Wei C, Yonemitsu H, Shibayama H, Ueda A
Kumamoto Kinoh Hospital, Japan.
Nihon Eiseigaku Zasshi. 1997 Jan;51(4):742-8. doi: 10.1265/jjh.51.742.
To investigate bone mineral distribution in humans, the authors conducted a cross-sectional survey of, and performed bone-density measurements on, 1,310 healthy Japanese ranging in age 5 to 85 years. Eight hundred fifty-eight of the subjects were female, and 452 were male. Arm, leg, and spine bone mineral content (BMC) and bone mineral density (BMD) were assessed by dual-energy X-ray absorptiometry (DXA), and the subjects were divided into 5-year age groups. BMD showed increases with skeletal growth until reaching a peak at 15 to 19 years in females, and 25 to 29 for males. For both sexes the fastest growth to maturity in terms of bone mass values was in the late 20s. Females, though, had higher arm, leg, and spine remodeling rates than males. In premenopausal women no changes in arm, leg or spine BMC and BMD were observed. Postmenopausal women showed an overall reduction in bone mass, most noticeably in the spine. After menopause, women had about 10 years of accelerated loss (1.46%/year). Vertebral BMD values were similar for men and women (1.10 +/- 0.20g/cm2 for males vs. 1.09 +/- 0.14g/cm2 for females, p > 0.05). BMC values were significantly higher in males, and males at all times had a higher arm and leg BMD. There were no significant value differences in either sex for left and right leg BMC and BMD; however, from the age of 15, right arm values were significantly higher likely due to right handedness. For both sexes the order of BMC and BMD was leg, spine, and arm.
为了研究人类的骨矿物质分布情况,作者对1310名年龄在5至85岁之间的健康日本人进行了横断面调查,并对他们进行了骨密度测量。其中858名受试者为女性,452名为男性。通过双能X线吸收法(DXA)评估手臂、腿部和脊柱的骨矿物质含量(BMC)和骨矿物质密度(BMD),并将受试者分为5岁年龄组。女性的BMD随着骨骼生长而增加,直到15至19岁达到峰值,男性则在25至29岁达到峰值。就骨量值而言,两性在20多岁后期成熟时的生长速度最快。不过,女性手臂、腿部和脊柱的重塑率高于男性。绝经前女性的手臂、腿部或脊柱BMC和BMD没有变化。绝经后女性的骨量总体减少,最明显的是在脊柱。绝经后,女性有大约10年的加速骨量流失期(每年1.46%)。男性和女性的椎体BMD值相似(男性为1.10±0.20g/cm²,女性为1.09±0.14g/cm²,p>0.05)。男性的BMC值显著更高,并且男性在任何时候的手臂和腿部BMD都更高。两性的左右腿BMC和BMD没有显著差异;然而,从15岁起,右臂的值显著更高,可能是由于惯用右手。对于两性来说,BMC和BMD的顺序都是腿部、脊柱和手臂。