Vitamin D is suggested to have a role in the coupling of bone resorption and formation. Compared with women, men are believed to have more stable bone remodeling, and thus, are considered less susceptible to the seasonal variation of calcitropic hormones. We examined whether seasonal variation exists in calcitropic hormones, bone remodeling markers, and BMD in healthy men. Furthermore, we determined which vitamin D intake is required to prevent this variation. Subjects (N = 48) were healthy white men 21-49 yr of age from the Helsinki area with a mean habitual dietary intake of vitamin D of 6.6 +/- 5.1 (SD) microg/d. This was a 6-mo double-blinded vitamin D intervention study, in which subjects were allocated to three groups of 20 microg (800 IU), 10 microg (400 IU), or placebo. Fasting blood samplings were collected six times for analyses of serum (S-)25(OH)D, iPTH, bone-specific alkaline phosphatase (BALP), and TRACP. Radial volumetric BMD (vBMD) was measured at the beginning and end of the study with pQCT. Wintertime variation was noted in S-25(OH)D, S-PTH, and S-TRACP (p < 0.001, p = 0.012, and p < 0.05, respectively) but not in S-BALP or vBMD in the placebo group. Supplementation inhibited the winter elevation of PTH (p = 0.035), decreased the S-BALP concentration (p < 0.05), but benefited cortical BMD (p = 0.09) only slightly. Healthy men are exposed to wintertime decrease in vitamin D status that impacts PTH concentration. Vitamin D supplementation improved vitamin D status and inhibited the winter elevation of PTH and also decreased BALP concentration. The ratio of TRACP to BALP shows the coupling of bone remodeling in a robust way. A stable ratio was observed among those retaining a stable PTH throughout the study. A daily intake of vitamin D in the range of 17.5-20 microg (700-800 IU) seems to be required to prevent winter seasonal increases in PTH and maintain stable bone turnover in young, healthy white men.

译文

建议:维生素D在骨吸收和形成的耦合中起作用。与女性相比,男性被认为具有更稳定的骨骼重塑,因此被认为较不易受降钙激素的季节性变化的影响。我们检查了健康男性的降钙素激素,骨重塑标志物和BMD是否存在季节性变化。此外,我们确定了需要哪种维生素D摄入量才能防止这种变化。受试者(N = 48)是来自赫尔辛基地区的21-49岁健康白人,平均日常饮食中维生素D摄入量为6.6 /-5.1(SD)microg / d。这是一项为期6个月的双盲维生素D干预研究,其中将受试者分为三组,分别为20微克(800 IU),10微克(400 IU)或安慰剂。空腹抽血采样六次,用于分析血清(S-)25(OH)D,iPTH,骨特异性碱性磷酸酶(BALP)和TRACP。在研究开始和结束时用pQCT测量Rad骨BMD(vBMD)。在S-25(OH)D,S-PTH和S-TRACP中分别观察到冬季变化(分别为p <0.001,p = 0.012和p <0.05),而在安慰剂组中则没有。补充抑制了冬季PTH升高(p = 0.035),降低了S-BALP浓度(p <0.05),但仅使皮质BMD受益(p = 0.09)。健康的男人在冬季暴露于维生素D含量降低的状况中,这会影响PTH的浓度。补充维生素D改善了维生素D的状态,抑制了冬季PTH升高,并且还降低了BALP浓度。 TRACP与BALP的比率显示了骨骼重塑的耦合性很强。在整个研究过程中,在保持稳定PTH的人群中观察到了稳定的比率。似乎需要每天摄入17.5-20微克(700-800 IU)范围内的维生素D,以防止冬季PTH的季节性增加并保持年轻健康的白人男性的骨代谢稳定。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录