Kearns Ann E, Khosla Sundeep
Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905, USA.
Mayo Clin Proc. 2004 Apr;79(4 Suppl):S14-8.
Sex steroid hormones are essential to normal skeletal growth and maintenance throughout life in both men and women. The importance of estrogens to bone health in women becomes obvious at menopause when estrogen deficiency occurs and results in accelerated bone loss. After menopause, estrogen deficiency results in drastic changes in the androgen-estrogen ratio. Thus, the relative importance of androgens after menopause may increase. Androgens also appear to be important for bone health in pre-menopausal women. Evidence from human, animal, and laboratory studies is leading to a better understanding of the effects of androgens on bone in women.
性类固醇激素对于男性和女性一生的正常骨骼生长和维持至关重要。雌激素对女性骨骼健康的重要性在更年期时变得明显,此时雌激素缺乏会导致骨质流失加速。更年期后,雌激素缺乏会导致雄激素与雌激素比例发生剧烈变化。因此,更年期后雄激素的相对重要性可能会增加。雄激素对绝经前女性的骨骼健康似乎也很重要。来自人体、动物和实验室研究的证据正使人们对雄激素对女性骨骼的影响有更好的理解。