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骨健康的早期生命编程
Rebecca J Moon1,2, Natasha L Citeroni3, Riagbonse R Aihie4
1MRC Lifecourse Epidemiology Centre, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK. rm@mrc.soton.ac.uk.
Current osteoporosis reports
|June 19, 2023
概括
优化儿童时期的骨矿物质积累可以预防骨质疏松症. 早期的生命干预措施,如母亲的和维生素D,有望改善儿童的骨矿物质密度 (BMD).
科学领域:
- 儿童骨健康问题
- 预防骨质疏松症的预防
- 骨的发展 骨的发展
背景情况:
- 儿童时期的骨矿物质积累对于预防成人骨质疏松症至关重要.
- 早期的生活暴露显著影响骨矿物质密度 (BMD).
- 观察性研究将产前因素与后代的BMD联系起来,但研究结果往往不一致.
研究的目的:
- 审查关于优化骨健康的早期生命策略的科学证据.
- 评估产前暴露对儿童骨发育的影响.
- 探索可能增强骨矿物质积累的干预措施.
主要方法:
- 对早期生活因素和骨质疏松症的观察和干预研究的审查.
- 对怀孕期间母亲补充剂 (,维生素D) 的数据分析.
- 检查产前暴露和后代儿童的骨硬化之间的关联.
主要成果:
- 在怀孕期间,母亲补充和/或维生素D,对后代的儿童BMD有积极的影响.
- 一些产前暴露 (例如,母亲吸烟,酒精) 与BMD有关,但很难通过干预来研究.
- 有证据表明,早期的干预可以积极影响骨发育.
结论:
- 在儿童时期优化骨矿物质积累是延迟骨质疏松症发病的潜在策略.
- 在怀孕期间,母亲补充和维生素D似乎对儿童的BMD有益.
- 需要进一步的长期研究来证实这些干预措施在成年后的持久影响.
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