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哺乳期骨矿物质流失的调节

Regulation of bone mineral loss during lactation.

作者信息

Brommage R, DeLuca H F

出版信息

Am J Physiol. 1985 Feb;248(2 Pt 1):E182-7. doi: 10.1152/ajpendo.1985.248.2.E182.

Abstract

The effects of varying dietary calcium and phosphorus content, vitamin D deficiency, oophorectomy, adrenalectomy, and simultaneous pregnancy on bone mineral loss during lactation were examined in rats. Unless otherwise stated, the diet contained 0.47% calcium and 0.3% phosphorus and the rats were given 26 nmol of vitamin D3. Femur ash weights were determined after 21 days of lactation and on age-matched nonlactating rats. Decreasing dietary calcium to 0.02% caused an increased loss of bone mineral, whereas increasing dietary calcium to 1.4% increased plasma calcium levels to 12 mg/100 ml but did not diminish the bone mineral loss observed during lactation. Varying dietary phosphorus did not have a major effect on bone mineral loss during lactation. In vitamin D-deficient rats, bone mineral loss during lactation was independent of dietary calcium levels and slightly greater than the loss observed in vitamin D-replete rats fed the normal calcium diet. Oophorectomy and adrenalectomy did not produce changes in femur ash weights of nonlactating rats or reduce bone mineral loss during lactation. Rats mated during their postpartum estrus and thus simultaneously pregnant and lactating, lost the same amount of bone mineral as caused by lactation alone.

摘要

研究了不同饮食钙磷含量、维生素D缺乏、卵巢切除、肾上腺切除以及同时怀孕对大鼠哺乳期骨矿物质流失的影响。除非另有说明,饮食中钙含量为0.47%,磷含量为0.3%,给大鼠注射26 nmol维生素D3。在哺乳期21天后以及与哺乳期大鼠年龄匹配的非哺乳期大鼠身上测定股骨骨灰重量。将饮食钙含量降至0.02%会导致骨矿物质流失增加,而将饮食钙含量增至1.4%会使血浆钙水平升至12 mg/100 ml,但不会减少哺乳期观察到的骨矿物质流失。改变饮食磷含量对哺乳期骨矿物质流失没有重大影响。在维生素D缺乏的大鼠中,哺乳期骨矿物质流失与饮食钙水平无关,且略高于喂食正常钙饮食的维生素D充足大鼠的流失量。卵巢切除和肾上腺切除并未使非哺乳期大鼠的股骨骨灰重量发生变化,也未减少哺乳期的骨矿物质流失。产后发情期交配从而同时怀孕和哺乳的大鼠,其骨矿物质流失量与仅由哺乳引起的流失量相同。

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