Department of Bone Metabolism, Institute of Radiation Medicine, Fudan University, Shanghai, China.
Environ Toxicol Pharmacol. 2011 Jul;32(1):46-53. doi: 10.1016/j.etap.2011.03.007. Epub 2011 Mar 15.
Relationship between bone mineral density (BMD) and previous renal dysfunction caused by cadmium exposure was investigated. A total of 457 persons, living in polluted and control areas, were followed up in this study. The inhabitants living in exposure areas ceased ingesting cadmium-contaminated rice in 1996. Blood and urinary cadmium levels and BMD in 1998 and 2006 were measured. Urinary N-acetyl-β-d-glucosaminidase and albumin determined in 1998 and 2006 were used to evaluate kidney status. BMD of subjects with tubular damage was significant lower than those without damage in female (p < 0.05). The prevalence of osteoporosis was significantly different between those with and without kidney damage (p = 0.003, in total population; p = 0.039, in female) and those with and without tubular damage (p = 0.0005, in total population; p = 0.007, in female). The results suggested that BMD was correlated with previous kidney impairment caused by cadmium exposure, especially to tubular damage and especially for female.
本研究调查了骨密度(BMD)与镉暴露引起的既往肾功能障碍之间的关系。共有 457 名生活在污染区和对照区的人员参与了这项研究。居住在暴露区的居民自 1996 年起停止摄入镉污染的大米。1998 年和 2006 年测量了血液和尿液中的镉水平以及 BMD。1998 年和 2006 年测定的尿 N-乙酰-β-D-氨基葡萄糖苷酶和白蛋白用于评估肾脏状况。女性中,有肾小管损伤的受试者的 BMD 明显低于无损伤者(p < 0.05)。有和无肾脏损伤者(总人群中 p = 0.003;女性中 p = 0.039)以及有和无肾小管损伤者(总人群中 p = 0.0005;女性中 p = 0.007)之间的骨质疏松症患病率存在显著差异。结果表明,BMD 与镉暴露引起的既往肾脏损害有关,尤其是肾小管损伤,尤其是对女性而言。