This study shows that structural bone changes assessed with HR-pQCT are accompanied by alterations in systemic markers of bone resorption and bone formation. Besides, it can be shown that bone erosions in RA patients depend on disease duration, whereas osteophytes are associated with age as well as serum level of BAP. Therefore, these data not only suggest that different variables are involved in formation of bone erosions and osteophytes in RA patients, but also that periarticular bone changes correlate with alterations in systemic markers of bone metabolism, pointing out BAP as an important parameter.
For children, these reactions should not be in balance. In a child, the anabolic reactions have to be greater than the catabolic. Boys start their growth spurt after girls. That’s why when they are in 7th or 8th grade, the girls are still taller than the boys. The boys change a couple years after the girls. Guys may gain 2-3 inches in that growth spurt between 14-17 years of age. During that growing period they will eat up all the food in your refrigerator. They are growing like crazy during that time. But what happens to both boys and girls at 18-19 is that if they keep eating the same way, they won’t grow taller anymore but only wider. This is the phenomena everybody notices.
There are, however, some foods where the caloric expenditure to process them is a little higher than the calories they provide the system. The clear example is water, especially ice-cold water. The body needs to warm it up before absorbing it, leading to a small caloric debt. Foods with very high water content, such as celery, also have this tiny catabolic effect. But the nutritional value of water and celery are not high enough to properly sustain an organism, so relying solely on these foods to lose weight can lead to serious health complications.