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铜作为膳食补充剂对骨骼代谢的影响:综述。

Copper as Dietary Supplement for Bone Metabolism: A Review.

机构信息

IRCCS Mondino Foundation, 27100 Pavia, Italy.

Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy.

出版信息

Nutrients. 2021 Jun 29;13(7):2246. doi: 10.3390/nu13072246.

Abstract

While in vitro and animal studies of osteoblastic and osteoclastic activity as well as bone resistance for copper are numerous, and the results encouraging in terms of regulation, human studies are scarce. The aim of this narrative review was to investigate the correlation of blood copper, daily copper intake, and copper supplementation with bone mineral density. This review included 10 eligible studies: five studies concerned copper blood levels, one study concerned daily copper intake, and four studies concerned copper supplementation. Blood copper levels did not show statistically significant differences in four of the studies analyzed, while only one study showed differences between osteoporotic and healthy women, although only with women between 45 and 59 years of age and not between 60 and 80 years of age. The dietary copper intake among women with or without osteoporosis did not show any differences. Only one study with a small sample of subjects carried out these assessments; therefore, it is a topic that the literature must deepen with further studies. The two studies that analyzed the integration of copper (2.5-3 mg/day) only showed good results in terms of slowing down bone mineral loss and reducing resorption markers, confirming the effectiveness of copper supplementation on bone metabolism.

摘要

虽然关于成骨细胞和破骨细胞活性以及铜骨阻力的体外和动物研究很多,并且在调节方面的结果令人鼓舞,但人类研究却很少。本叙述性评论的目的是调查血液铜、每日铜摄入量和铜补充剂与骨矿物质密度之间的相关性。本综述包括 10 项符合条件的研究:5 项研究涉及铜的血液水平,1 项研究涉及每日铜摄入量,4 项研究涉及铜补充剂。在分析的四项研究中,有四项研究表明血液铜水平没有统计学上的显著差异,而只有一项研究显示骨质疏松症和健康女性之间存在差异,尽管只是针对 45 至 59 岁的女性,而不是 60 至 80 岁的女性。患有或不患有骨质疏松症的女性的膳食铜摄入量没有显示出任何差异。只有一项研究对少量的研究对象进行了这些评估,因此,这是一个文献必须通过进一步研究来深入探讨的课题。分析铜(2.5-3 毫克/天)整合的两项研究仅在减缓骨矿物质丢失和减少吸收标志物方面显示出良好的效果,证实了铜补充剂对骨代谢的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb5a/8308383/327acf33d384/nutrients-13-02246-g001.jpg

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