Predicting the effectiveness of hormone replacement therapy in postmenopausal osteoporotic changes correction


Cite item

Abstract

The paper presents a model for predicting the protective efficacy of hormone replacement therapy (HRT) on the basis of a comprehensive evaluation of mineral density and metabolic activity of bone tissue. A positive correlation between the ratio of the differential rates of accumulation, representing the ratio between the standardized rates of accumulation of the lumbar vertebrae and femoral neck, and increase bone mineral density (BMD) of the lumbar vertebrae (L2-L4) using HRT. Determined inverse relationship between the initial level of the BMD and its growth against the backdrop of 12 months of use of HRT drugs. Established predictive model will allow a reasonably prescribe HRT that will enhance the efficiency of correction postmenopausal osteoporotic changes and reduce the side effects associated with the use of this group of drugs.

About the authors

I S Zakharov

Kemerovo State Medical Academy of the Ministry of Health of the Russian Federation

Email: isza@mail.ru
канд. мед. наук, доц. каф. акушерства и гинекологии №1 ГБОУ ВПО КемГМА 650056, Russian Federation, Kemerovo, ul. Voroshilova, d. 22a

G I Kolpinskiy

Kemerovo State Medical Academy of the Ministry of Health of the Russian Federation

д-р мед. наук, проф. каф. лучевой диагностики, лучевой терапии и онкологии ГБОУ ВПО КемГМА 650056, Russian Federation, Kemerovo, ul. Voroshilova, d. 22a

G A Ushakova

Kemerovo State Medical Academy of the Ministry of Health of the Russian Federation

д-р мед. наук, проф., зав. каф. акушерства и гинекологии №1 ГБОУ ВПО КемГМА 650056, Russian Federation, Kemerovo, ul. Voroshilova, d. 22a

References

  1. Albright F, Smith P.H, Richardson A.M. Postmenopausal osteoporosis. JAMA 1941; 116: 2465-74.
  2. North American Menopause Society. Management of Osteoporosis in Postmenopausal Women: 2010 Position Statement of The North American Menopause Society. Menopause 2010; 17 (1): 25-54.
  3. Wells G, Tugwell P, Shea B et al. Meta - analysis of the efficacy of hormone replacement therapy in treating and preventing osteoporosis in postmenopausal women. Endocrine Rev 2002; 23 (4): 529-39.
  4. Медицина климактерия. Под ред. В.П.Сметник. Ярославль: Литера, 2006.
  5. Захаров И.С., Колпинский Г.И., Ушакова Г.А., Вавин Г.В. Биохимические маркеры в диагностике нарушений ремоделирования костной ткани при остеопорозе. Вестн. Авиценны. 2013; (4): 119-23.
  6. Kanishi D. 99mTc-MDP accumulation mechanisms in bone. Oral Surg. Oral Med Oral Pathol 1993; 75 (2): 239-46.
  7. Халафян А.А. Математическая статистика с элементами теории вероятностей для медиков и биологов. М.: Бином, 2010.
  8. Свешников А.А., Астапенков Д.С. Пороговые величины минеральной плотности костей скелета и частота переломов. Гений Ортопедии. 2010; (2): 85-90.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2015 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).