在更年期过渡期间,原体I型C-Telopeptide和ProcollagenI型N-Terminal Propeptide的变化
Albert Shieh1, Arun S Karlamangla1, Fatma Gossiel2
1Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, CA 90095, USA.
骨周转标记物原蛋白I型C-端 (CTX) 和原蛋白I型N-端 (PINP) 在更年期前是稳定的,但在更年期过渡 (MT) 期间增加,然后减少,其速率因种族/种族而异.
科学领域:
- 骨生物学和新陈代谢
- 内分泌学 在内分泌学.
- 妇女健康 妇女健康
背景情况:
- 原蛋白I型C-端 (CTX) 和原蛋白I型N端 (PINP) 是已确立的骨再吸收和形成的生物标志物.
- 了解更年期过渡 (MT) 期间的骨周转动态对于骨健康管理至关重要.
研究的目的:
- 在整个更年期过渡期间调查CTX和PINP水平的纵向轨迹.
- 为了检查种族/种族如何影响这些骨周转标志物变化.
主要方法:
- 一项为期18年的纵向研究,对541名来自全国妇女健康研究的妇女进行了研究.
- 多变量混合效应回归模型分析了CTX和PINP变化相对于从最后的月经期 (FMP) 开始的年份,调整为种族/种族,BMI和FMP时的年龄.
主要成果:
- CTX和PINP在FMP前3年保持稳定,然后在MT期间显著增加 (FMP前3年至FMP后3年).
- 在FMP后,CTX和PINP水平每年都在下降.
- 与白人参与者相比,中国和日本女性在MT和绝经后显示出CTX和PINP在MT和绝经后增加的不同模式.
结论:
- 骨循环标志物CTX和PINP在绝经前,绝经后和绝经后呈现出不同的模式.
- 在MT和绝经期间骨周转率的变化率受到种族/民族的影响.
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