Metabolic Bone Diseases Unit, Department and Clinic of Internal Diseases, Diabetology and Nephrology, Medical University of Silesia in Katowice, 3-Maja 13/15 Street, 41-800 Zabrze, Poland.
J Bone Miner Metab. 2011 Jul;29(4):437-41. doi: 10.1007/s00774-010-0237-5. Epub 2010 Nov 12.
The aim of the retrospective study was to assess the influence of parity on the skeletal status in 760 postmenopausal women. Women with factors affecting their bone status, or those treated for osteoporosis, were not included. Quantitative ultrasound measurements were performed at the heel (Achilles, n = 465) or at hand phalanges (DBM Sonic 1200, n = 295). Regarding hand phalanges, Z score values were significantly lower in women with three, four, and five or six deliveries in comparison to nonparous women and in women with four deliveries versus women with one or two deliveries. Calcaneus ultrasound variables did not differ in regard to the number of deliveries. Stepwise multiple regression analysis has shown that the main factors, affecting the bone status, were postmenopause duration and body weight. We concluded the increasing number of deliveries negatively influences ultrasound measurements at hand phalanges, which suggests their role as a qualitative feature factor of cortical non-weight-bearing bone.
本回顾性研究旨在评估生育次数对 760 名绝经后女性骨骼状况的影响。患有影响骨骼状况的疾病或正在接受骨质疏松治疗的女性不包括在内。在脚跟(跟腱,n=465)或手部指骨(DBM Sonic 1200,n=295)进行定量超声测量。关于手部指骨,与未生育的女性和生育 4 次的女性相比,生育 3 次、4 次和 5 次或 6 次的女性的 Z 评分值显著降低。跟骨超声变量与分娩次数无关。逐步多元回归分析表明,影响骨骼状况的主要因素是绝经后持续时间和体重。我们得出结论,分娩次数的增加会对手部指骨的超声测量产生负面影响,这表明它们是皮质非承重骨的定性特征因素。