<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">porozendo</journal-id><journal-title-group><journal-title xml:lang="ru">Остеопороз и остеопатии</journal-title><trans-title-group xml:lang="en"><trans-title>Osteoporosis and Bone Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-2680</issn><issn pub-type="epub">2311-0716</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/osteo2011121-26</article-id><article-id custom-type="elpub" pub-id-type="custom">porozendo-4129</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Ожирение и остеопороз</article-title><trans-title-group xml:lang="en"><trans-title>Obesity and osteoporosis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Shishkova</surname><given-names>V. N.</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Shishkova</surname><given-names>V. N.</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib></contrib-group><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>15</day><month>04</month><year>2011</year></pub-date><volume>14</volume><issue>1</issue><issue-title>№1 (2011)</issue-title><fpage>21</fpage><lpage>26</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Shishkova V.N., Shishkova V.N., 2011</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="ru">Shishkova V.N., Shishkova V.N.</copyright-holder><copyright-holder xml:lang="en">Shishkova V.N., Shishkova V.N.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.osteo-endojournals.ru/jour/article/view/4129">https://www.osteo-endojournals.ru/jour/article/view/4129</self-uri><abstract><p>Остеопороз и ожирение являются широко распространенными заболеваниями у людей после 50 лет и связаны с изменениями строения и состава тела. Эти болезни определяются как разными генетическими факторами, так и имеют в своей основе изменения общих клеток. С возрастом строение костного мозга изменяется в сторону преобладания адипоцитов, увеличения костно-резорбтивной активности и снижения образования остеобластов, что приводит к остеопорозу. Вторичные причины остеопороза, такие как сахарный диабет, гиперкортицизм, иммобилизация и метаболический синдром, ассоциируются с ожирением костного мозга. Изучение взаимосвязей между костью и жировой тканью на молекулярном и клеточном уровнях может привести к лучшему пониманию механизмов остеопороза и ожирения и разработке лекарств для лечения этих заболеваний.</p></abstract><trans-abstract xml:lang="en"><p>Osteoporosis and obesity, two disorders of body composition, are growing in prevalence. Interestingly, these diseases share several features including a genetic predisposition and a common progenitor cell. With aging, the composition of bone marrow shifts to favor the presence of adipocytes, osteoclast activity increases, and osteoblast function declines, resulting in osteoporosis. Secondary causes of osteoporosis, including diabetes mellitus, glucocorticoids, immobility and metabolic syndrome are associated with bone-marrow adiposity. Unraveling the interface between bone and fat at a molecular and cellular level is likely to lead to a better understanding of several diseases, and to the development of drugs for both osteoporosis and obesity.</p></trans-abstract></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ожирение: этиология, патогенез, клинические аспекты. /Под ред. Дедова И.И., Мельниченко Г. А. - М.: ООО «Медицинское информационне агентство», 2006.</mixed-citation><mixed-citation xml:lang="en">Ожирение: этиология, патогенез, клинические аспекты. /Под ред. Дедова И.И., Мельниченко Г. А. - М.: ООО «Медицинское информационне агентство», 2006.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Остеопороз. Диагностика, профилактика и лечение.(клинические рекомендации) /Под ред. О.М. Лесняк, Л.И. Беневоленской. М.:ГЭОТАР - Медиа, 2009.</mixed-citation><mixed-citation xml:lang="en">Остеопороз. Диагностика, профилактика и лечение.(клинические рекомендации) /Под ред. О.М. Лесняк, Л.И. Беневоленской. М.:ГЭОТАР - Медиа, 2009.