妊娠和哺乳期对骨骼和矿物质代谢的影响

Clinical calcium Pub Date : 2019-01-01 DOI:CliCa19013538
Masakazu Terauchi
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引用次数: 0

摘要

为了满足胎儿在妊娠晚期高达300~500 mg/天的钙需求,孕妇肠道钙吸收上调,而骨吸收没有相应的增加。相反,为了给新生儿提供210 mg/天的钙,低雌激素和高PTHrP导致催乳素分泌增加,导致母体骨骼中破骨细胞和骨细胞的骨吸收明显上调,而肠道钙吸收没有增加。母乳喂养的妇女在哺乳期3 ~ 6个月期间骨小梁丢失5~10%。
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[The effects of pregnancy and lactation on bone and mineral metabolism.]

To meet the fetus's calcium demand in the 3rd trimester as much as 300~500 mg/day, intestinal calcium absorption in pregnant women is upregulated, without comparable increase in bone resorption. On the contrary, to provide 210 mg/day of calcium for the neonate, bone resorption by osteoclasts and osteocytes is markedly upregulated in maternal skeleton caused by low estrogen and high PTHrP as a consequence of elevated prolactin production, without any increase in intestinal calcium absorption. Breastfeeding women lose 5~10%of trabecular bone during 3 to 6 months of lactation.

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