دورية أكاديمية
Long-term outcomes of conventional and novel steroid replacement therapy on bone health in primary adrenal insufficiency
العنوان: | Long-term outcomes of conventional and novel steroid replacement therapy on bone health in primary adrenal insufficiency |
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المؤلفون: | Valentina Guarnotta, Claudia Di Stefano, Carla Giordano |
المصدر: | Scientific Reports, Vol 12, Iss 1, Pp 1-9 (2022) |
بيانات النشر: | Nature Portfolio, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Medicine LCC:Science |
مصطلحات موضوعية: | Medicine, Science |
الوصف: | Abstract Steroids affect bone health causing osteoporosis and fractures. The study aims to compare dual-release hydrocortisone (DR-HC) and conventional steroids on bone metabolism in patients with primary adrenal insufficiency (PAI). Thirty-five patients with PAI on conventional steroids (group A) and 35 patients switched to DR-HC (group B), consecutively referred at our hospital, were evaluated at baseline and after 18, 36 and 60 months of treatment. After 60 months of follow-up, patients in group A had a significant increase in body mass index (p = 0.004) and waist circumference (WC) (p = 0.026) and a significant decrease in osteocalcin (p = 0.002), bone alkaline phosphatase (p = 0.029), lumbar spine bone mass density (BMD) T and Z scores (p |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2045-2322 |
العلاقة: | https://doaj.org/toc/2045-2322Test |
DOI: | 10.1038/s41598-022-13506-5 |
الوصول الحر: | https://doaj.org/article/eb9e5ea5fa1947ec896bf7940e4c58e2Test |
رقم الانضمام: | edsdoj.b9e5ea5fa1947ec896bf7940e4c58e2 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20452322 |
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DOI: | 10.1038/s41598-022-13506-5 |