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Проблема ожирения в Европейском регионе ВОЗ и стратегия ее решения. Резюме. ВОЗ. /Под ред. Branco F., Nikogosian H., Lobstein T. - Копенгаген, 2007.</mixed-citation><mixed-citation xml:lang="en">Проблема ожирения в Европейском регионе ВОЗ и стратегия ее решения. Резюме. ВОЗ. /Под ред. Branco F., Nikogosian H., Lobstein T. - Копенгаген, 2007.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Adler R.A., Rosen C.J. Glucocorticoids and osteoporosis . Endocrinol Metab Clin North Am 1994; 23: 641-54.</mixed-citation><mixed-citation xml:lang="en">Adler R.A., Rosen C.J. Glucocorticoids and osteoporosis . Endocrinol Metab Clin North Am 1994; 23: 641-54.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Ahdjoudj S., Lasmoles F., Holy X. et al. Transforming growth factor 2 inhibits adipocyte differentiation induced by skeletal unloading in rat bone marrow stroma. J Bone Miner Res 2002; 17(5): 668-77.</mixed-citation><mixed-citation xml:lang="en">Ahdjoudj S., Lasmoles F., Holy X. et al. Transforming growth factor 2 inhibits adipocyte differentiation induced by skeletal unloading in rat bone marrow stroma. J Bone Miner Res 2002; 17(5): 668-77.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Akune T., Shinsuke O., Satoru K. et al. PPAR □ insufficiency enhances osteogenesis through osteoblast formation from bone marrow progenitors. J Clin Invest 2004; 113(6): 846-55.</mixed-citation><mixed-citation xml:lang="en">Akune T., Shinsuke O., Satoru K. et al. PPAR □ insufficiency enhances osteogenesis through osteoblast formation from bone marrow progenitors. J Clin Invest 2004; 113(6): 846-55.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Ali A.A., Weinstein R.S,. Stewart S.A. et al. Rosiglitazone causes bone loss in mice by suppressing osteoblast differentiation and bone formation. Endocrinol 2005;146(3):1226-35.</mixed-citation><mixed-citation xml:lang="en">Ali A.A., Weinstein R.S,. Stewart S.A. et al. Rosiglitazone causes bone loss in mice by suppressing osteoblast differentiation and bone formation. Endocrinol 2005;146(3):1226-35.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Aubin J.E. Bone stem cells. J Cell Biochem 1998; Suppl 30-31: 73-82.</mixed-citation><mixed-citation xml:lang="en">Aubin J.E. Bone stem cells. J Cell Biochem 1998; Suppl 30-31: 73-82.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Balena R., Toolan B.C., Shea M. et al. The effects of 2-year treatment with the aminobisphosphonatealendronate on bone metabolism, bone histomorphometry, and bone strength in ovariectomized nonhuman primates. J Clin Invest 1993; 92(6): 2577-86.</mixed-citation><mixed-citation xml:lang="en">Balena R., Toolan B.C., Shea M. et al. The effects of 2-year treatment with the aminobisphosphonatealendronate on bone metabolism, bone histomorphometry, and bone strength in ovariectomized nonhuman primates. J Clin Invest 1993; 92(6): 2577-86.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Botolin S., Faugere M-C., Malluche H. et al. Increased bone adiposity and peroxisomal proliferator-activated receptor- у 2 expression in type I diabetic mice. Endocrinology 2005; 146(8): 3622-31.</mixed-citation><mixed-citation xml:lang="en">Botolin S., Faugere M-C., Malluche H. et al. Increased bone adiposity and peroxisomal proliferator-activated receptor- у 2 expression in type I diabetic mice. Endocrinology 2005; 146(8): 3622-31.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Burguera B., Hofbauer L.C., Thomas T. et al. Leptin reduces ovariectomy-induced bone loss in rats . Endocrinology 2001; 142(8): 3546-53.</mixed-citation><mixed-citation xml:lang="en">Burguera B., Hofbauer L.C., Thomas T. et al. Leptin reduces ovariectomy-induced bone loss in rats . Endocrinology 2001; 142(8): 3546-53.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Chavassieux P.M., Arlot M.E., Reda C. et al. Histomorphometric assessment of the long-term effects of alendronate on bone quality and remodeling in patients with osteoporosis. J Clin Invest 1997; 100(6):1475-80.