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儿童骨量:2至20岁人群的正常值

Bone mass in children: normative values for the 2-20-year-old population.

作者信息

Zanchetta J R, Plotkin H, Alvarez Filgueira M L

机构信息

Clinical Research Department, Instituto de Investigaciones Metabólicas, Buenos Aires, Argentina.

出版信息

Bone. 1995 Apr;16(4 Suppl):393S-399S. doi: 10.1016/8756-3282(95)00082-o.

DOI:10.1016/8756-3282(95)00082-o
PMID:7626329
Abstract

Normative values for bone mass were assessed for whole body bone mineral content (WBBMC), anterior-posterior and lateral lumbar spine, radius, femoral neck, trochanter, and Ward's triangle bone mineral density in 778 healthy children and adolescents (433 females and 345 males) from 2-20 years of age from Argentina. Bone mineral content was assessed by dual energy X-ray absorptiometry (DEXA) (Norland XR-26 HS with dynamic filtration). All subjects were Caucasian. WBBMC maximum mean value for girls was found to be in the 16-year-old group with difference between gender becoming significant in the 17-year-old (p < 0.05) group. The femoral neck, trochanter, and Ward's triangle BMD values in females increased until 14 years of age, with no significant difference between age groups older than 13. In males, no difference between age groups was seen in groups older than 16 years of age. The radius BMD showed a mild increment through infancy and adolescence in boys and girls. In lumbar spine, the gender differences were significant only in those groups over 16 years old, with boys showing a greater BMD than girls (p < 0.001). When Tanner stage was considered, the anova analysis showed in males that there were significant differences between stages (1-2, 2-3, and 4-5 (p < 0.01), but no differences between stages 3-4 for all the sites. In females, there were significant differences between stages 1-2 and 2-3 (p < 0.01), but not between stages 3-4 and 4-5 for WBBMC, FNBMD and LSBMD.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对来自阿根廷的778名2至20岁健康儿童和青少年(433名女性和345名男性)的全身骨矿物质含量(WBBMC)、腰椎前后位和侧位、桡骨、股骨颈、大转子以及沃德三角骨矿物质密度的骨量规范值进行了评估。采用双能X线吸收法(DEXA)(配备动态过滤的Norland XR - 26 HS)评估骨矿物质含量。所有受试者均为白种人。发现女孩的WBBMC最高平均值出现在16岁组,17岁组性别差异显著(p < 0.05)。女性的股骨颈、大转子和沃德三角骨密度值在14岁前增加,13岁以上各年龄组之间无显著差异。男性16岁以上各年龄组之间未见差异。男孩和女孩的桡骨骨密度在婴儿期和青春期有轻度增加。在腰椎,仅16岁以上组性别差异显著,男孩的骨密度高于女孩(p < 0.001)。考虑坦纳分期时,方差分析显示男性各分期(1 - 2、2 - 3和4 - 5,p < 0.01)之间存在显著差异,但所有部位3 - 4期之间无差异。女性1 - 2期和2 - 3期之间存在显著差异(p < 0.01),但WBBMC、股骨颈骨密度和腰椎骨密度的3 - 4期与4 - 5期之间无差异。(摘要截短至250字)

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