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Pregnancy-related bone mineral and microarchitecture changes in women aged 30–45 years

Journal of Bone and Mineral Research Mar 12, 2020

Breasail MÓ, et al. - Utilizing peripheral quantitative computed tomography (pQCT) and high-resolution pQCT (HR-pQCT) techniques between the early second (14-16 weeks) and the third trimester (34-36 weeks) in UK women aged 30-45 years, researchers sought to quantify the extent of pregnancy-induced changes in compartmental (trabecular and cortical) volumetric BMD (vBMD) and bone mineral microarchitecture. According to findings, pregnancy-related reductions in total and compartment-specific vBMD at distal tibia surpass age-related change. Changes at the radius were only apparent with pQCT at the cortical-rich proximal site and indicate endosteal resorption. Although the magnitude of these pregnancy-related changes in the appendicular skeleton is minimal, if they represent global changes across the skeleton at large they may contribute substantially to the Ca requirements of the fetus.
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