随着哺乳期的发生,骨密度的变化
M Sowers1, G Corton, B Shapiro
1Department of Epidemiology, University of Michigan, Ann Arbor 48109-2029.
JAMA
|June 23, 1993
概括
延长超过六个月的哺乳期与女性显著的骨质损失有关. 然而,骨矿物质密度 (BMD) 通常在产后12个月内恢复到基线水平.
科学领域:
- 生殖健康 生殖健康
- 骨的新陈代谢 骨的新陈代谢
- 营养科学 营养科学
背景情况:
- 哺乳期是母亲健康的关键时期,可能会影响骨矿物质密度 (BMD).
- 以前的研究已经产生了关于哺乳期对母亲骨质的长期影响的混合结果.
研究的目的:
- 为了研究哺乳期持续时间与母亲骨质量变化之间的关系.
- 为了确定长期母乳养停止后,骨质量是否恢复到基线水平.
主要方法:
- 一项前性队列研究,涉及98名健康妇女,分娩后12个月.
- 靠近大腿骨和腰椎的骨矿物质密度 (BMD) 用双能X射线密度计在不同时间点测量.
- 参与者按哺乳时间分组:0-1,2-5和6个月以上.
主要成果:
- 哺乳期6个月以上的妇女在产后6个月经历了5.1% (腰椎) 和4.8% (大腿部部) 的平均 BMD 损失.
- 在哺乳期0-1个月的妇女中没有观察到显著的BMD损失.
- 延长哺乳期组的骨质量损失不是由于年龄,饮食,体型或身体活动而造成的.
结论:
- 长时间的哺乳期 (≥6个月) 与母亲的骨质损失有关.
- 有证据表明,在产后12个月后,腰椎骨的BMD会恢复到基线.
- 持续哺乳超过9个月显示腰椎骨质量增加,但仍低于基线水平.
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