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绝经前女性桡骨远端的微观结构和有限元骨应变与特定部位的机械负荷及骨面积密度有关。

Distal radius microstructure and finite element bone strain are related to site-specific mechanical loading and areal bone mineral density in premenopausal women.

作者信息

Mancuso Megan E, Johnson Joshua E, Ahmed Sabahat S, Butler Tiffiny A, Troy Karen L

机构信息

Department of Biomedical Engineering, Worcester Polytechnic Institute, 100 Institute Road, Worcester, MA 01609, United States.

出版信息

Bone Rep. 2018 Apr 14;8:187-194. doi: 10.1016/j.bonr.2018.04.001. eCollection 2018 Jun.

Abstract

While weight-bearing and resistive exercise modestly increases aBMD, the precise relationship between physical activity and bone microstructure, and strain in humans is not known. Previously, we established a voluntary upper-extremity loading model that assigns a person's target force based on their subject-specific, continuum FE-estimated radius bone strain. Here, our purpose was to quantify the inter-individual variability in radius microstructure and FE-estimated strain explained by site-specific mechanical loading history, and to determine whether variability in strain is captured by aBMD, a clinically relevant measure of bone density and fracture risk. Seventy-two women aged 21-40 were included in this cross-sectional analysis. High resolution peripheral quantitative computed tomography (HRpQCT) was used to measure macro- and micro-structure in the distal radius. Mean energy equivalent strain in the distal radius was calculated from continuum finite element models generated from clinical resolution CT images of the forearm. Areal BMD was used in a nonlinear regression model to predict FE strain. Hierarchical linear regression models were used to assess the predictive capability of intrinsic (age, height) and modifiable (body mass, grip strength, physical activity) predictors. Fifty-one percent of the variability in FE bone strain was explained by its relationship with aBMD, with higher density predicting lower strains. Age and height explained up to 31.6% of the variance in microstructural parameters. Body mass explained 9.1% and 10.0% of the variance in aBMD and bone strain, respectively, with higher body mass indicative of greater density. Overall, results suggest that meaningful differences in bone structure and strain can be predicted by subject characteristics.

摘要

虽然负重和抗阻运动适度增加了骨密度,但体力活动与人体骨微结构及应变之间的确切关系尚不清楚。此前,我们建立了一个自愿性上肢负荷模型,该模型根据个体特异性的、基于连续体有限元估计的桡骨应变来确定个体的目标力。在此,我们的目的是量化特定部位机械负荷历史所解释的桡骨微结构和有限元估计应变的个体间变异性,并确定应变变异性是否可由骨密度(一种临床上与骨密度和骨折风险相关的测量指标)来体现。72名年龄在21至40岁之间的女性纳入了本横断面分析。采用高分辨率外周定量计算机断层扫描(HRpQCT)测量桡骨远端的宏观和微观结构。桡骨远端的平均能量当量应变由前臂临床分辨率CT图像生成的连续体有限元模型计算得出。将面积骨密度用于非线性回归模型以预测有限元应变。采用分层线性回归模型评估内在因素(年龄、身高)和可改变因素(体重、握力、体力活动)预测指标的预测能力。有限元骨应变51%的变异性可由其与骨密度的关系来解释,密度越高,应变越低。年龄和身高分别解释了微观结构参数中高达31.6%的方差。体重分别解释了骨密度和骨应变中9.1%和10.0%的方差,体重越高表明密度越大。总体而言,结果表明可通过个体特征预测骨结构和应变的显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc4b/6021193/0d0fd0b49927/gr1.jpg

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