</mixed-citation><mixed-citation xml:lang="en">Chavassieux P.M., Arlot M.E., Reda C. et al. Histomorphometric assessment of the long-term effects of alendronate on bone quality and remodeling in patients with osteoporosis. J Clin Invest 1997; 100(6):1475-80.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Cornish J., Callon K.E., Bava U. et al. Leptin directly regulates bone cell function in vitro and reduces bone fragility in vivo . J Endocrinol 2002; 175: 405-15.</mixed-citation><mixed-citation xml:lang="en">Cornish J., Callon K.E., Bava U. et al. Leptin directly regulates bone cell function in vitro and reduces bone fragility in vivo . J Endocrinol 2002; 175: 405-15.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Dhillon H., Glatt V., Ferrari S.L. et al. Beta-adrenergic receptor KO mice have increased bone mass and strength but are not protected from ovariectomy-induced bone loss [abstract]. J Bone Miner Res 2004; 19 (Suppl 1): S32.</mixed-citation><mixed-citation xml:lang="en">Dhillon H., Glatt V., Ferrari S.L. et al. Beta-adrenergic receptor KO mice have increased bone mass and strength but are not protected from ovariectomy-induced bone loss [abstract]. J Bone Miner Res 2004; 19 (Suppl 1): S32.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Ducy P. Amling M., Takeda S. et al . Leptin inhibits bone formation through a hypothalamic relay: a central control of bone mass . Cell 2000; 100(2): 197-207.</mixed-citation><mixed-citation xml:lang="en">Ducy P. Amling M., Takeda S. et al . Leptin inhibits bone formation through a hypothalamic relay: a central control of bone mass . Cell 2000; 100(2): 197-207.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Duque G., Li W., Adams M. et al. Effects of risedronate on bone marrow adipocytes in postmenopausal women. Osteoporosis Int. 27 July 2010. DOI: 10.1007/s00198-010-1353-8.</mixed-citation><mixed-citation xml:lang="en">Duque G., Li W., Adams M. et al. Effects of risedronate on bone marrow adipocytes in postmenopausal women. Osteoporosis Int. 27 July 2010. DOI: 10.1007/s00198-010-1353-8.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Duque G., Rivas D. Alendronate has an anabolic effect on bone through the differentiation of mesenchymal stem cells. J Bone Miner Res. 2007; 22:1603-11.</mixed-citation><mixed-citation xml:lang="en">Duque G., Rivas D. Alendronate has an anabolic effect on bone through the differentiation of mesenchymal stem cells. J Bone Miner Res. 2007; 22:1603-11.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Elbaz A., Wu X., Rivas D. et al. Inhibition of fatty acid biosynthesis prevents adipocyte lipotoxicity on human osteoblasts in vitro. J. Cell. Mol. Med. 2010; 14(4): 982-91.</mixed-citation><mixed-citation xml:lang="en">Elbaz A., Wu X., Rivas D. et al. Inhibition of fatty acid biosynthesis prevents adipocyte lipotoxicity on human osteoblasts in vitro. J. Cell. Mol. Med. 2010; 14(4): 982-91.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Elefteriou F., Ahn J.D. Takeda S. et al. Leptin regulation of bone resorption by the sympathetic nervous system and CART. Nature 2005; 434: 514-20.</mixed-citation><mixed-citation xml:lang="en">Elefteriou F., Ahn J.D. Takeda S. et al. Leptin regulation of bone resorption by the sympathetic nervous system and CART. Nature 2005; 434: 514-20.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Forsen L., Meyer H.E., Midthjell K. et al. Diabetes mellitus and then incidence of hip fracture results from the Nord-Trondelang Health Survey. Diabetologia 199; 42: 920-5.</mixed-citation><mixed-citation xml:lang="en">Forsen L., Meyer H.E., Midthjell K. et al. Diabetes mellitus and then incidence of hip fracture results from the Nord-Trondelang Health Survey. Diabetologia 199; 42: 920-5.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Gilsanz V., Chalfant J., Mo A.O. et al. Reciprocal relations of subcutaneous and visceral fat to bone structure and strength. J. Clin. Endocrinol. Metab. 