Abstract:
BACKGROUND:The aim was to evaluate changes of bone mineral density (BMD) and markers of bone turnover in healthy adolescents, and in adolescent users of combined oral contraceptives (COCs) with different ethinylestradiol (EE) contents. METHODS:In this prospective crossover study, 56 healthy females (15-19.5 years) with desire to use hormonal contraception were randomized to COC with either 30 or 15 μg of EE in crossover design of 9-month intervention each in reverse order. Nonusers of the same age (n=28) served as controls. BMD at lumbar spine (LS), total femur, femoral neck, distal radius, and total body, and serum markers (N-propeptide of type I procollagen, and type I collagen C-telopeptide) were measured at baseline and after 9 and 18 months. RESULTS:In COC nonusers, BMD significantly increased at LS and radius, while markers decreased. In COC users, BMD did not increase, with the exception of LS BMD in the 30 μg COC group (P<0.05). In the crossover design, a difference between the low- and very low-dose COC users was found in LS BMD changes (P<0.05), where increase in BMD was more impaired in the 15 μg COC users. The skeletal effects of COC remained significant after adjustments for age and smoking status. Markers declined faster in COC users during the first period, while they remained stable or even increased during the second 9 months. CONCLUSION:Physiological acquisition of LS BMD during adolescent age may be prevented by use of COC, especially those containing very low dose of EE.
journal_name
Eur J Endocrinoljournal_title
European journal of endocrinologyauthors
Cibula D,Skrenkova J,Hill M,Stepan JJdoi
10.1530/EJE-11-1047subject
Has Abstractpub_date
2012-06-01 00:00:00pages
1003-11issue
6eissn
0804-4643issn
1479-683Xpii
EJE-11-1047journal_volume
166pub_type
杂志文章,随机对照试验abstract:UNLABELLED:To improve management of patients with Graves' orbitopathy, a multi-center collaborative approach is necessary in order to have large enough sample sizes for meaningful randomized clinical trials. This is hampered by a lack of consensus on how to investigate the eye condition. The European Group on Graves' O...
journal_title:European journal of endocrinology
pub_type: 杂志文章,多中心研究
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journal_title:European journal of endocrinology
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journal_title:European journal of endocrinology
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更新日期:2005-02-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-05-01 00:00:00
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更新日期:1994-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-05-01 00:00:00
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更新日期:2018-03-01 00:00:00