Journal of Advances in Medical and Biomedical Research، جلد ۲۳، شماره ۹۶، صفحات ۱-۱۰

عنوان فارسی تاثیر ویتامین C بر تراکم استخوان زنان یائسه (یک کارآزمایی بالینی)
چکیده فارسی مقاله چکیده زمینه و هدف: کاهش تراکم و پوکی استخوان اپیدمی خاموش عصر حاضراست. سازمان بهداشت جهانی، سال 1999 آن را همراه با سرطان، سکته قلبی و مغزی به عنوان چهارمین دشمن بشر اعلام نمود. مطالعهی حاضر با هدف تعیین اثر ویتامین C بر تراکم استخوان زنان یائسه با رژیم متعادل انجام شد. روش بررسی: این مطالعه یک کارآزمایی بالینی تصادفی است، که در آن 150 نفر از زنان یائسه مبتلا به پوکی استخوان باروش نمونه گیری مبتنی بر هدف انتخاب شدند. افراد با استفاده از طرح بلوک تصادفی در گروه دریافت ویتامین C و دارو نماقرار گرفتند. بعداز یکسان سازی گروهها، بهمدت 6 ماه گروه آزمایش روزانه 1000 میلیگرم ویتامین C در دو دوز و گروه کنترل، دارونما با همان روش دریافت نمودند. بعد 6 ماه مجددا از زنان سنجش تراکم استخوان بعمل آمد و نتایج با استفاده از آزمونهای تی جفتی و مستقل و آنالیز واریانس و نرمافزار SPSS16 تجزیه و تحلیل و سطح معنیداری 5 درصد درنظر گرفته شد. یافتهها: با مقایسه میانگین شاخص تراکم سر استخوان ران بین دو گروه (آزمون تی مستقل) و درون گروهها (آزمون تی جفتی) در قبل و بعد مداخله ارتباط معنیدار آماری دیده نشد (05/0P>). بامقایسه شاخص تراکم استخوان مهرهها در هر گروه، تغییرات قبل و بعد از مداخله (گروه آزمایش 001/0P = , 05/0± 02/0) (گروه کنترل 001/0P< , 04/0±02/0) معنیدار شد. با استفاده از آزمون تی مستقل قبل و بعد از مداخله بین دو گروه اختلاف معنیداری (مقدار احتمال بهترتیب 541/0P= قبل مداخله و 499/0 P=بعد مداخله) وجود نداشت. نتیجهگیری: توصیه به مصرف آنتی اکسیدانتها که میتواند در پیشگیری و درمان پوکی استخوان موثر باشد، را باید مورد توجه قرارداد.
کلیدواژه‌های فارسی مقاله

