在患有先天性上腺增生症的青少年和年轻成年人中,骨矿物密度的决定因素
Ruta Navardauskaite1, Aurika Vanckaviciene2, Rasa Verkauskiene3
1Department of Endocrinology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
kongenital adrenal hyperplasia (CAH) 患者可能患有骨质疏松症,但骨矿物质密度 (BMD) 与葡萄糖皮质激素 (GC) 剂量无关. 婴儿生长速度,而不是基因型,与CAH中的成人BMD相关.
科学领域:
- 内分泌学 在内分泌学.
- 骨的新陈代谢 骨的新陈代谢
- 遗传学 遗传学 是一个
背景情况:
- 在先天性上腺增生症 (CAH) 中,长期使用葡萄糖皮质激素 (GC) 治疗对骨矿物质密度 (BMD) 的影响仍在争论中.
- CAH是一组影响上腺产生激素的遗传疾病.
研究的目的:
- 为了评估CAH的年轻人中的BMD.
- 调查骨质量和基因型,生长,维生素D状态和累计GC剂量之间的关联.
主要方法:
- 横截面研究比较了32名CAH患者和32名健康对照.
- 用双能X射线吸收计测量的BMD. 双能X射线吸收计.
- 统计分析包括曼-惠特尼U测试和斯皮尔曼相关性.
主要成果:
- 在CAH患者和对照人群中,BMD Z-分数在CAH患者和对照人群中相似.
- 骨质疏松症在CAH患者中被诊断为12.5%,对照组为0%.
- 骨髓质量与GC剂量,维生素D水平或基因型没有相关性;然而,婴儿生长速度与全身骨髓质量Z-score有正相关性.
结论:
- 在这个队列中,CAH患者面临骨质疏松症风险,独立于累积GC剂量.
- 婴儿生长,而不是基因型,与CAH中的成年BMD有关.
- 在这项研究中,维生素D缺乏是普遍存在的,但与骨硬化没有直接关联.
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