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老年人皮质骨吸收率:骨骼中长期体内测量 (90)Sr 的估计值。

Cortical bone resorption rate in elderly persons: estimates from long-term in vivo measurements of (90)Sr in the skeleton.

机构信息

Urals Research Center for Radiation Medicine, Medgorodok, 454076 Chelyabinsk, Russian Federation.

出版信息

Arch Gerontol Geriatr. 2012 May-Jun;54(3):e411-8. doi: 10.1016/j.archger.2011.06.039. Epub 2011 Aug 25.

Abstract

The rate of cortical bone resorption was assessed from long-term in vivo measurements of (90)Sr content in the skeleton for men aged 50-80 years and for women 0-30 years after menopause. Measurements of (90)Sr were conducted with a whole body counter (WBC) for residents of the Techa Riverside communities (Southern Urals, Russia), who ingested large amounts of (90)Sr as a result of releases of liquid radioactive wastes into the river from the Mayak plutonium facility in early 1950s. The results of this study showed an increase in the rate of cortical bone resorption in both men and women, as based on the use of accidentally ingested (90)Sr as a tracer for bone metabolism. In men there was a continuous gradual increase in the rate of cortical bone resorption after 55 years from 2.8 to 4.5%/year by the age of 75 years. In women, there was a doubled increase in the rate of cortical bone resorption after menopause of up to 6%/year; then the rate remained unchanged for 10-12 years with a subsequent gradual decline down to 5-5.5%/year. Comparison of the rate of cortical bone resorption in men and women older than 55 years showed that women expressed significantly higher levels of cortical bone resorption.

摘要

骨皮质的骨吸收速率是通过对摄入大量(90)Sr 的 50-80 岁男性和绝经后 0-30 岁女性骨骼中(90)Sr 含量进行长期体内测量评估的。(90)Sr 的测量是使用全身计数器(WBC)对特查河沿岸社区(俄罗斯南部乌拉尔)的居民进行的,这些居民在 20 世纪 50 年代初,由于从马雅克钚设施向河流中排放液体放射性废物,摄入了大量的(90)Sr。这项研究的结果表明,基于意外摄入的(90)Sr 作为骨代谢示踪剂,男性和女性的骨皮质骨吸收速率都增加了。在男性中,55 岁以后,骨皮质骨吸收速率连续逐渐增加,到 75 岁时达到 2.8-4.5%/年。在女性中,绝经后骨皮质骨吸收速率增加了一倍,达到 6%/年;然后,在随后的 10-12 年内,该速率保持不变,随后逐渐下降至 5-5.5%/年。对 55 岁以上男性和女性的骨皮质骨吸收速率进行比较发现,女性的骨皮质骨吸收水平明显更高。

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