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特定胶原肽可改善绝经后妇女的骨密度和骨标志物:一项随机对照研究。

Specific Collagen Peptides Improve Bone Mineral Density and Bone Markers in Postmenopausal Women-A Randomized Controlled Study.

机构信息

Department for Nutrition, Institute for Sports and Sports Science, University of Freiburg, Schwarzwaldstr. 175, 79117 Freiburg, Germany.

CRI, Collagen Research Institute GmbH, Schauenburgerstr. 116, 24118 Kiel, Germany.

出版信息

Nutrients. 2018 Jan 16;10(1):97. doi: 10.3390/nu10010097.

Abstract

Investigations in rodents as well as in vitro experiments have suggested an anabolic influence of specific collagen peptides (SCP) on bone formation and bone mineral density (BMD). The goal of the study was to investigate the effect of 12-month daily oral administration of 5 g SCP vs. placebo (CG: control group) on BMD in postmenopausal women with primary, age-related reduction in BMD. 131 women were enrolled in this randomized, placebo-controlled double-blinded investigation. The primary endpoint was the change in BMD of the femoral neck and the spine after 12 months. In addition, plasma levels of bone markers-amino-terminal propeptide of type I collagen (P1NP) and C-telopeptide of type I collagen (CTX 1)-were analysed. A total of 102 women completed the study, but all subjects were included in the intention-to-treat (ITT) analysis (age 64.3 ± 7.2 years; Body Mass Index, BMI 23.6 ± 3.6 kg/m²; T-score spine -2.4 ± 0.6; T-score femoral neck -1.4 ± 0.5). In the SCP group ( = 66), BMD of the spine and of the femoral neck increased significantly compared to the control group ( = 65) (T-score spine: SCP +0.1 ± 0.26; CG -0.03 ± 0.18; ANCOVA = 0.030; T-score femoral neck: SCP +0.09 ± 0.24; CG -0.01 ± 0.19; ANCOVA = 0.003). P1NP increased significantly in the SCP group ( = 0.007), whereas CTX 1 increased significantly in the control group ( = 0.011). These data demonstrate that the intake of SCP increased BMD in postmenopausal women with primary, age-related reduction of BMD. In addition, SCP supplementation was associated with a favorable shift in bone markers, indicating increased bone formation and reduced bone degradation.

摘要

研究表明,特定胶原蛋白肽(SCP)对骨骼形成和骨密度(BMD)具有合成代谢作用,这种作用在啮齿动物和体外实验中都得到了证实。本研究的目的是探讨 12 个月每日口服 5 克 SCP 与安慰剂(CG:对照组)对原发性、年龄相关 BMD 降低的绝经后妇女 BMD 的影响。共有 131 名妇女参加了这项随机、安慰剂对照、双盲研究。主要终点是 12 个月后股骨颈和脊柱的 BMD 变化。此外,还分析了骨标志物-Ⅰ型胶原氨基端前肽(P1NP)和Ⅰ型胶原 C 端肽(CTX 1)的血浆水平。共有 102 名妇女完成了研究,但所有受试者均纳入意向治疗(ITT)分析(年龄 64.3 ± 7.2 岁;体重指数,BMI 23.6 ± 3.6 kg/m²;脊柱 T 评分-2.4 ± 0.6;股骨颈 T 评分-1.4 ± 0.5)。在 SCP 组(n = 66)中,与对照组(n = 65)相比,脊柱和股骨颈的 BMD 显著增加(脊柱 T 评分:SCP +0.1 ± 0.26;CG -0.03 ± 0.18;协方差分析 = 0.030;股骨颈 T 评分:SCP +0.09 ± 0.24;CG -0.01 ± 0.19;协方差分析 = 0.003)。SCP 组中 P1NP 显著增加( = 0.007),而对照组中 CTX 1 显著增加( = 0.011)。这些数据表明,SCP 的摄入增加了原发性、年龄相关 BMD 降低的绝经后妇女的 BMD。此外,SCP 补充与骨标志物的有利变化相关,表明骨形成增加和骨降解减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6892/5793325/0e347f8700b5/nutrients-10-00097-g001.jpg

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