哺乳期和非哺乳期妇女的骨周转率
Lena Nerius1, Mandy Vogel1, Uta Ceglarek2
1LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, 04103, Leipzig, Germany.
Archives of gynecology and obstetrics
|September 14, 2023
概括
哺乳会增加骨周转率和骨损失,在独家和非独家母乳养的妇女中,骨标记物升高. 这种骨损失似乎在很大程度上独立于副甲状腺激素 (PTH) 水平.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 骨的新陈代谢 骨的新陈代谢
- 孕产妇健康 孕产妇健康
背景情况:
- 哺乳动员母亲的,导致骨质损失,但潜在的机制需要进一步调查.
- 之前关于哺乳期骨代谢的研究受到小样本大小的限制.
研究的目的:
- 为了评估哺乳期的骨代谢.
- 为了比较大量哺乳期和非哺乳期妇女之间的骨代谢参数.
主要方法:
- 对779名产后妇女和742名对照进行了回顾性队列研究.
- 测量了副甲状腺激素 (PTH),雌激素,,酸盐和骨循环标记物的血清水平 (ßCTX,P1NP,骨).
- 纯母乳养 (exc-bf),非纯母乳养 (nonexc-bf) 和分娩后3个月和6个月的对照组之间的比较参数.
主要成果:
- 与对照组相比,骨循环标志物 (ßCTX,P1NP,骨素) 在ex-bf和non-xc-bf女性中显著增加.
- 在排卵女性和对照女性中,βCTX水平大约是双倍的.
- 在产后3个月的女性中,雌激醇被抑制.
结论:
- 独家和非独家母乳养状态都与骨形成和再吸收标记的增加有关.
- 哺乳期骨损失似乎相对独立于PTH水平,根据PTH数据分布在参考范围内表明.
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