Effect of long-term proton pump inhibitors on phosphocalcium metabolism and bone mineral density.

IF 2.4 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Future Science OA Pub Date : 2024-05-24 eCollection Date: 2024-01-01 DOI:10.2144/fsoa-2023-0198
Hend Smaoui, Lassaad Chtourou, Dana Jallouli, Samar Ben Jemaa, Iheb Karaa, Mouna Boudabbous, Manel Moalla, Hela Gdoura, Leila Mnif, Ali Amouri, Rim Akrout, Fatma Ayadi, Sofien Baklouti, Nabil Tahri
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引用次数: 0

Abstract

Aim: Although Proton pump inhibitors (PPIs) are well-tolerated, their long-term use may be associated with decreased bone mass. Methods: This is a case-control study including patients treated with PPIs (>1 year) and control subjects who have not received PPIs treatment. Results: A total of 90 patients and 90 matched controls were included. PPIs use was associated with hypocalcemia and hypomagnesemia. Vitamin D3 deficiency and hyperparathyroidism were associated with PPIs use. Long-term PPIs use was significantly associated with decreased bone density. Risk factors of decreased bone mineral density (BMD) included age >50 years, menopause, lack of sun exposure, double PPIs dose, daily intake, post-meal intake and association with a mucoprotective agent. Conclusion: Our results highlight the risk of decreased BMD in patients on long-term PPIs treatment.

长期服用质子泵抑制剂对磷钙代谢和骨矿物质密度的影响
目的:虽然质子泵抑制剂(PPIs)的耐受性良好,但长期使用可能会导致骨量下降。研究方法这是一项病例对照研究,包括接受过 PPIs 治疗(1 年以上)的患者和未接受过 PPIs 治疗的对照组。结果共纳入 90 名患者和 90 名匹配的对照组。使用 PPIs 与低钙血症和低镁血症有关。维生素 D3 缺乏症和甲状旁腺功能亢进症与服用 PPIs 有关。长期服用 PPIs 与骨密度降低有显著相关性。骨矿物质密度(BMD)降低的风险因素包括年龄大于 50 岁、绝经、缺乏日光照射、双倍 PPIs 剂量、每日摄入量、餐后摄入量以及与粘液保护剂有关。结论我们的研究结果凸显了长期服用 PPIs 患者骨密度降低的风险。
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来源期刊
Future Science OA
Future Science OA MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
5.00
自引率
4.00%
发文量
48
审稿时长
13 weeks
期刊介绍: Future Science OA is an online, open access, peer-reviewed title from the Future Science Group. The journal covers research and discussion related to advances in biotechnology, medicine and health. The journal embraces the importance of publishing all good-quality research with the potential to further the progress of research in these fields. All original research articles will be considered that are within the journal''s scope, and have been conducted with scientific rigour and research integrity. The journal also features review articles, editorials and perspectives, providing readers with a leading source of commentary and analysis. Submissions of the following article types will be considered: -Research articles -Preliminary communications -Short communications -Methodologies -Trial design articles -Trial results (including early-phase and negative studies) -Reviews -Perspectives -Commentaries
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