在肥胖的年轻患者中,扩散性异常性骨架强症 (DISH) 的高患病率 - 一项回顾性观察性研究
Shay Brikman1, Yazan Lubani2, Reuven Mader1
1Rheumatic Diseases Unit, Emek Medical Center, Afula, Israel; Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Seminars in arthritis and rheumatism
|January 5, 2024
概括
扩散性异常性骨架强症 (DISH) 影响18%的年轻,肥胖患者,比一般人群的患病率明显高. 这表明早期发病的DISH是肥胖症的并发症.
科学领域:
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 肥胖医学 肥胖医学
背景情况:
- 扩散性异常性骨高静止症 (DISH) 的特点是带和内接骨的骨化,通常随着年龄的增长而增加.
- 在50岁以下的个体中,DISH的患病率低于5%,与代谢综合征和肥胖有关.
研究的目的:
- 确定严重肥胖 (BMI ≥35 kg/m2) 的年轻患者 (≤50岁) 中DISH的患病率.
主要方法:
- 从2013-2022年对胸部和脊柱放射图 (包括CT) 的回顾性分析.
- 纳入标准:年龄在31-50岁,BMI≥35kg/m2的患者参观减肥诊所.
- DISH的诊断遵循了Resnick标准;DISH和非DISH组之间的人口,临床和实验室数据进行了比较.
主要成果:
- 分析了183名年轻肥胖患者 (平均年龄为40.4岁,中位数BMI为40.6kg/m2).
- 在18.0%的患者中诊断出DISH,明显高于预期的10%的患病率.
- 患有DISH的患者患高血压,吸烟和阻塞性睡眠呼吸暂停 (OSA) 的患病率较高.
结论:
- 在年轻的肥胖患者中,DISH的患病率为18%,大大超过了一般人口的患病率.
- 早期发病的DISH应该被视为与严重肥胖相关的显著肌肉骨并发症.
相关概念视频
Bone Disorders
3.5K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.5K
Obesity
507
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
507
Disorders of the Skeletal Muscle
955
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
955
Changes in the Appendicular Skeleton with Age
2.0K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.0K
Osteoclasts in Bone Remodeling
2.9K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
2.9K
Growth of Cartilage and Bone Tissue
3.3K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
3.3K


