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成都地区不同年龄城乡妇女维生素D和骨代谢指标及骨密度的状况分析
  • ISSN号:1006-7108
  • 期刊名称:《中国骨质疏松杂志》
  • 时间:0
  • 分类:R59[医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]成都市第五人民医院,四川成都611130, [2]四川大学华西医院,四川成都610041
  • 相关基金:成都市科技厅(2015-HM01-00281-SF); 四川省卫生厅科研项目(150024); 成都市内分泌学会青年基金项目(2012005)
中文摘要:

目的评价成都市不同年龄城乡女性居民血清25-羟基维生素D水平并计算维生素D缺乏和不足的患病率,计算各种骨转换指标的平均值,研究维生素D水平与骨转换指标的关系。方法选择2个城镇社区和2个农村社区,30~90岁健康妇女376例,采用酶联免疫法测定1,25-二羟基维生素D、25-羟基维生素D,化学发光免疫分析法测定骨碱性磷酸酶、胶原C端肽、N端骨钙素、抗酒石酸酸性磷酸酶、甲状旁腺素、1型前胶原氨基,用双能X线吸收仪检测腰椎骨密度。结果 25-羟基维生素D平均值为17.2±0.7 ng/m L,N端骨钙素平均值为7.6±0.3 ng/m L,1型前胶原氨基端肽平均值为59.6±4.2 ng/m L,维生素D不足者患病率为:97.0%,缺乏者患病率为:76.86%。同时,25-羟基维生素D与胶原C端肽、抗酒石酸酸性磷酸酶呈负相关,1,25-二羟基维生素D与骨碱性磷酸酶呈正相关关系。50岁以后骨密度显著下降。结论成都市女性居民在冬季维生素D普遍不足,不良的生活方式及低维生素D的摄入应引起重视。

英文摘要:

Objective To evaluate the level of serum 25-hydroxyvitamin D and bone metabolic markers in female residents of different age and region in Chengdu,to calculate the prevalence of vitamin D deficiency,and to study the relationship between vitamin D and bone metabolic markers. Methods A total 376 cases of 30-90 years old healthy women were selected from two urban region and two rural communities. The levels of 1,25-hydroxyvitamin D and 25-hydroxyvitamin D were detected using enzyme linked immunosorbent assay. The levels of bone alkaline phosphatase,collagen C peptide,N end of osteocalcin,resistant acid phosphatase,parathyroid hormone,and type I procollagen amino terminal peptide were determined using chemiluminescence immunoassay method. Bone mineral density of the lumbar vertebrae was measure using DXA. Results The mean values of 25-hydroxyvitamin D,N-terminal osteocalcin,and type I procollagen amino terminal peptide were 17. 2 ± 0. 7 ng / ml,7. 6 ± 0. 3 ng /ml,and 59. 6 ± 4. 2 ng / ml,respectively. The prevalence of vitamin D deficiency and insufficient was 97% and 76. 86%,respectively. There was a negative correlation between 25-hydroxyvitamin D and collagen C peptide and resistant acid phosphatase.1,25-hydroxyvitamin D and bone alkaline phosphatase were positively correlated. Conclusion This study shows that vitamin D is generally inadequate in women of Chengdu in winter. Unhealthy lifestyle and lowvitamin D intake should be taken into account.

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期刊信息
  • 《中国骨质疏松杂志》
  • 中国科技核心期刊
  • 主管单位:中华人民共和国民政部
  • 主办单位:中国老年学和老年医学学会
  • 主编:张萌萌
  • 地址:北京市朝阳区望京西园三区309-703
  • 邮编:100102
  • 邮箱:info@china-osteofound.org
  • 电话:010-64727035 64705247
  • 国际标准刊号:ISSN:1006-7108
  • 国内统一刊号:ISSN:11-3701/R
  • 邮发代号:82-198
  • 获奖情况:
  • 国内外数据库收录:
  • 美国化学文摘(网络版),中国中国科技核心期刊,中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:15856