维生素D与骨质疏松症的相关性

Sander Kola, I. Kola, Kristina Gjoka, AnxhelaGjini
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引用次数: 0

摘要

骨质疏松症是一种骨代谢疾病,其特点是骨密度无声和进行性降低,随后有骨折的危险,对患者来说可能是致命的。导致本病的原因有内源性和外源性,但主要与维生素D水平下降有关。目的:我们的研究是对骨质疏松症和维生素D对骨质疏松症的影响进行更全面的回顾和介绍。材料与方法:是对发表在PubMed, Medline, WebMD上的关于维生素D及其与骨质疏松症相关性的研究的文献综述,维生素D是骨质疏松症诊断和分析中广泛应用的重要指标。引用的科学研究强调了通过双能x射线(DEXA)骨密度扫描诊断骨质疏松症的有效性,它提供了迄今为止最准确的骨密度评估。根据“国际骨质疏松基金会”对欧盟国家、瑞士、英国进行的统计,2019年50岁以上骨质疏松症患者的估计人数为3200万,其中女性2550万,男性650万,由此得出女性更容易患骨质疏松症的结论。除了骨质疏松症的诊断外,在所引用的研究中,维生素D水平的作用及其与骨质疏松症的对应关系非常重要。在Michael Holick的一项研究中维生素D缺乏症。维生素D缺乏的定义是25(OH)D浓度低于10ng/mL和不足20- 30ng /mL。最后,关于维生素D缺乏的骨质疏松症的治疗和建议已经细化到补充饮食、双膦酸盐治疗甚至激素替代疗法。结论:25- oh -维生素D是维持维生素D状态所必需的。为了防止骨质疏松症的快速发展,需要立即注意的因素,如饮食、生活方式和通过DEXA进行早期诊断,是优先考虑的,特别是在高危患者中。
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Correlation of vitamin D with osteoporosis
Introduction: Osteoporosis is a disease of bone metabolism, which is characterized by the silent and progressive reduction of bone density and is followed by a risk for fractures that can be fatal to the patient. The causes leading to this disease are endogenous and exogenous, but it is mainly related to the decrease in vitamin D level. Aim: Our study is the review and presentation of a more complete picture regarding osteoporosis and the effect of vitamin D on osteoporosis. Material and Method: Is a literary review of studies published in PubMed, Medline, WebMD, on the topic of vitamin D and its correlation with osteoporosis, an essential indicator with a wide range of applications in diagnosis and analysis of this illness. The scientific studies referenced, highlight the effectiveness of diagnosing osteoporosis through a bone density scan with a dual energy X-ray (DEXA), which provides the most accurate assessment to date on bone density. According to ‘International Osteoporosis Foundation’ statistics conducted for EU countries, Switzerland, UK the estimated number of individuals with osteoporosis above 50 years old in 2019 was 32 million, from which 25.5 million were of the gender female and 6.5 millionmale, deriving the conclusion that females are more prone to osteoporosis. Apart from diagnosis of osteoporosis,in the studies referenced,of great importance is the role of vitamin D levels and its correspondence with osteoporosis. In a study by Michael Holick Vitamin D deficiency. N Engl J Med. a vitamin D deficiency is defined by concentration of 25(OH)D less than 10ng/mL and an insufficiency of 20-30 ng/mL. At last, treatments and recommendations for osteoporosis regarding vitamin D deficiency have elaborated to supplementary diets, bisphosphonates treatments and even hormone replacement therapy. Conclusion: 25-OH-Vitamin D is essential for vitamin D status. To prevent the rapid progress of osteoporosis, factors that need immediate attention such as diet, lifestyle and an early diagnosis through DEXA are to be a priority, especially in risk patients.
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