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[高自发性氟摄入受试者的骨量及葡萄糖稳态变化]

[Changes in bone mass and in glucose homeostasis in subjects with high spontaneous fluoride intake].

作者信息

de la Sota M, Puche R, Rigalli A, Fernández L M, Benassati S, Boland R

机构信息

Laboratorio de Biología Osea, Universidad Nacional de Rosario, Argentina.

出版信息

Medicina (B Aires). 1997;57(4):417-20.

PMID:9674263
Abstract

This paper reports metabolic data of 24 women and two men, 44-66 years old, ex-residents in an area of endemic fluorosis close to Bahía Blanca city. Fasting fluoremias of these subjects (0.5 to 9.2 microM) and daily urinary fluoride excretion (> 60 mumoles/day) are characteristics of zones with endemic fluorosis. Bone mineral density (BMD) at the lumbar spine (L2-4 1330 +/- 41 mg/cm2) and femoral neck (1045 +/- 10 mg/cm2) were significantly above average of normal subjects of the same age and sex. A significant correlation was observed between the daily excretion of fluoride and BMD L2-4 (r = 0.43, P < 0.05). The Area Under the Curve of insulin during a standard glucose tolerance test showed an inverse relationship with fluoremia. This observation coincides with experiments published elsewhere indicating that fluoride intake at concentrations 5 microM or greater, inhibits the secretion of insulin.

摘要

本文报告了24名女性和2名男性的代谢数据,这些人年龄在44至66岁之间,曾是布兰卡湾市附近地方性氟中毒地区的居民。这些受试者的空腹血氟水平(0.5至9.2微摩尔/升)和每日尿氟排泄量(>60微摩尔/天)是地方性氟中毒地区的特征。腰椎(L2 - 4,1330±41毫克/平方厘米)和股骨颈(1045±10毫克/平方厘米)的骨矿物质密度显著高于同年龄和性别的正常受试者平均水平。氟的每日排泄量与L2 - 4的骨矿物质密度之间存在显著相关性(r = 0.43,P < 0.05)。在标准葡萄糖耐量试验期间,胰岛素曲线下面积与血氟水平呈负相关。这一观察结果与其他地方发表的实验结果一致,表明氟摄入量达到5微摩尔/升或更高浓度时,会抑制胰岛素分泌。

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