Bone Health and Associated Metabolic Complications in Neuromuscular Diseases

被引:29
作者
Joyce, Nanette C. [1 ]
Hache, Lauren P. [2 ]
Clemens, Paula R. [3 ,4 ]
机构
[1] Univ Calif Davis, Dept Rehabil Med, Sacramento, CA 95817 USA
[2] Childrens Natl Med Ctr, Ctr Genet Med, Washington, DC 20010 USA
[3] Univ Pittsburgh, Dept Neurol, Pittsburgh, PA 15213 USA
[4] Dept Vet Affairs Med Ctr, Neurol Serv, Pittsburgh, PA 15240 USA
基金
美国国家卫生研究院;
关键词
Neuromuscular disease; Bone density; Vitamin D; Glucocorticoids; Scoliosis; SPINAL MUSCULAR-ATROPHY; AMYOTROPHIC-LATERAL-SCLEROSIS; VITAMIN-D SUPPLEMENTATION; NECROSIS-FACTOR RECEPTOR; MINERAL DENSITY; NATURAL-HISTORY; PARATHYROID-HORMONE; GLUCOCORTICOID ACTION; OSTEOCLAST DIFFERENTIATION; VERTEBRAL COMPRESSION;
D O I
10.1016/j.pmr.2012.08.005
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
This article reviews the recent literature regarding bone health as it relates to the patient living with neuromuscular disease (NMD). Studies defining the scope of bone-related disease in NMD are scant. The available evidence is discussed, focusing on abnormal calcium metabolism, increased fracture risk, and the prevalence of both scoliosis and hypovitaminosis D in Duchenne muscular dystrophy, amyotrophic lateral sclerosis, and spinal muscular atrophy. Future directions are discussed, including the urgent need for studies both to determine the nature and extent of poor bone health, and to evaluate the therapeutic effect of available osteoporosis treatments in patients with NMD.
引用
收藏
页码:773 / +
页数:28
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