2-12岁儿童的身高发育和多种骨健康指标,患有杜氏肌肉发育不良 (DMD)
Bingying Wang1, Linyuhan Zhou1, Shuangru Li1
1Department of Rehabilitation Medicine, China Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
PloS one
|January 10, 2025
概括
患有杜恩肌肉发育不良 (DMD) 的儿童经历了显著的矮身,长期使用皮质类固醇 (GC) 情况恶化. 监测骨健康标志物对于管理DMD患者的身高发育至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经肌肉疾病 神经肌肉疾病
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 矮身是杜氏肌肉发育不良 (DMD) 的常见并发症.
- 了解疾病特异性机制和治疗对生长的影响至关重要.
研究的目的:
- 为了确定早期DMD的身高增长曲线.
- 为了确定影响DMD中身高增长的标记物.
- 为了告知病理机制,生长管理和骨健康策略.
主要方法:
- 追溯性,横截面研究.
- 348名参与者患有DMD,年龄在2-12岁之间.
- 从中国西部第二医院 (2023年1月至10月) 收集的数据.
主要成果:
- 患有DMD的男孩的生长速度比普通人群慢,在两岁以后就会落后.
- 皮质类固醇 (GC) 暴露前后发生矮身;长期使用GC会使增长迟缓恶化.
- 影响身高的独立因素包括BMI,BMD,β-CTX,延迟骨年龄 (BA) 和GC持续时间.
结论:
- 在DMD中,身高矮与整体骨健康状况有关.
- 骨指标的综合监测对于有效的临床管理是必要的.
- 这项研究支持早期监测身高和相关因素,用于DMD骨健康管理,减少未来的并发症.
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