頻繁な片頭痛を持つ女性における骨の状態の障害：血液および骨密度測定パラメータを用いた症例対照研究
Impaired bone status in high frequency episodic or chronic migraine women: A case-control study with blood and densitometric parameters.
Haro Marina, Muñoz-San Martín María, Gárate Gabriel, De La Guerra Lucia ほか — Cephalalgia : an international journal of headache
AI要約
頻繁な片頭痛を持つ女性は、そうでない女性に比べ骨の健康状態が悪いことが判明しました。彼女たちはビタミンDやカルシウムが低く、股関節の骨密度や骨の微細構造を示すスコアも低い傾向にありました。この骨の障害は若い女性にも見られ、運動不足や日光浴不足と関連しており、早期の骨評価と生活習慣改善が重要です。
AI生成の要約です — 原文を読む
Abstract（原文）
Background/AimMigraine and osteoporosis are highly prevalent in women and represent a substantial socio-health burden. We aimed to comprehensively assess bone status in women with frequent migraine.Patients and MethodsAdult women with high-frequency episodic migraine (HFEM) or chronic migraine (CM) were recruited and compared with age- and body mass index-matched female controls. Serum parameters of bone metabolism, including 25-hydroxyvitamin D (25[OH]D), calcium and parathyroid hormone (PTH), as well as bone turnover markers (procollagen type 1 N-terminal propeptide [P1NP] and C-terminal telopeptide of type I collagen [CTX]), were measured. Bone mineral density (BMD), T-scores and trabecular bone score (TBS) were assessed by dual-energy X-ray absorptiometry.ResultsA total of 108 women with CM/HFEM and 129 matched controls were included. Compared with controls, women with migraine had lower serum 25(OH)D and calcium levels (p ≤ 0.001) and higher adjusted CTX levels (p = 0.039). Densitometric assessment revealed significantly reduction in BMD at femoral neck (g/cm and T-score) and total hip (T-score) in the migraine group (p < 0.001). Lumbar TBS was also lower in CM/HFEM patients (p < 0.001). After multivariable adjustment, TBS remained independently associated with migraine status. These alterations remained in women with HFEM and in those younger than 50 years, and were associated with reduced physical activity and sun exposure.ConclusionsWomen with frequent migraine exhibit impaired bone health, characterized by alterations in bone mass and trabecular microarchitecture. TBS appears to be a sensitive marker of early skeletal involvement in this population. The presence of bone impairment in HFEM and in premenopausal women supports early assessment of bone status and reinforcement of lifestyle interventions, including adequate physical activity and sun exposure.
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骨を強くする食事と生活習慣――骨粗鬆症を予防する科学的アプローチ
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出典: PubMed (PMID: 42340335)。AI要約は情報提供のみを目的とし、医療的アドバイスを構成するものではありません。