chapter 2.9.2 --- Direct measurement of physical activity --- p.65 / Chapter (1) --- Accelerometer / Chapter (2) --- Pedometer / Chapter (3) --- Actometer / Chapter (4) --- Video-recording / Chapter (5) --- Heart-rate recording / Chapter 2.9.3 --- Selection of a suitable physical activity assessment method --- p.67 / Chapter CHAPTER 3 --- RANDOMIZED DOUBLE-BLIND CONTROLLED CALCIUM SUPPLEMENTATON TRIALS IN RELATION TO BONE AND HEIGHT ACQUISITION IN 7-YEAR OLD CHINESE CHILDREN FROM JIANGMEN (CHINA) AND HONG KONG --- p.71 / Chapter 3.1 --- Chapter summary --- p.71 / Chapter 3.2 --- Chapter Introduction --- p.72 / PART I --- p.73 / Chapter 3.3 --- Double-blind Controlled Randomized Calcium Supplementation and Bone and Height Acquisition in Chinese Children Accustomed to Mean Calcium Intake at About 300mg/d --- p.73 / Chapter 3.3.1 --- Introduction --- p.73 / Chapter 3.3.2 --- Objectives --- p.74 / Chapter 3.3.3 --- Subject and Methods --- p.74 / Chapter 3.3.4 --- Results --- p.81 / Chapter 3.3.5 --- Discussions --- p.83 / Chapter 3.3.6 --- Conclusion --- p.84 / PART II --- p.84 / Chapter 3.4 --- Randomized double-blind controlled calcium supplementation in relation to bone mineral accretion and height increment of Hong Kong Chinese children --- p.84 / Chapter 3.4.1 --- Introduction --- p.84 / Chapter 3.4.2 --- Objectives --- p.85 / Chapter 3.4.3 --- Subjects and Methods --- p.85 / Chapter 3.3.4 --- Results --- p.91 / Chapter 3.4.5 --- Discussions --- p.95 / Chapter 3.4.6 --- Conclusion --- p.97 / Chapter 3.5 --- Comparisons of the two calcium supplementation trials from Jiangmen and Hong Kong --- p.97 / Chapter 3.6 --- Chapter Discussions --- p.99 / Chapter 3.7 --- Chapter Conclusion --- p.103 / Chapter CHAPTER 4 --- TRUE FRACTIONAL CALCIUM ABSORPTION OF CHINESE CHILDREN AND THE EFFECTS OF DOUBLE-BLIND CONTROLLED CALCIUM SUPPLEMENTATION ON CALCIUM ABSORPTION IN CHILDREN MEASURED WITH STABLE ISOTOPES (42Ca and 44Ca) --- p.117 / Chapter 4.1 --- Chapter summary --- p.117 / Chapter 4.2 --- Chapter introduction --- p.118 / PART I --- p.119 / Chapter 4.3 --- True fractional calcium absorption in Chinese children measured with stable isotopes (42Ca and 44Ca) --- p.119 / Chapter 4.3.1 --- Introduction --- p.119 / Chapter 4.3.2 --- Objectives --- p.120 / Chapter 4.3.3 --- "Subjects, Materials and Methods" --- p.120 / Chapter 4.3.4 --- Results --- p.127 / Chapter 4.3.5 --- Discussions & Conclusion --- p.131 / Part II --- p.131 / Chapter 4.4 --- Effects of double-blind controlled calcium supplementation on calcium absorption in Chinese children measured with stable isotopes (42Ca and 44Ca) --- p.131 / Chapter 4.4.1 --- Introduction --- p.131 / Chapter 4.4.2 --- Objective --- p.132 / Chapter 4.4.3 --- "Subjects, Materials and Methods" --- p.132 / Chapter 4.4.4 --- Results --- p.135 / Chapter 4.4.5 --- Discussions --- p.137 / Chapter 4.4.6 --- Conclusion --- p.139 / Chapter 4.5 --- Chapter Conclusion and Discussions --- p.140 / Chapter CHAPTER 5 --- GENERAL DISCUSSIONS AND RECOMMENDATIONS FOR FURTHER STUDY --- p.156 / Chapter 5.1 --- Ethnic differences in bone acquisition and calcium absorption --- p.156 / Chapter 5.2 --- Calcium requirements for Chinese children --- p.157 / Chapter 5.3 --- Indications for further studies --- p.158 / REFERENCES --- p.161 / APPENDIXES / PUBLICATIONS

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_318340
Date January 1995
ContributorsLee, Warren Tak-keung., Chinese University of Hong Kong Graduate School. Division of Medical Sciences.
PublisherChinese University of Hong Kong
Source SetsThe Chinese University of Hong Kong
LanguageEnglish
Detected LanguageEnglish
TypeText, bibliography
Formatprint, xxvi, 186, [91] leaves : ill. ; 30 cm.
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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