中国骨质疏松杂志
中國骨質疏鬆雜誌
중국골질소송잡지
CHINESE JOURNAL OF OSTEOPOROSIS
2014年
7期
858-862
,共5页
张楠楠%谭亚荣%张姗姗%侯燕%范丽平%李敏
張楠楠%譚亞榮%張姍姍%侯燕%範麗平%李敏
장남남%담아영%장산산%후연%범려평%리민
酒精%骨质疏松%营养%骨骼激素%性激素%骨骼细胞%细胞内信号泵系统
酒精%骨質疏鬆%營養%骨骼激素%性激素%骨骼細胞%細胞內信號泵繫統
주정%골질소송%영양%골격격소%성격소%골격세포%세포내신호빙계통
Alcohol%Osteoporosis%Nutrition%Skeletal Hormone%Sex Hormone%Bone Cells%Cell signal pump system
长期过度饮酒可以导致机体的一系列改变,对于骨骼的健康也是不利的。酒精对于成人骨骼是不利的,能够抑制骨形成,相对增加骨吸收。酒精对于成长中的骨骼也是不利的,能够影响骨峰值,增加骨质疏松发病率,使骨质疏松发生提前。酒精对骨骼的影响主要通过酒精对于营养、骨骼激素、性激素、骨骼细胞、细胞内信号泵系统等作用影响骨骼健康。酒精导致低钙血症、低镁血症、血磷酸盐过多、活性维生素D水平减低;酒精使血中降钙素水平升高、甲状旁腺素水平减低或增高、皮质醇水平增高;酒精可使睾酮及雌激素减少;酒精使成骨细胞活性损伤,破骨细胞活性正常;酒精直接干预1型胰岛素样生长因子受体( IGF-IR)而影响骨形成。因此,酒精性骨病的典型特征是抑制骨形成而有相对于正常的骨吸收。
長期過度飲酒可以導緻機體的一繫列改變,對于骨骼的健康也是不利的。酒精對于成人骨骼是不利的,能夠抑製骨形成,相對增加骨吸收。酒精對于成長中的骨骼也是不利的,能夠影響骨峰值,增加骨質疏鬆髮病率,使骨質疏鬆髮生提前。酒精對骨骼的影響主要通過酒精對于營養、骨骼激素、性激素、骨骼細胞、細胞內信號泵繫統等作用影響骨骼健康。酒精導緻低鈣血癥、低鎂血癥、血燐痠鹽過多、活性維生素D水平減低;酒精使血中降鈣素水平升高、甲狀徬腺素水平減低或增高、皮質醇水平增高;酒精可使睪酮及雌激素減少;酒精使成骨細胞活性損傷,破骨細胞活性正常;酒精直接榦預1型胰島素樣生長因子受體( IGF-IR)而影響骨形成。因此,酒精性骨病的典型特徵是抑製骨形成而有相對于正常的骨吸收。
장기과도음주가이도치궤체적일계렬개변,대우골격적건강야시불리적。주정대우성인골격시불리적,능구억제골형성,상대증가골흡수。주정대우성장중적골격야시불리적,능구영향골봉치,증가골질소송발병솔,사골질소송발생제전。주정대골격적영향주요통과주정대우영양、골격격소、성격소、골격세포、세포내신호빙계통등작용영향골격건강。주정도치저개혈증、저미혈증、혈린산염과다、활성유생소D수평감저;주정사혈중강개소수평승고、갑상방선소수평감저혹증고、피질순수평증고;주정가사고동급자격소감소;주정사성골세포활성손상,파골세포활성정상;주정직접간예1형이도소양생장인자수체( IGF-IR)이영향골형성。인차,주정성골병적전형특정시억제골형성이유상대우정상적골흡수。
The long-term excessive drinking can lead to a series of changes in the body, is unfavorable for bone health.Alcohol is bad for the adult skeletal, to inhibit bone formation, increased bone resorption.Alcohol for the growth of bone is bad, can affect the peak bone mass, increase the prevalence of osteoporosis.The effects of alcohol on bone mainly through alcohol for the role of nutrition, hormone, sex hormone, bone cells, intracellular signal pump system affects bone health.Specific performance in alcohol induced hypomagnesemia, hypocalcemia, hyperphosphatemia, active vitamin D level decreased;alcohol makes calcitonin levels in blood increased, decreased or increased levels of parathyroid hormone, cortisol level increased; alcohol can make testosterone and estrogen decrease;alcohol makes the activity of osteoblasts injury, the activity of osteoclasts normal; alcohol directly intervene in the type 1 insulin-like growth factor receptor ( IGF-IR) and the effect of bone formation.Therefore, the typical characteristics of alcoholic bone is impaired bone formation and bone resorption relative to normal.