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绝经后土耳其女性血浆硒、锌、铜和脂质水平及其与骨质疏松症的关系。

Plasma selenium, zinc, copper and lipid levels in postmenopausal Turkish women and their relation with osteoporosis.

机构信息

Department of Obstetrics and Gynecology, Kahramanmaras Sutcu Imam University Medical Faculty, Kahramanmaras, Turkey.

出版信息

Biol Trace Elem Res. 2011 Dec;144(1-3):407-17. doi: 10.1007/s12011-011-9109-7. Epub 2011 Jun 8.

DOI:10.1007/s12011-011-9109-7
PMID:21656042
Abstract

It has been shown that the trace elements and lipids play role in the growth, development and maintenance of bones. We aimed to investigate serum selenium (Se), zinc (Zn), copper (Cu) and lipid (total cholesterol, triglyceride (TG), high density lipoprotein-cholesterol, low-density lipoprotein-cholesterol) levels in postmenopausal women with osteoporosis, osteopenia and in healthy controls, and to determine the relationship between Se, Zn, Cu and lipid parameters and bone mineral density (BMD). The study included 107 postmenopausal women; 35 healthy (group 1), 37 osteopenic (group 2) and 35 osteoporotic (group 3). The women in all three groups were carefully matched for body mass index (BMI). Serum concentrations of Se, Zn and Cu were measured by atomic absorption spectrophotometry. Plasma Se, Cu, Zn and lipid levels were similar in all groups (p > 0.05). When we combined the women in each of the three groups, and considered them as one group (n = 107) we found a positive correlation between BMI and lumbar vertebra BMD, femur neck BMD, femur total BMD; a positive correlation between TG and femur neck BMD, femur total BMD; a positive correlation between Zn and lumbar vertebra BMD (total T score) (p < 0.05). There was no correlation between Se, Cu, Zn, P and lipid parameters (p > 0.05). Although BMI has a positive effect on BMD, trace elements and lipids, except Zn and TG, did not directly and correlatively influence BMD. Further studies are needed to clarify the role and relationship of trace elements and lipid parameters in postmenopausal osteoporosis.

摘要

已表明微量元素和脂质在骨骼的生长、发育和维持中发挥作用。我们旨在研究骨质疏松症、骨量减少和健康对照组绝经后妇女的血清硒(Se)、锌(Zn)、铜(Cu)和脂质(总胆固醇、甘油三酯(TG)、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇)水平,并确定 Se、Zn、Cu 和脂质参数与骨密度(BMD)之间的关系。该研究纳入了 107 名绝经后妇女;35 名健康者(第 1 组)、37 名骨量减少者(第 2 组)和 35 名骨质疏松症患者(第 3 组)。所有三组妇女的体重指数(BMI)均经过仔细匹配。通过原子吸收分光光度法测量血清 Se、Zn 和 Cu 浓度。三组妇女的血浆 Se、Cu、Zn 和脂质水平相似(p>0.05)。当我们将三组中的所有妇女合并为一组(n=107)时,我们发现 BMI 与腰椎 BMD、股骨颈 BMD、股骨总 BMD 呈正相关;TG 与股骨颈 BMD、股骨总 BMD 呈正相关;Zn 与腰椎 BMD(总 T 评分)呈正相关(p<0.05)。Se、Cu、Zn、P 和脂质参数之间无相关性(p>0.05)。尽管 BMI 对 BMD 有积极影响,但微量元素和脂质(除 Zn 和 TG 外)并没有直接和相关地影响 BMD。需要进一步的研究来阐明微量元素和脂质参数在绝经后骨质疏松症中的作用和关系。

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