Dr. Laura K. Bachrach

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  www.spiritindia.com/health-care-news-articles-2875.html - [Cached Version]
  Published on: 11/12/2007    Last Visited: 11/12/2007  

  "Parents have total control over what their child eats, drinks and does from the time they are born until they start school, so early childhood is the best time to make milk, dairy products and activity part of the family lifestyle," said Laura K. Bachrach, M.D., professor of pediatrics at Stanford Medical Center."I think parents give up on dairy too quickly.They may not realize the impact that this decision could have on their children's health later in life."
  
  "Without a doubt, milk and dairy products are the best sources of calcium and vitamin D in the American diet, so parents need to be creative in their efforts to put dairy into their children's diets," said Bachrach.
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  "Exercise is the other piece of the bone-building puzzle," explains Bachrach.

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  dev.dairycouncilofca.org/MediaRoom/News/MaterialsReleas - [Cached Version]
  Published on: 9/19/2006    Last Visited: 7/22/2008  

  "Parents have total control over what their child eats, drinks and does from the time they are born until they start school, so early childhood is the best time to make milk, dairy products and activity part of the family lifestyle," said Laura K. Bachrach, M.D., professor of pediatrics at Stanford Medical Center.
  ...
  "Without a doubt, milk and dairy products are the best sources of calcium and vitamin D in the American diet, so parents need to be creative in their efforts to put dairy into their children's diets," said Bachrach.
  ...
  "Exercise is the other piece of the bone-building puzzle," explains Bachrach.

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  www.cf-web.org/cfri/article-38 - [Cached Version]
  Published on: 9/10/1999    Last Visited: 5/9/2002  

  Osteopenia and Osteoporosis in Cystic Fibrosis Patients Condensed from the talk by Laura Bachrach, M.D. Fall 1994 Dr. Laura Bachrach, Acting Associate Professor of Pediatrics at the Stanford University Medical Center, gave a general overview of her study, funded by CFRI, of osteopenia (decreased bone mass) and osteoporosis (bone loss to the point of brittleness and tendency to fracture) specifically in relation to patients with cystic fibrosis.The tendency toward lower bone mass in children and adults with cystic fibrosis was remarkable.Dr. Bachrach informed the group that bone mass density is mainly influenced by heredity (40-70% of peak bone mass is determined this way).However there were several other key factors that were especially important to people in the CF population.These include the amount of weight-bearing activity a person does, actual body mass of the person (those who are underweight are at increased risk for lower bone density), adequate intake of calcium, and proper levels of sex steroids.There are specific ages when bone mass acquisition is especially critical.In infancy, gains are rapid; in childhood they slow down.But in adolescence, at the onset of puberty, the rate picks up again.50% of adult bone mass is acquired during adolescence!
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  In her tests, Bachrach realized that 40% of the subjects had low vitamin D levels.Another contributing factor to bone-density loss is glucocorticoid therapies.Also, prednisone and other steroids cause calcium loss.Finally, delayed puberty and gonadal dysfunction means that there are low levels of sex steroids in both males and females with CF.These sex steroids play an important role in bone mineral acquisition.Dr. Bachrach said that she is addressing these deficits in several ways.Nutritional supplements (both calcium and vitamin D) are critical.Recommended daily levels of calcium intake are as follows: 360-540 mg./day for infants, 800 mg./day during childhood, 1500 mg./day between ages 10-24, and 800 mg./day for age 25 and up.This is considered a minimum for CF patients.Other ways of improving bone acquisition include optimizing glucocorticoid doses, and monitoring sex steroid levels and supplementing when necessary.She mentioned Calcitonin and bisphosphonates as drugs currently available in the treatment in osteoporosis, however warned of side effects.Dr. Bachrach made a few other interesting points.First of all, CF disease severity could not necessarily predict bone density problems.And other good news is that there were ways of addressing the problems as mentioned above, and it did not take much of a gain in bone density to afford a high payoff.

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  cms.xtend-life.com/newsletter_detail.php?NL_ID=293&lang - [Cached Version]
  Published on: 9/18/2006    Last Visited: 2/4/2008  

  "Rickets is just the most severe form," said Laura Bachrach, a pediatrics professor at Stanford University School of Medicine in California.

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  www.meetingsbydesignonline.com/SearchResults.asp?Cat=62 - [Cached Version]
  Published on: 10/22/2005    Last Visited: 10/22/2005  

  Laura K Bachrach, MD
  
  Professor of PediatricsStanford University School of Medicine

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  www.doctorsforobama.net/signatories/ - [Cached Version]
  Last Visited: 12/15/2008  

  Laura Bachrach, MDStanford University School of Medicine

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  -- Roswell Park Cancer Institute - [Cached Version]
  Published on: 12/8/2001    Last Visited: 3/14/2003  

  Laura K. Bachrach, MD, Professor, Pediatrics, Stanford Medical Center, Stanford, CA

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  -- Roswell Park Cancer Institute - [Cached Version]
  Published on: 8/4/2001    Last Visited: 12/16/2002  

  Laura K. Bachrach, MD, Professor, Pediatrics, Stanford Medical Center, Stanford, CA

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  AAP National Conference and Exhibition - List of... - [Cached Version]
  Published on: 10/24/2001    Last Visited: 4/7/2002  

  Laura K. Bachrach, MD, FAAP
  
  The foundation for bone health is established during childhood and adolescence.Young patients with chronic diseases such as anorexia nervosa or steroid-dependent disorders face an increased risk of osteoporosis that may persist throughout adult life.This session will review the use of bone densitometry and biochemical bone markers for diagnosis and the role of diet, activity, and drug therapy for prevention and treatment.

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  ADPI - [Cached Version]
  Published on: 3/11/2003    Last Visited: 3/31/2003  

  But cutting out dairy removes the major source of dietary calcium and often leaves children without adequate calcium for optimal bone health," states Dr. Laura K. Bachrach, Professor of Pediatrics at Stanford University's School of Medicine.
  
  The American Journal of Clinical Nutrition reports that children who didn't drink milk over a long period of time had significantly lower calcium intakes, were shorter, had smaller bones and lower bone mineral density than the children who regularly consumed milk.(3)
  
  Debunking the myths
  
  -- Dairy is not a synonym for fat.Research from the International Journal of Obesity(4) reports that consuming dairy products, calcium and monounsaturated fat are associated with lower body fat.
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  If parents add a piece of string cheese or yogurt to the lunch box, they're adding as much as a third of the daily calcium kids need," states Dr. Bachrach."And parents need to remember that they are the primary role models for their kids.By drinking a glass of milk with their dinner, they are setting a lasting example for their kids to do the same."
  
  For more information about calcium, lactose intolerance, benefits of dairy and fun, easy meal ideas, log-on to www.mealsmatter.org .
  
  Dairy Council of California customizes nutrition education programs that are easy to use and lead to healthy food choices and optimal health.

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