从青春期到青春期的骨矿物质积累和峰值骨质量:一个纵向队列研究
Arzhang Naseri1, Farnaz Atighi1, Alireza Keshtkar2
1Endocrinology and Metabolism Research Center Shiraz University of Medical Sciences Shiraz Iran.
峰值骨质量通常在30多岁中期达到,男性的骨矿物质含量和密度比女性高. 年龄,BMI,性别,SES和运动等因素会影响骨在生长过程中的积累.
科学领域:
- 整形外科和体育医学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 了解骨质积累对于预防骨质疏松症至关重要.
- 骨矿物质含量 (BMC),骨矿物质密度 (BMD) 和骨矿物质表面密度 (BMAD) 的纵向变化是成长期间骨健康的关键指标.
- 影响骨质量的因素包括青春期,年龄,体重指数 (BMI),性别,社会经济地位 (SES) 和习惯性炼.
研究的目的:
- 为了研究生长过程中的BMC,BMD和BMAD的纵向变化.
- 为了估计男性和女性达到峰值骨质量 (PBM) 的年龄.
- 检查各种因素对青春期和成年早期骨参数的影响.
主要方法:
- 对159名参与者的回顾性队列研究.
- 双能X射线吸收计 (DXA) 用于骨密度计.
- 通过医生管理的问卷收集人体统计,人口统计,青春期,病史,SES和运动数据.
主要成果:
- 随着年龄和青春期阶段的增长,全身 BMC (TBBMC) 和 BMD (TBBMD) 的变化率下降.
- 男性的TBBMC和TBBMD变化率高于女性,直到18岁.
- 峰值TBBMC和TBBMD是在二十多岁中期达到的,女性比男性更早达到PBM. 年龄较大,BMI较高,男性性别较高,SES较高和体育活动对TBBMC和TBBMD产生了积极的影响.
结论:
- 骨积累在青春期比成年早期更为显著.
- 峰值骨质量通常在第三个十年中期达到,女性更早达到.
- 年龄,性别,BMI,SES和运动是青春期和早期成年期骨矿物质含量和密度的积极影响者.
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