Abstract:
:Vitamin D deficiency is common in the elderly, especially in the housebound and in geriatric patients. The establishment of strict diagnostic criteria is hampered by differences in assay methods for 25-hydroxyvitamin D. The synthesis of vitamin D3 in the skin under influence of UV light decreases with aging due to insufficient sunlight exposure, and a decreased functional capacity of the skin. The diet contains a minor part of the vitamin D requirement. Vitamin D deficiency in the elderly is less common in the United States than elsewhere due to the fortification of milk and use of supplements. Deficiency in vitamin D causes secondary hyperparathyroidism, high bone turnover, bone loss, mineralization defects, and hip and other fractures. Less certain consequences include myopathy and falls. A diet low in calcium may cause an increased turnover of vitamin D metabolites and thereby aggravate vitamin D deficiency. Prevention is feasible by UV light exposure, food fortification, and supplements. Vitamin D3 supplementation causes a decrease of the serum PTH concentration, a decrease of bone turnover, and an increase of bone mineral density. Vitamin D3 and calcium may decrease the incidence of hip and other peripheral fractures in nursing home residents. Vitamin D3 is recommended in housebound elderly, and it may be cost-effective in hip fracture prevention in selected risk groups.
journal_name
Endocr Revjournal_title
Endocrine reviewsauthors
Lips Pdoi
10.1210/edrv.22.4.0437subject
Has Abstractpub_date
2001-08-01 00:00:00pages
477-501issue
4eissn
0163-769Xissn
1945-7189journal_volume
22pub_type
杂志文章,评审abstract::The glycation gap (GGap) and the similar hemoglobin glycation index (HGI) define consistent differences between glycated hemoglobin and actual glycemia derived from fructosamine or mean blood glucose, respectively. Such a disparity may be found in a substantial proportion of people with diabetes, being >1 U of glycate...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2018-00284
更新日期:2019-08-01 00:00:00
abstract::In human beings, two forms of GnRH, termed GnRH-I and GnRH-II, encoded by separate genes have been identified. Although these hormones share comparable cDNA and genomic structures, their tissue distribution and regulation of gene expression are significantly dissimilar. The actions of GnRH are mediated by the GnRH rec...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2003-0039
更新日期:2005-04-01 00:00:00
abstract::The integrity of the Tg structure as a protein is essential for adequate synthesis of thyroid hormone. Also a large supply of iodine and of thyroid hormone is stored into the Tg molecule and available for secretion on demand. Mutations in Tg gene or hyposialylated Tg due to a defective sialyltransferase activity would...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/edrv-14-2-165
更新日期:1993-04-01 00:00:00
abstract::Immune checkpoints are small molecules expressed by immune cells that play critical roles in maintaining immune homeostasis. Targeting the immune checkpoints cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and programmed death 1 (PD-1) with inhibitory antibodies has demonstrated effective and durable antitumor ac...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2019-02-01 00:00:00
abstract::Insulin resistance is a major feature of most patients with type 2 diabetes mellitus (T2D). A number of laboratories have observed that PC-1 (membrane [corrected] glycoprotein plasma cell antigen 1; also termed [corrected] ectonucleotide pyrophosphatase phosphodiesterase 1 or ENPP1) [corrected] is either overexpressed...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2007-0004
更新日期:2008-02-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2003-12-01 00:00:00
abstract::Glucose-stimulated insulin secretion from the islet beta-cell involves a sequence of metabolic events and an interplay between a wide range of signaling pathways leading to the generation of second messengers (e.g., cyclic nucleotides, adenine and guanine nucleotides, soluble lipid messengers) and mobilization of calc...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2009-0022
更新日期:2010-02-01 00:00:00
abstract::Several components of the GH axis are involved in tumor progression, and GH-induced intracellular signaling has been strongly associated with breast cancer susceptibility in genome-wide association studies. In the general population, high IGF-I levels and low IGF-binding protein-3 levels within the normal range are as...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2019-04-01 00:00:00
abstract::Pregnancy dramatically affects the hypothalamic-pituitary-adrenal axis leading to increased circulating cortisol and ACTH levels during gestation, reaching values in the range seen in Cushing's syndrome (CS). The cause(s) of increased ACTH may include placental synthesis and release of biologically active CRH and ACTH...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2004-0025
更新日期:2005-10-01 00:00:00
abstract::Independently, endocrinology, radiology, and nuclear medicine can not optimally differentiate the etiology of the incidental adrenal mass. Rather, the insight necessary for this task must be contributed by all three disciplines. Incidentally discovered adrenal masses are being detected at an increasing rate. This tren...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/edrv-16-4-460
更新日期:1995-08-01 00:00:00
abstract::Polycystic ovary syndrome (PCOS) was hypothesized to result from functional ovarian hyperandrogenism (FOH) due to dysregulation of androgen secretion in 1989-1995. Subsequent studies have supported and amplified this hypothesis. When defined as otherwise unexplained hyperandrogenic oligoanovulation, two-thirds of PCOS...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2015-1104
更新日期:2016-10-01 00:00:00
