骨质疏松症的早期筛查和预防20151031概论.ppt

* * * * * 我们今天的内容包括以上4部分：骨转换标志物概况 骨转换标志物的疗效监测功能 骨转换标志物的鉴别诊断功能 正向的疗效反馈提高患者依从性 维生素D目前被熟识的是对骨骼健康的贡献 它能够维持正常血液钙与磷的浓度，增加小肠钙吸收，支持类骨质与其他维生素、激素与矿物质的矿化， * 维生素Ｄ还有很多新功能在逐渐被发掘，比如免疫调节作用，抑制血管生成， 增加心肌收缩力等 * * * * * /cgi/reprint/169/6/626 So how many of us are vitamin D insufficient? Is it one in three? Or, is it two in three? No, it’s more prominent than that. In the United States, more than 3 out of 4 adolescents and adults are Vitamin D insufficient. This data comes from the NHANES III study that collected data from over 13,000 people in 2001 to 2004. This study was careful not to collect data in the winter months in the Northern latitudes of the US – so the percentage is probably higher. This large sampling of the nation’s health also tells us that Vitamin D insufficiency is higher in Mexican Americans, with 90% being insufficiency and in Non-Hispanic blacks, with 97% having Vitamin D insufficiency. * * /cgi/reprint/169/6/626 So how many of us are vitamin D insufficient? Is it one in three? Or, is it two in three? No, it’s more prominent than that. In the United States, more than 3 out of 4 adolescents and adults are Vitamin D insufficient. This data comes from the NHANES III study that collected data from over 13,000 people in 2001 to 2004. This study was careful not to collect data in the winter months in the Northern latitudes of the US – so the percentage is probably higher. This large sampling of the nation’s health also tells us that Vitamin D insufficiency is higher in Mexican Americans, with 90% being insufficiency and in Non-Hispanic blacks, with 97% having Vitamin D insufficiency. * * 　需要人群： 　　1.住在都市的人，特别是浓烟污染的地域的人应该摄取更多的维生素D。 　　2.夜间工作者、修女，或者是因为服装、生活方式而不能充分得到阳光的人要特别注意在饮食中增加维生素D的摄取。 　　3.如果您正服用抗痉挛的药物，则必须增加对维生素D的摄取。 　　4.饮用未添加维生素D牛奶的小孩必须增加维生素D的摄取量。 　　5.皮肤颜色较黑且住在北方气候地域的人需要更多的维生素D。 * 因此，维生素D的缺乏会导致一系列骨骼和肌肉功能的失调，包括佝偻病、骨质疏松、继发性甲状旁腺功能亢进症等 * * Notizen * * Notizen * Notice * * * * 越来越多的科学证据表明：维生素D的缺乏与I型糖尿病的发病风险、多发性硬化症、类风湿性关节炎、高血压、心血管疾病、癌症等是相关的。 * Noti