娱乐大麻使用对骨矿物质密度的影响:系统性审查
Luiz Alexandre Viana Magno1, Diego Ribeiro Tameirão1,2, Lucas Ferreira Alves3
1Programa de Pós-Graduação em Ciências da Saúde (PPGCS), Faculdade Ciências Médicas de Minas Gerais (FCMMG), Alameda Ezequiel Dias, 275, Belo Horizonte, 30130-110, Brazil.
概括
娱乐性大麻使用对骨矿物质密度 (BMD) 产生混合影响. 一些研究表明BMD降低,而另一些研究表明没有显著影响. 需要更多的研究来澄清大麻.
科学领域:
- 骨代谢和健康 骨代谢和健康
- 大麻素研究 研究 大麻素研究
- 公共卫生 公共卫生
背景情况:
- 娱乐大麻的使用在全球范围内有所增加.
- 大麻素会影响骨代谢,但关于大麻和骨健康的临床数据是相互矛盾的.
- 关于大麻对健康的影响的有根据的说法具有挑战性.
研究的目的:
- 系统地审查和评估有关娱乐大麻使用对骨健康安全性的证据.
- 评估大麻暴露对成年人骨矿物质密度 (BMD) 的影响.
主要方法:
- 系统审查2023年3月之前发表的研究.
- 搜索的数据库:MEDLINE,EMBASE,科克伦图书馆,科学网.
- 包括评估娱乐大麻使用和成人BMD的研究.
主要成果:
- 包括4项研究 (3项横截面研究,1项RCT) 与4032名参与者.
- 两项研究报告,大麻暴露导致骨质量下降;两项研究报告没有变化.
- 包括的研究通常显示偏差风险较低.
结论:
- 关于大麻使用和骨健康的证据是相互矛盾的,对BMD的影响是不同的.
- 研究设计,大麻产品和暴露评估的差异限制了最终的结论.
- 长度研究是必要的,以确定负面后果的预测因素,特别是在弱势群体.
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