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青少年的体重指数,体重轨迹到成年,以及骨质疏松症风险
Maya Simchoni1,2, Regev Landau1,2,3, Estela Derazne4
1Tzameret Department of Military Medicine and Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
JAMA network open
|August 4, 2025
概括
青少年的体重指数 (BMI) 和其在成年期的变化与骨质疏松症风险有关. 从青春到成年早期保持健康的体重对于骨健康至关重要.
科学领域:
- 骨健康研究 骨健康研究
- 公共卫生流行病学 流行病学
- 青少年医学 青少年医学
背景情况:
- 关于青少年体重轨迹及其对成人骨健康的影响的数据有限.
- 了解这些关联对于早期预防策略至关重要.
研究的目的:
- 调查青少年体重指数 (BMI) 和随后的骨质疏松症风险之间的关系.
- 分析从青春期到成年早期的BMI变化如何影响骨质疏松症的发展.
主要方法:
- 在以色列 (1967-2019) 的100多万名青少年 (16-19岁) 进行了一项回顾性,基于人口的队列研究.
- 利用军事服务评估用于初始的BMI数据;通过大型医疗保健系统注册表追踪骨质疏松症诊断.
- 采用Cox比例危险模型,控制健康状况,癌症和糖尿病;分析了BMI在成年后的变化.
主要成果:
- 在青少年的BMI和成人骨质疏松症风险之间发现了一致的反向关联.
- 青少年BMI较高与骨质疏松症发病率较低相关,特别是在女性中.
- 从青春期到成年期保持体重不足的个人表现出骨质疏松症风险最高.
结论:
- 青少年的BMI及其进入成年期的轨迹显著预测骨质疏松症风险.
- 青春期和成年早期的体重管理对于长期的骨健康至关重要.
- 风险的性别差异需要进一步调查.
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