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苏州地区老年人疾病史与骨质疏松的相关性研究 被引量:4
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作者 朱文杰 雷署丰 《中国骨质疏松杂志》 CAS CSCD 北大核心 2019年第6期847-851,857,共6页
目的通过流行病学调查苏州市社区老年人疾病史与骨质疏松的相关性。方法采用现场问卷调查了解受试者的基本资料(包括性别、年龄、身高、体重)及疾病史(包括高血脂及用药、胃/十二指肠切除、甲亢/甲低、肾功能不全、贫血、恶性肿瘤、皮... 目的通过流行病学调查苏州市社区老年人疾病史与骨质疏松的相关性。方法采用现场问卷调查了解受试者的基本资料(包括性别、年龄、身高、体重)及疾病史(包括高血脂及用药、胃/十二指肠切除、甲亢/甲低、肾功能不全、贫血、恶性肿瘤、皮质激素使用和其他疾病),并用双能X线骨密度仪(Hologic Wi)测量5 527例大于65岁老年人群的髋部、腰椎和股骨颈骨密度(bone mineral density,BMD)T值,然后以骨密度T值为因变量进行一元回归分析及全子集回归变量选择,并使用广义线性回归模型基于Elastic Net进行多元因变量选择。结果切除胃/十二指肠、其他骨科疾病及是否服用降血脂药纳入以髋部骨密度T值为因变量的最优模型(调整的判定系数最优)。高血脂、甲亢/甲低、肾功能不全、贫血纳入以腰椎BMD T值为因变量的最优模型(调整的判定系数最优);切除胃/十二指肠、肾功能不全、贫血纳入以股骨颈骨密度T值为因变量的最优模型(调整的判定系数最优);Elastic Net变量筛选,提示高血脂、长期服用降血脂药、切除胃/十二指肠、肾功能不全、贫血、恶性肿瘤、长期服用皮质激素及其他骨科疾病与骨密度T值具有相关性,短期服用皮质激素与骨密度T值没有相关性。结论在老年群体中,多种疾病的病史与骨质疏松密切相关,提示患有所列疾病的65岁以上老年人需定期进行BMD测量和疾病筛查,以有效预防骨质疏松的发生。 展开更多
关键词 老年人 骨质疏松 骨密度 疾病史 流行病学
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Integrative Analysis Confirmed the Association between Osteoprotegerin and Osteoporosis 被引量:1
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作者 唐惠 朱晓炜 +3 位作者 武龙飞 莫兴波 邓飞艳 雷署丰 《Chinese Medical Sciences Journal》 CAS CSCD 2019年第2期147-156,共10页
Objective This study aimed to verify the association between osteoprotegerin gene (OPG) and its variants with osteoporosis (OP) by performing integrative analysis.Methods We used the KGG software to perform gene-based... Objective This study aimed to verify the association between osteoprotegerin gene (OPG) and its variants with osteoporosis (OP) by performing integrative analysis.Methods We used the KGG software to perform gene-based association analysis,which integrated all publicly available single-nucleotide polymorphism (SNP)-based P values and obtained an overall P value for the OPG.The significant SNPs were screened for expression quantitative trait loci (eQTLs).Meta-analysis was used to combine the associations between the variants of OPG and bone mineral density (BMD) reported in the literatures.Then we performed dual-luciferase reporter gene systems for the functional verification of the variants of OPG in vitro.Results In the gene-based association analysis,the over all P value of OPG was 6.24×10^-13 for BMD at femoral neck (FN) and 7.37×10^-17 for BMD at lumbar spine (LS),indicating the importance of OPG for OP.The publicly available eQTL database identified 5 eQTLs which exert cis-regulation effects on OPG at FN and LS.Literature searching found that rs2073617 (known as T950C) was the hot spot SNP.There were 13 relevant studies on rs2073617 besides the GEFOS-2 study identified from the PubMed.Significant differences among TT,TC and CC genotypes at FN (P= 0.047) and LS (P= 0.025) were shown by meta-analysis,demonstrating the associations between T950C polymorphism and BMD.Luciferase gene expression was significantly higher at the presence of allele C than allele T in the 293T cells (t=-9.47,P<0.01).Conclusion The integrative analysis further confirmed the importance of OPG in OP and the correlation of T950C polymorphism with BMD of OP.The strategy can be used as a reference for functional interpretation of other disease-related genes. 展开更多
关键词 OSTEOPROTEGERIN OSTEOPOROSIS single-nucleotide POLYMORPHISM INTEGRATIVE analysis
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