Department of Mechanical Engineering, University of Colorado Denver, Denver, CO, USA.
Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Curr Osteoporos Rep. 2023 Feb;21(1):77-84. doi: 10.1007/s11914-022-00765-4. Epub 2022 Dec 21.
Obesity is highly prevalent and is associated with bone fragility and fracture. The changing nutrient availability to bone in obesity is an important facet of bone health. The goal of this article is to summarize current knowledge on the effects of carbohydrate and dietary fat availability on bone, particularly in the context of other tissues.
The skeleton is a primary site for fatty acid and glucose uptake. The trafficking of carbohydrates and fats into tissues changes with weight loss and periods of weight gain. Exercise acutely influences nutrient uptake into bone and may affect nutrient partitioning to bone. Bone cells secrete hormones that signal to the brain and other tissues information about its energetic state, which may alter whole-body nutrient trafficking. There is a critical need for studies to address the changes that metabolic perturbations have on nutrient availability in bone.
肥胖症的患病率极高,与骨脆弱和骨折有关。肥胖症中改变的骨骼营养可用性是骨骼健康的一个重要方面。本文的目的是总结目前关于碳水化合物和膳食脂肪对骨骼的影响的知识,特别是在其他组织的背景下。
骨骼是脂肪酸和葡萄糖摄取的主要部位。随着体重减轻和体重增加期的变化,碳水化合物和脂肪在组织中的运输也会发生变化。运动可急性影响营养物质进入骨骼的摄取,并可能影响营养物质向骨骼的分配。骨细胞分泌激素,向大脑和其他组织发出关于其能量状态的信号,这可能改变全身营养物质的运输。迫切需要研究代谢紊乱对骨骼营养可用性的影响。