2009; 94(9): 3387-93.</mixed-citation><mixed-citation xml:lang="en">Gilsanz V., Chalfant J., Mo A.O. et al. Reciprocal relations of subcutaneous and visceral fat to bone structure and strength. J. Clin. Endocrinol. Metab. 2009; 94(9): 3387-93.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Gimble J.M., Robinson C.E., Wu X. et al. The function of adipocytes in the bone marrow stroma: an update. Bone 1996, 19(5): 421-8.</mixed-citation><mixed-citation xml:lang="en">Gimble J.M., Robinson C.E., Wu X. et al. The function of adipocytes in the bone marrow stroma: an update. Bone 1996, 19(5): 421-8.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Gimble J.M., Zvonic S., Floyd Z.E. et al. Playing with bone and fat. J Cell Biochem. 2006; 98: 251-66.</mixed-citation><mixed-citation xml:lang="en">Gimble J.M., Zvonic S., Floyd Z.E. et al. Playing with bone and fat. J Cell Biochem. 2006; 98: 251-66.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Goulding A., Cannan R., Williams S.M. et al. Bone mineral density in girls with forearm fractures. J. Bone Miner. Res. 1998; 13(1): 143-8.</mixed-citation><mixed-citation xml:lang="en">Goulding A., Cannan R., Williams S.M. et al. Bone mineral density in girls with forearm fractures. J. Bone Miner. Res. 1998; 13(1): 143-8.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Hamrick M.W., Pennington C., Newton D. et al. Leptin deficiency produces contrasting phenotypes in bones of the limb and spine . Bone 2004; 34: 376-83.</mixed-citation><mixed-citation xml:lang="en">Hamrick M.W., Pennington C., Newton D. et al. Leptin deficiency produces contrasting phenotypes in bones of the limb and spine . Bone 2004; 34: 376-83.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Haslam D.W. Obesity. Lancet 2005; 366: 1197-209.</mixed-citation><mixed-citation xml:lang="en">Haslam D.W. Obesity. Lancet 2005; 366: 1197-209.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Hsu Y. H. et al. Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women. Am. J. Clin. Nutr. 2006; 83: 146-54.</mixed-citation><mixed-citation xml:lang="en">Hsu Y. H. et al. Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women. Am. J. Clin. Nutr. 2006; 83: 146-54.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Im G.I., Qureshi S.A., Kenney J. et al. Osteoblast proliferation and maturation by bisphosphonates. Biomaterials 2004; 25:4105-15.</mixed-citation><mixed-citation xml:lang="en">Im G.I., Qureshi S.A., Kenney J. et al. Osteoblast proliferation and maturation by bisphosphonates. Biomaterials 2004; 25:4105-15.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Johnell O., de Laet C., Johansson H. et al. Oral corticosteroids increase fracture risk independently of BMD. Osteoporos Int 2002;13(suppl 1): S14.</mixed-citation><mixed-citation xml:lang="en">Johnell O., de Laet C., Johansson H. et al. Oral corticosteroids increase fracture risk independently of BMD. Osteoporos Int 2002;13(suppl 1): S14.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Justesen J., Stenderup K., Ebbesen E.N. et al. Adipocyte tissue volume in bone marrow is increased with aging and in patients with osteoporosis. Biogerontology 2001; 2(3): 165-71.</mixed-citation><mixed-citation xml:lang="en">Justesen J., Stenderup K., Ebbesen E.N. et al. Adipocyte tissue volume in bone marrow is increased with aging and in patients with osteoporosis. Biogerontology 2001; 2(3): 165-71.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Kawai M., Rosen C.J. Bone: Adiposity and bone accrual-still an established paradigm? Nature Reviews Endocrinology 2010; 6: 63-4.</mixed-citation><mixed-citation xml:lang="en">Kawai M., Rosen C.J. Bone: Adiposity and bone accrual-still an established paradigm? Nature Reviews Endocrinology 2010; 6: 63-4.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Khan A.W., Khan A. Anabolic agents: A new chapter in the management of osteoporosis. J Obstet Gynaecol Can. 2006; 28(2):136-41.