糖尿病与脆性骨折

被引:26
作者
徐琳
金晖
孙子林
机构
[1] 东南大学临床医学院
关键词
糖尿病; 骨质疏松; 脆性骨折; 胰岛素; IGF-1;
D O I
暂无
中图分类号
R587.1 [糖尿病]; R683 [骨折、骨的损伤];
学科分类号
摘要
糖尿病和骨质疏松症的发病率在世界范围内普遍升高。骨质疏松症的原因是多种多样的。1型和2型糖尿病发生骨质疏松的原因也不尽相同。无论是1型还是2型糖尿病,都易导致脆性骨折的发生。尤其在老年2型糖尿病人群中,髋部骨折的发生率最高。使用PPARγ激动剂治疗2型糖尿病亦会增加骨折的风险。笔者将从糖尿病引起骨质疏松及骨折的原因及病理生理机制等方面进行阐述。
引用
收藏
页码:382 / 385
页数:4
相关论文
共 9 条
  • [1] Endocrine regulation of energy metabolism by the skeleton
    Lee, Na Kyung
    Sowa, Hideaki
    Hinoi, Eiichi
    Ferron, Mathieu
    Ahn, Jong Deok
    Confavreux, Cyrille
    Dacquin, Romain
    Mee, Patrick J.
    Mckee, Marc D.
    Jung, Dae Young
    Zhang, Zhiyou
    Kim, Jason K.
    Mauvais-Jarvis, Franck
    Ducy, Patricia
    Karsenty, Gerard
    [J]. CELL, 2007, 130 (03) : 456 - 469
  • [2] Discrepancies in bone mineral density and fracture risk in patients with type 1 and type 2 diabetes - a meta-analysis
    Vestergaard, P.
    [J]. OSTEOPOROSIS INTERNATIONAL, 2007, 18 (04) : 427 - 444
  • [3] Transgenic mice with osteoblast-targeted insulin-like growth factor-I show increased bone remodeling
    Jiang, Jin
    Lichtler, Alexander C.
    Gronowicz, Gloria A.
    Adams, Douglas J.
    Clark, Stephen H.
    Rosen, Clifford J.
    Kream, Barbara E.
    [J]. BONE, 2006, 39 (03) : 494 - 504
  • [4] The role of insulin in chondrogenesis[J] . Chanika Phornphutkul,Ke-Ying Wu,Philip A. Gruppuso.Molecular and Cellular Endocrinology . 2006 (1)
  • [5] Osteoporosis and diabetes mellitus
    Inzerillo, AM
    Epstein, S
    [J]. REVIEWS IN ENDOCRINE & METABOLIC DISORDERS, 2004, 5 (03) : 261 - 268
  • [6] Amylin fasting plasma levels are decreased in patients with osteoporosis
    Bronsky, J
    Prusa, R
    [J]. OSTEOPOROSIS INTERNATIONAL, 2004, 15 (03) : 243 - 247
  • [7] Lovastatin inhibits adipogenic and stimulates osteogenic differentiation by suppressing PPARγ2 and increasing Cbfa1/Runx2 expression in bone marrow mesenchymal cell cultures
    Li, XD
    Cui, QJ
    Kao, CH
    Wang, GJ
    Balian, G
    [J]. BONE, 2003, 33 (04) : 652 - 659
  • [8] Diagnosis of osteoporosis and assessment of fracture risk
    Kanis, JA
    [J]. LANCET, 2002, 359 (9321) : 1929 - 1936
  • [9] Bone metabolism in type 2 diabetes mellitus[J] . G.C. Isaia,P. Ardissone,M. Di Stefano,D. Ferrari,V. Martina,M. Porta,M. Tagliabue,G.M. Molinatti.Acta Diabetologica . 1999 (1-2)