慢性应激与高血压与骨吸收的关系。
Relationship of Chronic Stress and Hypertension with Bone Resorption.
作者信息
Paulini Marina Ribeiro, Aimone Mariangeles, Feldman Sara, Buchaim Daniela Vieira, Buchaim Rogerio Leone, Issa João Paulo Mardegan
机构信息
Department of Basic and Oral Biology, School of Dentistry of Ribeirão Preto, University of São Paulo (FORP-USP), Ribeirão Preto 14040-904, Brazil.
LABOATEM, Laboratory of Ostearticular Biology and Tissue Engineering, School of Medicine, Rosario S2002, Argentina.
出版信息
J Funct Morphol Kinesiol. 2025 Jan 4;10(1):21. doi: 10.3390/jfmk10010021.
Chronic exposure to stress has been considered a risk factor for hypertension, which is also associated with increased bone resorption. This review aimed to investigate the effect of acute and chronic stress, associated with hypertension, on the skeletal system. A comprehensive search was conducted across multiple databases, focusing on peer-reviewed articles published in English. We include experimental, clinical, and peer-reviewed studies focused on the relationship between stress, hypertension, and bone resorption. Searches were conducted in MEDLINE via PubMed, Embase and Scopus, with the last search completed on 10 September 2024. The main topics include situations that favor bone loss, such as psychological stress, which can lead to osteoporotic fractures through immunological and endocrine mechanisms. The relationship between psychological stress and loss of bone density, as in osteoporosis, occurs due to the reduction in the number of osteoblasts and loss in the balance between physiological formation/resorption. Chronic stress significantly affects cardiovascular health and bone resorption. This narrative review study highlights the vulnerability of the skeletal system, along with the cardiovascular system, to prolonged stress, emphasizing the need for multidisciplinary strategies in preventing stress-related conditions. Effective stress management can help reduce the risks of cardiovascular disease and bone resorption, emphasizing their role in comprehensive health care.
长期暴露于压力下被认为是高血压的一个风险因素,而高血压也与骨吸收增加有关。本综述旨在研究与高血压相关的急性和慢性压力对骨骼系统的影响。我们在多个数据库中进行了全面检索,重点关注以英文发表的同行评审文章。我们纳入了专注于压力、高血压和骨吸收之间关系的实验性、临床性和同行评审研究。检索在通过PubMed的MEDLINE、Embase和Scopus中进行,最后一次检索于2024年9月10日完成。主要主题包括有利于骨质流失的情况,如心理压力,其可通过免疫和内分泌机制导致骨质疏松性骨折。心理压力与骨密度降低之间的关系,如在骨质疏松症中,是由于成骨细胞数量减少以及生理形成/吸收平衡的丧失所致。慢性压力会显著影响心血管健康和骨吸收。这项叙述性综述研究强调了骨骼系统与心血管系统一样,对长期压力的脆弱性,强调了在预防与压力相关疾病方面采取多学科策略的必要性。有效的压力管理有助于降低心血管疾病和骨吸收的风险,凸显了它们在全面医疗保健中的作用。