随着中国妇女的老龄化,骨密度和近腰骨结构的变化
Yeming Wang1, Jian Li2, Yutao Men3
1Department of Orthopedics, Tianjin Hospital, Tianjin University, Tianjin, China.
Injury
|May 18, 2024
概括
在更年期过渡期间,骨大小增加,而在更年期后晚期的中国妇女中,骨强度显著下降. 这会影响骨矿物质密度和皮层厚度.
科学领域:
- 整形外科 整形外科 整形外科
- 老年学是一门学科.
- 内分泌学 在内分泌学.
背景情况:
- 骨矿物质密度 (BMD) 和结构完整性随着年龄和更年期而下降.
- 了解像中国妇女这样的特定人群中的这些变化对于有针对性的干预至关重要.
研究的目的:
- 调查中国妇女骨矿物密度 (BMD),骨结构和手术部骨强度的年龄和更年期相关差异.
主要方法:
- 一项涉及171名中国妇女的横截面队列研究.
- 定量计算断层扫描 (QCT) 用于评估骨质量,几何性质和估计的机械强度.
- 在月经状态类别中进行了比较,并计算了与年龄相关的变化.
主要成果:
- 在20岁至86.86岁之间观察到与年龄相关的BMD (40.25%) 和皮质厚度 (32.86%) 的显著下降.
- 骨的大小 (骨髓和骨周直径) 在更年期过渡期间增加,但在更年期后没有增加.
- 与更年期前妇女相比,更年期前妇女的皮层厚度和骨质量较低,更年期后妇女的曲强度损失加快.
结论:
- 骨大小的扩张是特定于更年期的过渡期.
- 晚期更年期后妇女经历明显的抗性损失,表明骨折风险增加.
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
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
Bone Remodeling
38.3K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
38.3K
The Effect of Aging on Tissues
2.1K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.1K
Menopause
155
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
155
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