</mixed-citation><mixed-citation xml:lang="en">Khan A.W., Khan A. Anabolic agents: A new chapter in the management of osteoporosis. J Obstet Gynaecol Can. 2006; 28(2):136-41.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Li X, Jin L., Cui Q. et al. Steroid effects on osteogenesis through mesenchymal cell gene expression . Osteoporos Int 2005; 16: 101-8.</mixed-citation><mixed-citation xml:lang="en">Li X, Jin L., Cui Q. et al. Steroid effects on osteogenesis through mesenchymal cell gene expression . Osteoporos Int 2005; 16: 101-8.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Manolagas S.C. Birth and death of bone cells: basic regulatory mechanisms and implications for the pathogenesis and treatment of osteoporosis. Endocr Rev 2000; 21: 115-37.</mixed-citation><mixed-citation xml:lang="en">Manolagas S.C. Birth and death of bone cells: basic regulatory mechanisms and implications for the pathogenesis and treatment of osteoporosis. Endocr Rev 2000; 21: 115-37.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Martin R.B., Zissimos S.L. Relationships between marrow fat and bone turnover in ovariectomized and intact rats. Bone 1991, 12(2): 123-31.</mixed-citation><mixed-citation xml:lang="en">Martin R.B., Zissimos S.L. Relationships between marrow fat and bone turnover in ovariectomized and intact rats. Bone 1991, 12(2): 123-31.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Meunier P., Aaron J., Edouard C., Vignon G. Osteoporosis and the replacement of cell populations of the marrow by adipose tissue. Clin Orthop 1971;80:147-54.</mixed-citation><mixed-citation xml:lang="en">Meunier P., Aaron J., Edouard C., Vignon G. Osteoporosis and the replacement of cell populations of the marrow by adipose tissue. Clin Orthop 1971;80:147-54.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Monami M., Cresci B., Colombini A., et al. Bone Fractures and Hypoglycemic Treatment in Type 2 Diabetic Patients. Diabetes Care 2008, 31(2): 199-203.</mixed-citation><mixed-citation xml:lang="en">Monami M., Cresci B., Colombini A., et al. Bone Fractures and Hypoglycemic Treatment in Type 2 Diabetic Patients. Diabetes Care 2008, 31(2): 199-203.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Muhlen D., Safii S., Jassal S. K. et al. Associations between the metabolic syndrome and bone health in older men and women: the Rancho Bernardo study. Osteoporos. Int. 2007; 18: 1337-44.</mixed-citation><mixed-citation xml:lang="en">Muhlen D., Safii S., Jassal S. K. et al. Associations between the metabolic syndrome and bone health in older men and women: the Rancho Bernardo study. Osteoporos. Int. 2007; 18: 1337-44.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Naganathan V., Jones G., Nash P. et al. Vertebral fracture risk with long-term corticosteroid therapy. Arch Intern Med 2000; 160:2917-22.</mixed-citation><mixed-citation xml:lang="en">Naganathan V., Jones G., Nash P. et al. Vertebral fracture risk with long-term corticosteroid therapy. Arch Intern Med 2000; 160:2917-22.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Nagasaki K., Kikuchi T., Hiura M. et al. Obese Japanese children have low bone mineral density after puberty. J. Bone Miner. Metab. 2004; 22: 376-81.</mixed-citation><mixed-citation xml:lang="en">Nagasaki K., Kikuchi T., Hiura M. et al. Obese Japanese children have low bone mineral density after puberty. J. Bone Miner. Metab. 2004; 22: 376-81.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Nguyen N.D., Pongchaiyakul C., Center J.R. et al. Abdominal fat and hip fracture risk in the elderly: the Dubbo Osteoporosis Epidemiology Study. BMC Musculoskelet Disord. 2005; 6: 11-18.</mixed-citation><mixed-citation xml:lang="en">Nguyen N.D., Pongchaiyakul C., Center J.R. et al. Abdominal fat and hip fracture risk in the elderly: the Dubbo Osteoporosis Epidemiology Study. BMC Musculoskelet Disord. 2005; 6: 11-18.