Менопаузальный остеопороз и витамин D

Кузнецова И.В.

ФГАОУ ВО Первый московский государственный медицинский университет им. И.М. Сеченова, Россия
Проведен систематический анализ данных, имеющихся в современной литературе, об участии витамина D в физиологии костного обмена, патогенезе остеопороза, и о возможностях терапии остеопороза активными метаболитами витамина D. Описаны механизмы участия витамина D в процессах костного метаболизма и кальциевого гомеостаза. Представлены эффекты витамина D в отношении соединительной и мышечной ткани. Показана роль его дефицита в патогенезе остеопороза и повышении риска низкотравматичных переломов. Приведены данные клинических исследований, подтверждающие возможность применения активных метаболитов витамина D с целью терапии остеопороза и профилактики низкотравматичных переломов. Применение активных метаболитов витамина D в виде монотерапии или в сочетании с антирезорбтивной терапией остеопороза является эффективной мерой профилактики низкотравматичных переломов и может назначаться при менопаузальном остеопорозе.

Ключевые слова

остеопороз
менопаузальный остеопороз
остеопоротические переломы
терапия остеопороза
профилактика падений
витамин D
активные метаболиты витамина D
альфакальцидол

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Поступила 08.06.2018

Принята в печать 22.06.2018

Об авторах / Для корреспонденции

Кузнецова Ирина Всеволодовна, д.м.н., профессор кафедры акушерства и гинекологии ФГАОУ ВО 1-й МГМУ им. И.М. Сеченова.
Телефон: 8 (499) 248-74-14. E-mail: ms.smith.ivk@gmail.com

Для цитирования: Кузнецова И.В. Менопаузальный остеопороз и витамин D. Акушерство и гинекология. 2018; 8: 41-7.
https://dx.doi.org/10.18565/aig.2018.8.41-47

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