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Recovery of pregnancy mediated bone loss during lactation

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TLDR
At 1 year after delivery all but 7 women had returned to within 5% of the preconceptual value at the spine and trochanter but the recovery at the total hip was less complete and several women became transiently osteoporotic.
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This article is published in Bone.The article was published on 2004-03-01. It has received 107 citations till now. The article focuses on the topics: Trochanter & Femoral neck.

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Citations
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Journal ArticleDOI

Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery

TL;DR: This review addresses the current knowledge regarding maternal adaptations in mineral and skeletal homeostasis that occur during pregnancy, lactation, and post-weaning recovery and the impacts that these adaptations have on biochemical and hormonal parameters of mineralHomeostasis.
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Vitamin D supplementation in pregnancy: a systematic review.

TL;DR: The evidence base is currently insufficient to support definite clinical recommendations regarding vitamin D supplementation in pregnancy, and modest positive relationships were identified between maternal 25(OH)D status and offspring birthweight, bone mass and serum calcium concentrations.
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Calcium and bone metabolism during pregnancy and lactation.

TL;DR: The present understanding of the adaptations in mineral metabolism that occur during pregnancy and lactation are reviewed, and recent evidence that the breast itself plays a central role in regulating the adaptations during lactation is focused on.
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Calcium and Bone Metabolism Disorders During Pregnancy and Lactation

TL;DR: Although some women may experience fragility fractures as a consequence of pregnancy or lactation, for most women, parity and lactation do not affect the long-term risks of low bone density, osteoporosis, or fracture.
References
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Journal ArticleDOI

Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group.

TL;DR: Women with multiple risk factors and low bone density have an especially high risk of hip fracture and maintaining body weight, walking for exercise, avoiding long-acting benzodiazepines, minimizing caffeine intake, and treating impaired visual function are among the steps that may decrease the risk.
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Estrogen stimulates gene expression and protein production of osteoprotegerin in human osteoblastic cells.

TL;DR: Estrogen enhancement of OPG secretion by osteoblastic cells may play a major role in the antiresorptive action of estrogen on bone.
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Factors Associated with Appendicular Bone Mass in Older Women

TL;DR: A wide variety of potential correlates of appendicular bone mass was examined in the Study of Osteoporotic Fractures, a large multicenter, community-based study of elderly women to determine what factors might contribute to osteopenia in older women.
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A longitudinal study of calcium homeostasis during human pregnancy and lactation and after resumption of menses.

TL;DR: Fetal calcium demand was met by increased maternal intestinal absorption; early breast-milk calcium was provided by maternal renal calcium conservation and loss of spinal trabecular bone, a loss that was recovered postmenses.
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