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Nicodemus K.K., Folsom A.R. Iowa women's health study. Type 1 and type 2 diabetes and incident hip fractures in postmenopausal women. Diabetes Care 2001; 24: 1192-7.</mixed-citation><mixed-citation xml:lang="en">Nicodemus K.K., Folsom A.R. Iowa women's health study. Type 1 and type 2 diabetes and incident hip fractures in postmenopausal women. Diabetes Care 2001; 24: 1192-7.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Okazaki R., Inoue D., Shibata M. et al. Estrogen promotes early osteoblast differentiation and inhibits adipocyte differentiation in mouse bone marrow stromal cell lines that express estrogen receptor (ER) alpha or beta. Endocrinology 2002; 143(6): 2349- 56.</mixed-citation><mixed-citation xml:lang="en">Okazaki R., Inoue D., Shibata M. et al. Estrogen promotes early osteoblast differentiation and inhibits adipocyte differentiation in mouse bone marrow stromal cell lines that express estrogen receptor (ER) alpha or beta. Endocrinology 2002; 143(6): 2349- 56.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Papakitsou E.F., Margioris A.N., Dretakis K.E. et al . Body mass index (BMI) and parameters of bone formation and resorption in postmenopausal women. Maturitas 2004; 47(3): 185-93.</mixed-citation><mixed-citation xml:lang="en">Papakitsou E.F., Margioris A.N., Dretakis K.E. et al . Body mass index (BMI) and parameters of bone formation and resorption in postmenopausal women. Maturitas 2004; 47(3): 185-93.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Plotkin L.I., Aguirre J.I., Kousteni S. et al. Bisphosphonates and estrogens inhibit osteocyte apoptosis via distinct molecular mechanisms downstream of extracellular signal-regulated kinase activation. J Biol Chem 2005; 280(8):7317-25.</mixed-citation><mixed-citation xml:lang="en">Plotkin L.I., Aguirre J.I., Kousteni S. et al. Bisphosphonates and estrogens inhibit osteocyte apoptosis via distinct molecular mechanisms downstream of extracellular signal-regulated kinase activation. J Biol Chem 2005; 280(8):7317-25.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Premaor M.O., Pilbrow L., Tonkin C. et al. Obesity and fractures in postmenopausal women. J. Bone and Mineral Research 2010; 25(2): 292-7.</mixed-citation><mixed-citation xml:lang="en">Premaor M.O., Pilbrow L., Tonkin C. et al. Obesity and fractures in postmenopausal women. J. Bone and Mineral Research 2010; 25(2): 292-7.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Reid I.R. Leptin deficiency-lessons in regional differences in the regulation of bone mass. Bone 2004; 34: 369-71.</mixed-citation><mixed-citation xml:lang="en">Reid I.R. Leptin deficiency-lessons in regional differences in the regulation of bone mass. Bone 2004; 34: 369-71.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Reid I.R. Relationships among body mass, its components, and bone. Bone 2002; 31: 547-55.</mixed-citation><mixed-citation xml:lang="en">Reid I.R. Relationships among body mass, its components, and bone. Bone 2002; 31: 547-55.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Rodriguez J.P., Montecinos L., Rios S. et al. Mesenchymal stem cells from osteoporotic patients produce a type I collagen-deficient extracellular matrix favoring adipogenic differentiation. J Cell Biochem 2000; 79(4): 557-65.</mixed-citation><mixed-citation xml:lang="en">Rodriguez J.P., Montecinos L., Rios S. et al. Mesenchymal stem cells from osteoporotic patients produce a type I collagen-deficient extracellular matrix favoring adipogenic differentiation. J Cell Biochem 2000; 79(4): 557-65.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Rozman C., Feliu E., Berga L., et al. Age-related variations of fat tissue fraction in normal human bone marrow depend both on size and number of adipocytes: a stereological study. Exp Hematol 1989; 17(1): 34-7.</mixed-citation><mixed-citation xml:lang="en">Rozman C., Feliu E., Berga L., et al. Age-related variations of fat tissue fraction in normal human bone marrow depend both on size and number of adipocytes: a stereological study. Exp Hematol 1989; 17(1): 34-7.