青春期或成年早期的体型与未来骨折风险之间的长期关联
Makoto Sunayama1,2, Naomi Omi2, Takeshi Nishiyama1
1Department of Public Health, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8601, Japan.
Journal of bone and mineral metabolism
|December 9, 2025
概括
在女性中,青少年的瘦身大小与未来骨折风险更高有关. 成年早期的身体大小没有显示出类似的关联,这表明青春期是预防骨折的关键时期.
科学领域:
- 骨健康和流行病学
- 人类生理学和衰老
背景情况:
- 身体大小显著影响整个生命周期的骨质和骨折风险.
- 具体的发育期,身体大小最影响未来骨折风险仍然在很大程度上未确定.
研究的目的:
- 为了确定青少年或早期成年人身体大小是否与随后的骨折风险更强烈相关.
- 测试青少年体型对未来骨折风险产生更大的影响的假设.
主要方法:
- 来自日本多机构合作队列研究的2152名男性和1900名女性 (35-79岁) 的分析.
- 在初中和20多岁早期对体型的回顾性评估.
- 大约5年后,关于骨折史的前性报告,使用后勤回归分析.
主要成果:
- 在初中,身材苗条的女性体型显著增加了未来骨折的风险 (OR 2.29).
- 成年早期 (20 岁) 的瘦身并没有与女性骨折风险增加有关 (OR 0.83).
- 在任何性别的超重个体或任何年龄段的男性中都没有发现显著的关联.
结论:
- 青春期的瘦身大小似乎是女性未来骨折的更强有力的预测因素,与早期成年相比.
- 这些发现强调青春期是骨发育的潜在关键窗口,影响长期骨折风险.
- 建议通过客观测量和扩展后续进行进一步的研究,以验证这些关联.
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