{"id":12321,"date":"2025-03-19T10:01:14","date_gmt":"2025-03-19T09:01:14","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=12321"},"modified":"2025-07-14T20:07:23","modified_gmt":"2025-07-14T18:07:23","slug":"en-systematisk-gennemgang-og-metaanalyse-af-effekten-af-isoflavoner-formuleringer-mod-oestrogenmangel-i-knogleresorption-hos-peri-og-postmenopausale-kvinder","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/03\/19\/en-systematisk-gennemgang-og-metaanalyse-af-effekten-af-isoflavoner-formuleringer-mod-oestrogenmangel-i-knogleresorption-hos-peri-og-postmenopausale-kvinder\/","title":{"rendered":"En systematisk gennemgang og metaanalyse af effekten af isoflavoner formuleringer mod \u00f8strogenmangel i knogleresorption hos peri- og postmenopausale kvinder"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-12667\" src=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/03\/Resume-PHD-kvinde.png?resize=690%2C204&#038;quality=80&#038;ssl=1\" alt=\"\" width=\"690\" height=\"204\" srcset=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/03\/Resume-PHD-kvinde.png?w=690&amp;quality=80&amp;ssl=1 690w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/03\/Resume-PHD-kvinde.png?resize=300%2C89&amp;quality=80&amp;ssl=1 300w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/03\/Resume-PHD-kvinde.png?resize=600%2C177&amp;quality=80&amp;ssl=1 600w\" sizes=\"(max-width: 690px) 100vw, 690px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Lambert Max Norman Tandrup, Hu Lin Meng, Jeppesen Per Bendix.<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">A systematic review and meta-analysis of the effects of isoflavone formulations against estrogen-deficient bone resorption in peri- and postmenopausal women. Am J Clin Nutr 2017;106:801-11.<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">PMID: 28768649<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">DOI: <\/span><a class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"https:\/\/doi.org\/10.3945\/ajcn.116.151464\" target=\"_blank\" rel=\"noopener\">10.3945\/ajcn.116.151464<\/a><\/p>\n<p><a class=\"fasc-button fasc-size-medium fasc-type-flat fasc-rounded-medium\" style=\"background-color: #33809e; color: #ffffff;\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/03\/Resume-0825-Metaanalyse-isoflavoner.pdf\">Download som PDF<\/a><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Baggrund<br \/>\n<\/span><\/strong><span style=\"font-size: 16px;\">Aldersrelateret \u00f8strogenmangel f\u00f8rer til accelereret knogleresorption. Der er tegn p\u00e5, at isoflavoner gennem selektiv \u00f8strogenreceptor modulering kan ud\u00f8ve gavnlige virkninger mod \u00f8strogenmangel og knogletab. Isoflavon-aglykoner viser h\u00f8jere biotilg\u00e6ngelighed end deres glykosidiske modstykker og kan derfor have st\u00f8rre styrke.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">M\u00e5ls\u00e6tning<br \/>\n<\/span><\/strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">For at opsummere evidensen udf\u00f8rte vi en systematisk gennemgang og metaanalyse, der unders\u00f8gte isoflavon-behandlinger og tab af knoglemineralt\u00e6thed (BMD) hos peri- og postmenopausale kvinder.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Design<br \/>\n<\/span><\/strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Vi s\u00f8gte systematisk i EMBASE og PubMed efter randomiserede kontrollerede fors\u00f8g (RCT&#8217;er), der evaluerer isoflavon-behandlinger til behandling af BMD-tab ved l\u00e6ndehvirvels\u00f8jlen og l\u00e5rbenshalsen hos kvinder med \u00f8strogenmangel. Der blev udf\u00f8rt separate metaanalyser med brug af modeller med tilf\u00e6ldige effekter for l\u00e6ndehvirvels\u00f8jlen og l\u00e5rbenshalsen for alle unders\u00f8gelser, der leverede isoflavoner som aglykoner.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Resultater<br \/>\n<\/span><\/strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Seksogtyve RCT&#8217;er (n = 2652) blev inkluderet i metaanalysen. Ved l\u00e6ndehvirvels\u00f8jlen var isoflavon-behandling forbundet med en signifikant (P, 0,00001) h\u00f8jere v\u00e6gtet gennemsnitlig forskel (WMD) af BMD-\u00e6ndring p\u00e5 0,01 (95 % CI: 0,01, 0,02) end kontrollen. kontrolgruppen. For l\u00e5rbenshalsen (18 RCT&#8217;er, n = 1604) viste isoflavon-behandling en signifikant (P, 0,01) h\u00f8jere WMD for BMD-\u00e6ndring p\u00e5 \u00e6ndring p\u00e5 0,01 (95 % CI: 0,00, 0,02) sammenlignet med kontrolgruppen. <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Ved at isolere studier, der giver isoflavon-aglykoner i deres behandlingsarm, var den gennemsnitlige effekt yderligere signifikant \u00f8get ved rygs\u00f8jlen (5 RCT&#8217;er, n = 682) til 0,04 (P, 0,00001; 95 % CI: 0,02, 0,05) og l\u00e5rbenshalsen (4 RCT&#8217;er, n = 524) til 0,03 (P , 0,05; 95 % CI: 0,00, 0,06) sammenlignet med kontrolgruppen. Denne beskyttende effekt mod knogletab forsvandt, n\u00e5r kun studier med formuleringer best\u00e5ende af overvejende isoflavon-glykosider blev inkluderet.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Konklusion<br \/>\n<\/span><\/strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Isoflavon-behandlinger ud\u00f8ver en moderat gavnlig effekt mod \u00f8strogenmangelbetinget knogletab hos kvinder. Effekten ser ud til at afh\u00e6nge af, om isoflavon-behandlinger er i aglykon form; vi konkluderer, at gavnlige virkninger mod knogletab kan v\u00e6re forbedret for isoflavon-aglykoner.<\/span><\/p>\n<p><strong>Forfattere<br \/>\n<\/strong><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Per Bendix Jeppesen, Associate Prof., PhD. Department of Clinical Medicine, Aarhus University<\/span> <span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Department of Clinical Medicine, Aarhus University. <\/span><a class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"mailto:per.bendix.jeppesen@clin.au.dk\" target=\"_blank\" rel=\"noopener\">per.bendix.jeppesen@clin.au.dk<\/a><br \/>\n<span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Max NT Lambert, Adjunkt, Ph.D. Department of Clinical Medicine, Aarhus University, <\/span><span class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Diabetes and Hormone Diseases &#8211; Medical Research Laboratory. <\/span><a class=\"OYPEnA font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"mailto:mntl@clin.au.dk\" target=\"_blank\" rel=\"noopener\">mntl@clin.au.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Lambert Max Norman Tandrup, Hu Lin Meng, Jeppesen Per Bendix. A systematic review and meta-analysis of the effects of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12675,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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