Drew University Library : University Archives : Theses and Dissertations
    
author Meghan McDermott
title Evaluating Vitamin D Supplementation Compliance and Socioeconomic Status in a Pediatric Fracture Population: Clinical Evaluation of Bone Mineral Density
abstract The following thesis analyzes the impact of socioeconomic status on bone health in a pediatric fracture population and aims to validate the role of supplementation in preventing risk of fracture and poor bone mineralization. Poor bone health and vitamin D deficiencies in pediatric populations is a serious, yet understudied problem. The current literature comparing BMD directly to serum 25(OH)D levels draws conflicting reports as to the effect of vitamin D supplementation on bone mineral density accrual in healthy children; most importantly, there are limited prospective, longitudinal studies showing what happens to vitamin D deficient patients who have already proven to be vulnerable to at least one bone break after a year of proper supplementation. Additionally, there are a limited number of studies on the impact of social class or socioeconomic status on pediatric bone health. The current longitudinal interventional study presented addresses how to improve compliance to a vitamin D supplementation protocol following a fracture. The study follows patients with dual x-ray absorptiometry (DXA) scans at three time points during the healing processes in addition to vitamin D levels. Preliminary data indicate that patients following the protocol show significant improvements in bone mineral density (BMD) relative to expected changes in bone mineral content (BMC).
school The College of Liberal Arts, Drew University
degree B.A. (2019)
advisor Roger Knowles
committee A.J. Russo
Jonathan Reader
full textMMcDermott.pdf