患有thalassemia的患者骨矿物质密度低的患病率和风险因素
Natnicha Ananvutisombat1, Adisak Tantiworawit2,3, Teerachat Punnachet2
1Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Frontiers in endocrinology
|July 9, 2024
概括
低骨矿物质密度 (BMD) 影响了超过60%的血病患者,特别是女性和需要输血的人. 较低的BMI和对输血的依赖是该人群中低BMD的关键风险因素.
科学领域:
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- thalassemia是一组遗传性血液疾病,经常导致二次骨质疏松症.
- 低骨矿物质密度 (BMD) 是影响患者生活质量的重大并发症.
研究的目的:
- 为了确定低BMD在血病患者的患病率.
- 在这个队列中确定与低BMD相关的临床因素.
主要方法:
- 在210名血病患者 (男性18-49岁,绝经前女性) 上进行了一项横截面研究.
- 使用双能X射线吸收计 (DXA) 诊断低BMD,Z-score ≤ -2.0 SD.
- 后勤回归分析确定了与低BMD相关的因素.
主要成果:
- 在研究人口中,低BMD的患病率为62.4%.
- 输血依赖 (OR 2.36) 和下体质指数 (BMI) (OR 0.71) 独立地与低的BMD相关.
- 在低BMD小组中,阴性腺,低血清IGF-1和改变的血清酸盐水平与较低的Z-分数相关.
结论:
- 在血病患者中存在低BMD的高患病率.
- 输血依赖和BMI是低BMD的重要预测因素.
- 内分泌和代谢因素,如阴性,IGF-1和酸盐水平与骨密度降低有关.
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