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Treatment of a major depression episode suppresses markers of bone turnover in premenopausal women.

Abstract：

UNLABELLED:Both decrease in bone mineral density and increase in bone turnover had been reported in patients with major depression compared to healthy controls. But the effect of antidepressant treatment on markers of bone turnover is not studied. The aim of this study was to investigate the effect of treatment of a major depressive episode with an SSRI antidepressant on bone turnover in premenopausal women. METHODS:Fifty premenopausal female patients with newly diagnosed major depression according to DSM IV-R criteria were included into the study. Before starting antidepressant therapy (escitalopram 10 mg/day) and three months later, blood samples were collected for the measurement of serum calcium, phosphorus, osteocalcin, β-CTX and iPTH. Depressive status was determined with Hamilton Depression Scale. RESULTS:Treatment of depression did not create any change in laboratory levels of either calcium or phosphorus. Basal iPTH level was significantly decreased with the treatment. Treatment resulted in an increase in serum osteocalcin and decrease in β-CTX levels. HAMD score was significantly correlated with both osteocalcin and β-CTX. The decrease in β-CTX and increase in osteocalcin levels were more prominent in patients with a HAMD score that remained below 15 than above 15 at the end of the study period. In conclusion, this study shows that with the treatment of depression bone formation increases and bone resorption decreases in premenopausal women with major depression.

journal_name

J Psychiatr Res

journal_title

Journal of psychiatric research

authors

Aydin H,Mutlu N,Akbas NB

doi

10.1016/j.jpsychires.2011.04.005

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1316-20

issue

10

eissn

0022-3956

issn

1879-1379

pii

S0022-3956(11)00072-0

journal_volume

45

pub_type

杂志文章

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