早期绝经后妇女的身体组成和骨损失之间的关联
Marina Vilar Geraldi1, Giulia Gregori1, Lisa Johansson1,2
1Sahlgrenska Osteoporosis Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg, Gothenburg, Gothenburg SE-413 45, Sweden.
概括
保持肌肉质量和体重对于绝经后早期女性的骨健康至关重要. 较高的瘦肉量和保存的体重与更好的骨密度和结构有关,减少骨脆弱性.
科学领域:
- 骨生物学和新陈代谢
- 绝经后健康 绝经后健康
- 身体组成分析 身体成分分析
背景情况:
- 早期的绝经后包括快速的骨质损失,瘦肉量减少和脂肪量增加.
- 了解身体成分对骨健康的影响在这个过渡时期至关重要.
研究的目的:
- 检查早期绝经后妇女的身体组成和骨特征之间的横截面和纵向关联.
- 为了确定影响骨损失和骨脆弱性的关键身体组成因素.
主要方法:
- 使用线性混合模型对223名瑞典女性 (年龄在50-60岁) 进行2年的重复测量.
- 通过DXA评估身体组成 (体重,尾肌肉量,脂肪量) 和通过DXA和HR-pQCT评估骨结果 (BMD,微架构,vBMD).
- 分析了基线关联和纵向变化.
主要成果:
- 较高的基线体重,BMI,脂肪质量和ALM与更好的皮质和总体积骨矿物质密度 (vBMD) 相相关.
- 在长度上,增加的ALM与改善的部BMD,腰椎BMD,总vBMD和皮层骨结构有关.
- 低肌肉质量和高脂肪质量损失与部BMD和部vBMD的显著较大减少有关.
结论:
- 保持或增加瘦肉量和保持体重对于缓解早期绝经后妇女的骨质损失和骨脆弱性至关重要.
- 在更年期过渡期间,身体成分在骨健康轨迹中发挥着重要作用.
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