abstract::The past few years have provided substantial evidence for the vital role of the local tumor microenvironment for various aspects of tumor progression. With obesity and its pathophysiological sequelae still on the rise, the adipocyte is increasingly moving center stage in the context of tumor stroma-related studies. To...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2010-0030
更新日期:2011-08-01 00:00:00
abstract::The ovary and uterus undergo extensive tissue remodeling throughout each reproductive cycle. This remodeling of the extracellular environment is dependent upon the cyclic hormonal changes associated with each estrous or menstrual cycle. In the ovary, tissue remodeling is requisite for growth and expansion of the folli...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2002-0005
更新日期:2003-08-01 00:00:00
abstract::The major goal of this review is to summarize recent exciting findings that have been published within the past 10 years that, to our knowledge, have not been presented in detail in previous reviews and that may impact altered follicular development in polycystic ovarian syndrome (PCOS) and premature ovarian failure i...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2017-00164
更新日期:2018-02-01 00:00:00
abstract::Normal reproductive function in mammals requires precise control of LH synthesis and secretion by gonadotropes of the anterior pituitary. Synthesis of LH requires expression of two genes [alpha-glycoprotein subunit (alphaGSU) and LHbeta] located on different chromosomes. Hormones from the hypothalamus and gonads modul...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2003-0029
更新日期:2004-08-01 00:00:00
abstract::Steroidogenesis entails processes by which cholesterol is converted to biologically active steroid hormones. Whereas most endocrine texts discuss adrenal, ovarian, testicular, placental, and other steroidogenic processes in a gland-specific fashion, steroidogenesis is better understood as a single process that is repe...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2010-0013
更新日期:2011-02-01 00:00:00
abstract::Rapid effects of steroid hormones result from the actions of specific receptors localized most often to the plasma membrane. Fast-acting membrane-initiated steroid signaling (MISS) leads to the modification of existing proteins and cell behaviors. Rapid steroid-triggered signaling through calcium, amine release, and k...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2007-0022
更新日期:2007-12-01 00:00:00
abstract::Loss of estrogens or androgens increases the rate of bone remodeling by removing restraining effects on osteoblastogenesis and osteoclastogenesis, and also causes a focal imbalance between resorption and formation by prolonging the lifespan of osteoclasts and shortening the lifespan of osteoblasts. Conversely, androge...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2003-0003
更新日期:2004-06-01 00:00:00
abstract::Teeth are mineralized organs composed of three unique hard tissues, enamel, dentin, and cementum, and supported by the surrounding alveolar bone. Although odontogenesis differs from osteogenesis in several respects, tooth mineralization is susceptible to similar developmental failures as bone. Here we discuss conditio...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2014-02-01 00:00:00
abstract::Natriuretic peptides are a family of structurally related but genetically distinct hormones/paracrine factors that regulate blood volume, blood pressure, ventricular hypertrophy, pulmonary hypertension, fat metabolism, and long bone growth. The mammalian members are atrial natriuretic peptide, B-type natriuretic pepti...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2006-02-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2012-08-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2005-12-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2008-06-01 00:00:00
abstract::There is a large body of literature showing that prolactin (PRL) exerts growth-promoting activities in breast cancer, and possibly in prostate cancer and prostate hyperplasia. In addition, increasing evidence argues for the involvement of locally produced (autocrine) PRL, perhaps even more than pituitary-secreted (end...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2005-05-01 00:00:00
abstract::The etiology of the AITDs remains unclear but it is now generally believed that both genetic and environmental factors contribute to their development. Some recent findings have begun to directly and indirectly implicate the possibility of infectious agents in the pathogenesis of AITD, and these data serve as the basi...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:1993-02-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/edrv.19.5.0349
更新日期:1998-10-01 00:00:00
abstract::In recent years, much interest has been devoted to defining the role of the IGF system in the nervous system. The ubiquitous IGFs, their cell membrane receptors, and their carrier binding proteins, the IGFBPs, are expressed early in the development of the nervous system and are therefore considered to play a key role ...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2004-0024
更新日期:2005-12-01 00:00:00
abstract::TRH is a tripeptide amide that functions as a neurotransmitter but also serves as a neurohormone that has a critical role in the central regulation of the hypothalamic-pituitary-thyroid axis. Hypophysiotropic TRH neurons involved in this neuroendocrine process are located in the hypothalamic paraventricular nucleus an...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2014-04-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:1994-08-01 00:00:00
abstract::To allow selection of embryos for transfer after in vitro fertilization, ovarian stimulation is usually carried out with exogenous gonadotropins. To compensate for changes induced by stimulation, GnRH analog cotreatment, oral contraceptive pretreatment, late follicular phase human chorionic gonadotropin, and luteal ph...
journal_title:Endocrine reviews
pub_type: 历史文章,杂志文章,评审
doi:10.1210/er.2005-0015
更新日期:2006-04-01 00:00:00