عنوان انگلیسی The Effect of Vitamin C on Bone Mineral Density (A Randomized Clinical Trial)
چکیده انگلیسی مقاله Background and Objective: The decline of bone mineral density (BMD) and prevalence of osteoporosis is a silent epidemic of the century. World Health Organization announced osteoporosis following cancer, heart attack and cerebral stroke as the fourth human enemy. The objective of the current study was to estimate the effect of vitamin C on BMD in menopausal women with balanced diet. Materials and Methods: The study was a randomized clinical trial in which 150 postmenopausal women with osteoporosis were chosen based on convenience purposive sampling method. Using a randomized block design, subjects were divided into two groups: one group received vitamin C and the other group received placebo. After homogenizing groups, the experimental group was given vitamin C 1000 mg daily in two doses for 6 months and the control group received a placebo with the same method. After 6 months, bone densitometry was done and the results were analyzed using independent and paired t-tests and ANOVA. SPSS16 software was used to analyze the collected data. Significant level of 5% was considered. Results: Comparison of index mean of femoral BMD in two groups (independent t-test) and inside the groups (paired t-test) did not show any significant difference before and after the treatment (p>0.05). Comparison of the index mean of BMD in vertebral bones of trial and control groups (using independent t-test), did not show any significant difference before and after the treatment (P= 0.541 and P= 0.499, respectively) but intra groups results (using paired t-test), indicated a significant difference both in the test group (p=0.001) and in the control (p=0.001). Conclusion: Consumption of antioxidants can be effective for prevention and treatment of osteoporosis. References 1- Parsay S, Rezasoltani P. Child and woman health. Tehran: sanjesh 2007. [persian] 2- Gibs R, Karlan B, Haney A, Nygard I, Valadan M. Danforth, s obstetric and gynecology. Tehran: arjomand 2008. [persian] 3- Gordon JD. Handbook for clinical gynaecology and endocrinology and fertility. Tehran: Abasaleh 2002. [persian] 4- Masse PG, Jougleux JL, Dosy J, Caissie M. Enhancement of calcium/vitamin d supplement efficacy by administering concomitantly three key nutrients essential to bone collagen matrix for the treatment of osteopenia in middle-aged women: a one-year follow-up. J Clin Biochem Nutr. 2010 46: 20-29. 5- Andre A, Krikes K, Loskalz V, Reesi M, Ghaziani M, Khavaran K. Principle of internal medicine cecil.muscle and eskeletal disease. 6 ed. Tehran: teymoorzade 2004. 6- Taheri P. Woman in GP: muscle and skeletal and bedsore disease. 2011 [cited 2011 17 Jun] Available from: URL: http://www.asmehriz.org. 7- Azargashsab A, Shafee F. Principle and health service. 1 ed. Tehran: Ladan 1993. [persian] 8- Kanis JA, Melton LJ, Christiansen C, Johnston CC, Khaltaev N. The diagnosis of osteoporosis. J Bone Miner Res. 1994 9: 1137-41. 9- Derakhshan S, Salehi R, Rashadmanesh N. Osteopenia and their related factors in post-menopausal women referring to Kurdistan densitometry center. Sci J Kurdistan Univ Med Sci. 2006 11: 59-67. [persian] 10- Mazhari Z. Men in GP: osteoporosis,silent epidemi of century. 2011 [cited 2011 30oct] Available from: http:www.salamat news.com. 11- Rasooli F, Hajamiri P, Mahmoodi MS. Assessment of the application for preventive factors of osteoporosis in menopausalwomen referred to the health care centers in Tehran university of medical science. J Hayat. 2001 24: 4-11.[persian] 12- Zolfghari M, Taghizadeh Z, Maghbooli Z, Keshtkar A, Kazemnezhad A, Larijani B. Incident of fracture of hip osteoporotic in 3 years follow up in comprehensive project for prevent, diagnosis and treatment osteoporosis in country. J Public Health. 2005 6: 37-42. [persian] 13- Adibi H, Ebrahimof S, Mortaz S, Salehomom G, Arzaghi M, Hoseini S. Fruit and vegetable intake and bone mineral density in resident of village surrounding tehran. J Public Health. 2004 2: 49-56. [persian] 14- Soltani A, haleghnezhad N, Pazhuhi M, Hamidi Z, Hosein nezhad A, B. L. Preferred skeletal site for osteoporosis screening in high risk population. J Puplic Health. 2006 9: 863-71. [persian] 15- Lanham-New SA. Fruit and vegetables: the unexpected natural answer to the question of osteoporosis prevention? Am J Clin Nutr. 2006 83: 1254-5. 16- Adams G. Grew ford hambelen D, outline of orthopedics. 13th ed: churchil livingstone 2001. [persian] 17- Salehi M. Summery of nutrition science and health. 3th ed. Tehran: pazhooheshgarane nashre daneshgahi 2009. [persian]. 18- Salehi M, Elhami M. Humanity health, the health rescue. 1ed. Tehran: puplished pazhooheshgarane nashre daneshgahi 2010. [persian] 19- Hamidi M, Boucher BA, Cheung AM, Beyene J, Shah PS. Fruit and vegetable intake and bone health in women aged 45 years and over: a systematic review. Osteoporos Int. 2011 22: 1618-93. 20- Salehi M. Nutrition and Health extract. Tehran: puplished pazhooheshgarane nashre daneshgahi 2010.[persian] 21- Chuin A, Labonte M, Tessier D, et al. Effect of antioxidants combined to resistance training on BMD in elderly women: a pilot study. Osteoporos Int. 2009 20: 1253-8. 22- Lewiecki EM. Clinical application of bone density testing for osteoporosis. Minerva. 2005 96: 317-30. 23- Salamat MR. Precision of bone mineral measurement by dual energy x-ray absorptiometry, 29 th European symposium on calcified tissues. 25-29 May 2002 Zagreb Croatia. 24- Braunwald E,Fauci A.Harrison,s principles of internal medicine.17th ed. New York: Mc Graw-Hill 2009: 2226-36. 25- Ruiz-Ramos M, Vargas LA, Fortoul V, Cervantes-Sandoval A, Mendoza-Nunez VM. Supplementation of ascorbic acid and alpha-tocopherol is useful to preventing bone loss linked to oxidative stress in elderly. J Nutr Health Aging. 2010 14: 467-72. 26- Sahni S, Hannan MT, Gagnon D, et al. High vitamin C intake is associated with lower 4-year bone loss in elderly men. J Nutr. 2008 138: 1931-8. 27- Rivas A, Romero A, Mariscal-Arcas M, et al. Association between dietary antioxidant quality score (DAQs) and bone mineral density in Spanish women. Nutr Hosp. 2012 27: 1886-93. 28- Wolf RL, Cauley JA, Pettinger M, et al. Lack of a relation between vitamin andmineral antioxidants and bone mineral density: results from the women’s health initiative. Am J Clin Nutr. 2005 82: 581-88. 29- Sugiura M, Nakamura M, Ogawa K, et al. Dietary patterns of antioxidant vitamin and carotenoid intake associated with bone mineral density: findings from post-menopausal Japanese female subjects. Osteoporos Int. 2011 22: 143-52. 30- Rath M, Pauling L. Immunological evidence for the accumulation of lipoprotein(a) in the atherosclerotic lesion of the hypoascorbemic guinea pig. Proceedings of the national academy of sciences of the united states of america. 87: 9388-90.
کلیدواژه‌های انگلیسی مقاله

نویسندگان مقاله اعظم جوکار | a jokar


فرزانه فراحی | f farahi


نسرین اسدی | n asadi


موسی صالحی | m salehi


محراب صیادی | m sayadi


صدقه فروهری | s foruhari



نشانی اینترنتی http://www.zums.ac.ir/journal/browse.php?a_code=A-10-4-838&slc_lang=fa&sid=fa
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده fa
موضوعات مقاله منتشر شده عمومی
نوع مقاله منتشر شده کاربردی
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات