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FACTORS INFLUENCING CORTISOL‐ADRENOCORTICOTROPHIN RELATIONSHIPS IN ELDERLY WOMEN WITH UPPER FEMUR FRACTURES

 

作者: Helen Doncaster,   Roger Barton,   Michael Horan,   Nicholas Roberts,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1993)
卷期: Volume 34, issue 1  

页码: 49-55

 

ISSN:0022-5282

 

年代: 1993

 

出版商: OVID

 

数据来源: OVID

 

摘要:

In elderly women with proximal femur fractures, plasma cortisol levels are still elevated 2 weeks after injury. We have now measured the concentrations of adrenocorticotrophin (ACTH) and its precursor peptides (pro-opiomelanocortin plus pro-ACTH) in blood samples obtained in the morning and afternoon from such patients and from old and young control subjects. In healthy subjects, aging had no effect on these variables. Compared with healthy elderly women, the injured women had elevated cortisol but not ACTH concentrations; at both times of day their precursor peptide concentration was increased but probably not enough to affect cortisol secretion substantially. There were no correlations between the concentrations of cortisol, ACTH, and precursor peptides. We have also studied adrenocortical sensitivity after giving dexamethasone overnight. The cortisol responses to graded doses of ACTH did not differ between injured and healthy elderly women, suggesting that their higher cortisol concentrations were the result of stimuli acting independently of ACTH.

 

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