在患有库辛病的年轻患者中,IGF-1水平与低骨质的关联
Wanwan Sun1, Quanya Sun1, Qiaoli Cui1
1Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai 200040, China.
International journal of endocrinology
|July 13, 2023
概括
较高的IGF-1水平与年轻的库辛氏症患者中低骨质的患病率较低有关.
科学领域:
- 内分泌学 在内分泌学.
- 骨的新陈代谢 骨的新陈代谢
- 这是库辛氏病.
背景情况:
- 库希氏病 (CD) 与低骨质量有关,但有助于疾病的因素尚未得到充分确定.
- 之前对CD患者的研究缺乏足够的统计能力来识别低骨质量的危险因素.
研究的目的:
- 在患有库辛病的年轻患者中确定与低骨质量相关的因素.
- 由于现有数据的稀缺性,进行一项强大的研究.
主要方法:
- 对153名年轻库辛病患者 (33名男性,120名女性) 的回顾性分析.
- 使用双能X射线吸收计 (DEXA) 测量骨矿物质密度 (BMD).
- 低骨质量定义为Z分数为-2.0或更低.
主要成果:
- 在48.37%的患者中观察到低骨质量.
- 低骨质量与更高的午夜血清皮质醇,女性更高的丸激素,男性性别和高血压有关.
- 较低的IGF-1指数与较低的骨质量显著相关 (p=0.0001).
- 较高的IGF-1指数与脊椎和大腿部的BMD Z-分数正相关.
- 较高的IGF-1指数独立地与较低骨质量患病率相关,即使经过对混因素的调整.
结论:
- 升高的IGF-1指数独立地与年轻的库辛病患者中低骨质减少的患病率有关.
- IGF-1可能在与库辛病相关的低骨质的发展中发挥关键作用.
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