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1
題名:Correlations Among Serum Calcium, Vitamin D and Parathyroid Hormone Levels in the Elderly in Southern Taiwan    
南台灣老人血液中鈣與維他命D和副甲狀腺荷爾濃度之相關研究
著者:Wan-Ping Lee(李婉萍) ;Li-Wei Lin(林麗味) ;Shu-Hui Yeh(葉淑惠) ;Rosa Huang Liu(劉黃惠珠) ;Cheun-Fen Tseng(會雀芬)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:血鈣 ; 飮食攝取 ; 維他命D ; 副甲狀腺荷爾蒙 ; 老人 ; serum calcium ; dietary intake ; vitamin D ; parathyroid hormone ; the elderly
刊名:The Journal of Nursing Research
卷期:10卷1期(2002.3)
頁碼:65-72
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

本描述相關性研究的主要目的在探討南台灣老人血液中維他命D、相關荷爾蒙的濃度及飮食的相關性; 57位居住在屏東縣的家中,沒有代謝性疾病,也未服用影響維他命D代謝藥物的65歲以上老人參與本研究。參與者的基本特性、過去病史、藥物使用情形及飮攝取情形以結構式問卷收集。並測量其血液中25羥基維他命D、副甲狀腺荷爾蒙及鈣濃度。結果顯示個案血液中25羥基維他命D、副甲狀腺荷爾蒙及血鈣平均濃度都沒有偏低。血液中25羥基維他命D平均深度為36.21(± 6.37) ng/ml、副甲狀腺茶爾蒙濃度爲29.24(± 18.62) pg/ml、血鈣濃度9.14(± 0.52) mg/dl。男女個案的25羥基維他命D平均濃度並無顯著地差異,但女性個案的副甲狀腺荷爾蒙濃度(33.42 ± 20.00pg/mg)顯著地比男性個案(23.07 ± 14.66pg/ml)高(r=-.33),但與25羥基維他命D濃度無顯著的負相關(r=-.21)。較高鈣的飮食攝取與血鈣濃度成正相關(r=.29, p<.05),但與25羥基維他命D濃度無顯著相關。這些研究結果顯示我陽光的屏東地區老人的25羥基維他命D濃度沒有不正常。但研究卻發現女性老人有較高血中副甲狀腺荷爾蒙濃度,而且副甲狀腺荷爾蒙濃度與血鈣成負相關,此現象是否與骨質疏鬆感受性有關,值得進一步研究是否透過生態環境、飮食、與骨骼新陳代謝的護理指導,可以避免老年人股骨骨折及其跟隨長其行動不良的併發症。
This study correlates serum vitamin D levels to related hormones and dietary intakes among 57 elderly Chinese above the age of 65 who were living in the same community in rural Southern Taiwan (Pingtung) and who had no conditions or drug intake known to interfere with the metabolism of vitamin D. Demographic characteristics, past medical history, medications, and dietary intake were collected via questionnaires. Venous blood samples were collected for analyses of serum 25-hydroxyvitamin D (25(OH) D, parathyroid hormone (PTH) and calcium levels. Our results showed subjects in this study to have normal mean values of serum 25(OH) D, PTH and calcium levels. The mean serum 25(OH) D level was 36.21 (±6.37) ng/ml, the mean serum PTH level 29.24 (±18.62) pg/ml and the mean serum calcium level 9.14 (±0.52) mg/dl. While the mean serum 25(OH) D and calcium values were not found to be significantly different between men and women, the mean serum PTFI level was significantly higher in women (33.42±20.00 pg/mi) than in men (23.07±14.66 pg/ml) (p<.05) and serum PTH levels were significantly negatively correlated to serum calcium (r=-.33, p<.05) but not 25(OH) D (r=-.21). A higher intake of calcium was significantly associated with higher serum calcium levels (r=.29, p<.05), but not with serum 25(OH) D levels. Results from this study suggested that the elderly people living in Pingtung, a particularly sunny region, had normal serum 25(OH) D levels. The fact that the elderly women studied had higher serum PTH levels and that these levels were negatively correlated to serum calcium levels suggests that a higher PTH level in the elderly women may be related to susceptibility for osteoporosis. In an effort to provide optimal nursing care for the elderly by minimizing hip fractures and related morbidity, further nursing studies are needed to study the effects of the environment, dietary intake and bone metabolism.


    

本卷期目次
The Journal of Nursing Research 10卷1期 (2002.3)
A Preliminary Psychosocial Study of Parkinson’s Patients After Fetal Tissue Transplantation/ Fu-In TangShuh-Jen SheuChing-Huey ChenYun WangShinn-Zong Lin
Relationship Between Attendance at Breakfast and School Achievement Among Nursing Students/ Yu-Chen FuJenny C.Liao
Effects of Systematic Nursing Instruction of Mothers on Using Medication and on Health Status of Asthmatic Children/ Chao-Chia HungYueh-Chih ChenHsin-Chun MaoBor-Luen Chiang
Perception of Risk by Home Health Care Nurses in Taiwan/ Hsiao-Ti ChenI-Chuan Li
Parenting Stress and Parents’ Willingness to Accept Treatment in Relation to Behavioral Problems of Children With Attention-Deficit Hyperactive Disorder/ Yu-Fang LinHsin-Hsin Chung
Promoting Physical Activity Among Taiwanese and American Adolescents/ Tsu-Yin WuNola PenDerKe-Ping Yang
Correlations Among Serum Calcium, Vitamin D and Parathyroid Hormone Levels in the Elderly in Southern Taiwan/ Wan-Ping LeeLi-Wei LinShu-Hui YehRosa Huang LiuCheun-Fen Tseng
The Correlation Between Perceptions of Control and Hope Status in Home-based Cancer Patients/ Li-Chun ChangI-Chuan Li
 
   
 
   

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