脂肪因子Omentin-1、脂联素与中老年女性骨密度相关性研究
Correlation between adipokines Omentin-1, adiponectin and bone mineral density in middle-aged women
  
DOI:10.3969/j.issn.1006.7108.2019.07.005
中文关键词:  脂肪因子  网膜素1(Omentin-1)  脂联素  骨密度  绝经后女性
英文关键词:adipokines  Omentin-1  adiponectin  bone density  postmenopausal women
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作者单位
陈丽华* 呂燕碧 邝雪辉 康玉闻 邓惠群 刘永裕 佛山市中医院骨科,广东 佛山 528000 
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中文摘要:
      目的 观察脂肪因子Omentin-1、脂联素与中老年女性骨密度之间的相关性。方法 选取2017年3月至2018年4月在佛山市中医院就诊的338名女性,按照绝经状态分为围绝经期/绝经期组(n=194)和绝经后组(n=124)。将参研人员年龄、体质量指数(bone mass index, BMI)、腰围、吸烟状况、身体活动、脂联素、Omentin-1和激素进行多变量调整(ANCOVA),用于研究其脂肪因子和骨密度(bone mineral density, BMD)之间的潜在关系。结果 与绝经后女性的腰椎BMD [(0.69±0.08) g/cm2]相比,围绝经期女性的腰椎BMD[(0.89±0.09) g/cm2]更高;在围绝经期/绝经期组女性中,脂联素和Omentin-1均与腰椎BMD无显著相关性(P>0.05);在绝经后组女性中,脂联素与腰椎BMD无相关性(P>0.05);而在绝经后组女性中,Omentin-1与腰椎BMD呈显著负相关 (P<0.05)。结论 绝经后女性的Omentin-1与腰椎BMD呈负相关。
英文摘要:
      Objective To observe the correlation between adipokines Omentin-1, adiponectin and bone mineral density in middle-aged women. Method 338 women who were admitted to our hospital from March 2017 to April 2018 were selected. According to the menopausal status, the menopausal/menopausal group (n=194) and the postmenopausal group (n=124) were divided. Multivariable-adjusted ANCOVA including age, BMI, waist circumference, smoking status, physical activity, adiponectin or Omentin-1 and hormone use was used to investigate potential relationships between the adipokines and BMD. Results Peri-/premenopausal women had higher BMD of lumbar vertebrae (0.89±0.09g/cm2), compared to postmenopausal women (0.69±0.08g/cm2) (P<0.05). In peri-/premenopausal women neither adiponectin nor Omentin-1 was significantly associated with BMD of lumbar vertebrae(P>0.05). In postmenopausal women, adiponectin was not associated with BMD of lumbar vertebrae(P>0.05). In postmenopausal women, Omentin-1 was significantly negatively correlated with lumbar spine BMD (P<0.05). Conclusion Our study provides evidence for circulating Omentin-1 levels have an inverse correlation with BMD at the lumbar spine in postmenopausal women.
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