在患有骨质发育不完善的儿童中,瘦肉和脂肪质量的变化
Holly Wright1, Sze Choong Wong2, Misha Gilani1
1School of Medicine, University of Glasgow, Glasgow, United Kingdom; Department of Paediatric Endocrinology, Royal Hospital for Children, Glasgow, United Kingdom.
概括
患有 osteogenesis Imperfecta (OI) 的儿童表现出异常的身体组成,其特点是低瘦质量和高脂肪质量,在整个童年时期持续存在. 这些身体组成缺陷在OI患者中不会随着时间的推移显著变化.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 代谢性骨病 代谢性骨病
- 身体组成分析 身体成分分析
背景情况:
- 骨质发生不完善 (OI) 与骨肌肉和功能缺陷有关,导致身体组成异常.
- 在患有OI的儿童体质构成的纵向变化尚未得到充分了解.
研究的目的:
- 为了回顾性地分析身体组成的纵向变化,特别是肌肉质量和脂肪质量,在被诊断为OI的儿童中.
主要方法:
- 对29名患有OI的儿童的双能X射线吸收计 (DXA) 扫描的回顾性分析.
- 评估的身高,BMI,肌肉质量指数 (LMI) 和脂肪质量指数 (FMI) 的z-scores随着时间的推移 (2015-2022).
主要成果:
- 与基线对照人群相比,患有OI的儿童的身高和肌肉质量z-score显著降低,脂肪质量z-score更高.
- 身高,BMI,肌肉质量和脂肪质量z-score从基线到随访没有显著变化.
- 在整个研究期间,异常的身体组成 (低瘦质量,高脂肪质量) 持续存在.
结论:
- 患有OI的儿童在整个童年期间始终呈现异常的身体组成,包括低瘦质量和相对高的脂肪质量.
- 这些身体组成异常在OI患者的随访期间保持稳定.
- 由于肌肉与骨的关系,建议研究策略,如物理或医疗疗法,以增强OI的瘦肉量.
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