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利用年龄和体重指数预测意大利绝经后健康女性和肝硬化女性的骨矿物质密度。

Predicting bone mineral density of postmenopausal healthy and cirrhotic Italian women using age and body mass index.

作者信息

Mohamed E I, Tarantino U, Promenzio L, De Lorenzo A

机构信息

Department of Neurosciences Building F-Sud, 1st Floor, Room 116, University of Tor Vergata, Via Montpellier 1, I-00133, Rome, Italy.

出版信息

Acta Diabetol. 2003 Oct;40 Suppl 1:S23-8. doi: 10.1007/s00592-003-0021-2.

Abstract

The objective of the present report was to develop mathematical prediction formulae for the lumbar spine, pelvis and total bone mineral density (BMD) based on the osteoporosis risk factors age and BMI in healthy and cirrhotic postmenopausal women. The study population comprised 20 postmenopausal cirrhotic women (late PM cirrhotic women), 20 postmenopausal healthy women matched for age and BMI (late PM healthy women), and 19 younger postmenopausal healthy women matched for BMI (early PM healthy women). Segmental and total bone mineral content and BMD, total bone-free lean body mass and total fat mass were measured for all women using dual X-ray absorptiometry (DXA). The prediction formulae for late PM cirrhotic women had higher cumulative correlation coefficients ( r=0.71, p=0.05 for spine BMD, r=0.84, p=0.013 for pelvis BMD, and r=0.89, p=0.004 for total BMD) than those for early PM healthy women ( r=0.64, p=0.015 for spine BMD, r=0.69, p=0.002 for pelvis BMD, and r=0.62, p=0.022 for total BMD) and late PM healthy women ( r=0.29, p=NS for spine BMD, r=0.39, p=NS for pelvis BMD, and r=0.54, p=NS for total BMD). The mathematical formulae based on the variables age and BMI were capable of predicting lumbar spine BMD, pelvis BMD, and total BMD by DXA for the three groups of postmenopausal women.

摘要

本报告的目的是基于骨质疏松症风险因素年龄和体重指数(BMI),为健康和肝硬化绝经后女性的腰椎、骨盆及全骨矿物质密度(BMD)建立数学预测公式。研究人群包括20名绝经后肝硬化女性(晚期绝经后肝硬化女性)、20名年龄和BMI匹配的绝经后健康女性(晚期绝经后健康女性)以及19名BMI匹配的年轻绝经后健康女性(早期绝经后健康女性)。使用双能X线吸收法(DXA)测量了所有女性的节段性和全骨矿物质含量及BMD、全去脂瘦体重和总脂肪量。晚期绝经后肝硬化女性的预测公式具有比早期绝经后健康女性(腰椎BMD:r = 0.64,p = 0.015;骨盆BMD:r = 0.69,p = 0.002;全BMD:r = 0.62,p = 0.022)和晚期绝经后健康女性(腰椎BMD:r = 0.29,p = 无统计学意义;骨盆BMD:r = 0.39,p = 无统计学意义;全BMD:r = 0.54,p = 无统计学意义)更高的累积相关系数(腰椎BMD:r = 0.71,p = 0.05;骨盆BMD:r = 0.84,p = 0.013;全BMD:r = 0.89,p = 0.004)。基于年龄和BMI变量的数学公式能够通过DXA预测三组绝经后女性的腰椎BMD、骨盆BMD和全BMD。

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