Bone Mineral Density and Bone Metabolism in Patients with Duchenne Muscular Dystrophy

Bone Mineral Density and Bone Metabolism in Patients with Duchenne Muscular Dystrophy


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نویسندگان: محمد برزگر , پری ناز حبیبی , شادی شیوا , ساناز طهماسبی

کلمات کلیدی: Duchene muscular dystrophy؛ Bone mineral density؛ Corticosteroid؛ Vitamin D؛ Osteoporosis

نشریه: 16536 , 1 , 12 , 2018

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نویسنده ثبت کننده مقاله محمد برزگر
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات سلامت کودکان
کد مقاله 62385
عنوان فارسی مقاله Bone Mineral Density and Bone Metabolism in Patients with Duchenne Muscular Dystrophy
عنوان لاتین مقاله Bone Mineral Density and Bone Metabolism in Patients with Duchenne Muscular Dystrophy
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت http://journals.sbmu.ac.ir/ijcn/article/view/2853

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Poor bone health with related morbidity is a major problem with Duchene Muscular Dystrophy (DMD). Decreased mobility and long-term corticosteroid therapy are involved in poor bone health in DMD. We investigated bone mineral density and bone metabolism in 30 steroid treated DMD patients and also compared mentioned factors between ambulated and non-ambulated patients. Materials & Methods In this cross-sectional study, 30 boys (21 patients ambulate and 9 non-ambulate) with documented DMD, according to genetic analysis, were enrolled in 2015. Demographic characteristics, neurologic exam findings, muscle function score, corticosteroid dose and duration and food frequency questionnaire were recorded. Bone mineral density was measured with dual- energy X-ray absorptiometry (DEXA) on lumbar spine and left proximal femur. Serum 25-hydroxyvitamin D, calcium, phosphorus and parathyroid hormone (PTH) levels were measured. Results Osteoporosis was found in 86.7% patients. Mean bone density in the lumbar spine was -1.5±0.24 and -1.4±0.27 in ambulates and non-ambulates respectively (P=0.7). Mean bone density at proximal femur was -3.4±0.2 in ambulates and -3.4±0.3 in non-ambulates (P =0.48). Intra-groups statistical analysis showed significant difference between bone mineral density at lumbar spine and proximal femur in both mentioned groups (P<0.05). Vitamin D deficiency was detected in 13 patients (43.3%) and its serum level was significantly lower in non-ambulates compared with ambulates. Conclusion Considering high prevalence of vitamin D deficiency and osteoporosis in DMD patients, it seems vitamin D supplementation can improve vitamin D status and osteoporosis in these patients, especially in non-ambulates.

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نویسنده نفر چندم مقاله
محمد برزگراول
پری ناز حبیبیسوم
شادی شیواچهارم
ساناز طهماسبیپنجم

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1-Dr.barzegar.Bone Mineral.pdf1396/12/02219261دانلود