脊髓损伤后与骨损失相关的特征:对部区域脆弱性的影响
Sora Han1, Sungjae Shin2, Onyoo Kim1
1Department of Rehabilitation Medicine, National Rehabilitation Center, Yonsei University College of Medicine, Seoul, Korea.
Endocrinology and metabolism (Seoul, Korea)
|October 10, 2023
概括
与健康的成年人相比,脊髓损伤 (SCI) 的男性经历了显著的关节骨损失. 和不完整的SCI提供了一些部保护. 肌肉质量与骨密度有关.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 脊髓损伤 (SCI) 导致损伤水平以下的快速骨损失,增加骨折风险.
- 关于影响骨损失的SCI特异性因素及其与一般人群相比的影响程度的数据有限.
研究的目的:
- 为了将SCI男性的骨矿物质密度 (BMD) 与社区男性进行比较.
- 为了确定与骨损失相关的SCI相关特征.
主要方法:
- 分析了113名患有SCI的男性 (12-36个月伤病后) 的双能量X射线吸收度 (DXA) 数据.
- 使用KNHANES数据 (2008-2011) 建立了一个1:1匹配的社区男性对照组.
- 根据年龄,身高和体重选择了匹配的对照组.
主要成果:
- 患有SCI的男性的部T分数明显低于对照组;腰椎T分数没有差异.
- 与较高的部Z分数比四肢相关.
- 运动不完整的SCI显示,与腰部Z-score相比,部Z-score更好.
- 骨肌肉的百分比与SCI个体的股骨部Z-score正相关.
结论:
- 与没有SCI的男性相比,患有SCI的男性的关节骨矿物质密度减少.
- 和运动不完整性似乎对SCI的部骨密度有保护作用.
- 维持骨肌肉质量对于SCI个体的骨健康至关重要.
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