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Russell R.G. Bisphosphonates: From bench to bedside. Ann N Y Acad Sci. 2006; 1068: 367-401.</mixed-citation><mixed-citation xml:lang="en">Russell R.G. Bisphosphonates: From bench to bedside. Ann N Y Acad Sci. 2006; 1068: 367-401.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Rzonca S.O., Suva L.J., Gaddy D. et al. Bone is a target for the antidiabetic compound rosiglitazone. Endocrinology 2004; 145(1): 401-6.</mixed-citation><mixed-citation xml:lang="en">Rzonca S.O., Suva L.J., Gaddy D. et al. Bone is a target for the antidiabetic compound rosiglitazone. Endocrinology 2004; 145(1): 401-6.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Schwartz A.V., Sellmeyer D.E., Ensrud K.E. et al. Older women with diabetes have an increased risk of fracture: a prospective study. J Clin Endocrinol Metab 2001; 86: 32-8.</mixed-citation><mixed-citation xml:lang="en">Schwartz A.V., Sellmeyer D.E., Ensrud K.E. et al. Older women with diabetes have an increased risk of fracture: a prospective study. J Clin Endocrinol Metab 2001; 86: 32-8.</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Sekiya I., Larson B. L., Vuoristo J. T. et al. Adipogenic differentiation of human adult stem cells from bone marrow stroma (MSCs). J Bone Miner Res 2004; 19(2): 256-64.</mixed-citation><mixed-citation xml:lang="en">Sekiya I., Larson B. L., Vuoristo J. T. et al. Adipogenic differentiation of human adult stem cells from bone marrow stroma (MSCs). J Bone Miner Res 2004; 19(2): 256-64.</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Steppan C.M., Craword D.T., Chidsey-Frink K.L. et al. Leptin is a potent stimulator of bone growth in ob/ob mice. Regul Pept 2000; 92(1-3): 73-8.</mixed-citation><mixed-citation xml:lang="en">Steppan C.M., Craword D.T., Chidsey-Frink K.L. et al. Leptin is a potent stimulator of bone growth in ob/ob mice. Regul Pept 2000; 92(1-3): 73-8.</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Still K., Phipps R.J., Scutt A. Effects of risedronate, alendronate, and etidronate on the viability and activity of rat bone marrow stromal cells in vitro. Calcif Tissue Int 2003; 72(2):143-50.</mixed-citation><mixed-citation xml:lang="en">Still K., Phipps R.J., Scutt A. Effects of risedronate, alendronate, and etidronate on the viability and activity of rat bone marrow stromal cells in vitro. Calcif Tissue Int 2003; 72(2):143-50.</mixed-citation></citation-alternatives></ref><ref id="cit57"><label>57</label><citation-alternatives><mixed-citation xml:lang="ru">Sul H. S. Minireview: Pref-1: role in adipogenesis and mesenchymal cell fate. Mol. Endocrinol. 2009; 23: 1717-25.</mixed-citation><mixed-citation xml:lang="en">Sul H. S. Minireview: Pref-1: role in adipogenesis and mesenchymal cell fate. Mol. Endocrinol. 2009; 23: 1717-25.</mixed-citation></citation-alternatives></ref><ref id="cit58"><label>58</label><citation-alternatives><mixed-citation xml:lang="ru">Syed F.A, Oursler M.J., Hefferan T.E. et al. Effects of Estrogen Therapy on Bone Marrow Adipocytes in Postmenopausal Osteoporotic Women. Osteoporos Int. 2008; 19(9): 1323-30.</mixed-citation><mixed-citation xml:lang="en">Syed F.A, Oursler M.J., Hefferan T.E. et al. Effects of Estrogen Therapy on Bone Marrow Adipocytes in Postmenopausal Osteoporotic Women. Osteoporos Int. 2008; 19(9): 1323-30.</mixed-citation></citation-alternatives></ref><ref id="cit59"><label>59</label><citation-alternatives><mixed-citation xml:lang="ru">Takeda S., Elefteriou F., Levasseur R. et al. Leptin regulates bone formation via the sympathetic nervous system. Cell 2002; 111(3): 305-17. 18</mixed-citation><mixed-citation xml:lang="en">Takeda S., Elefteriou F., Levasseur R. et al. Leptin regulates bone formation via the sympathetic nervous system. Cell 2002; 111(3): 305-17. 18</mixed-citation></citation-alternatives></ref><ref id="cit60"><label>60</label><citation-alternatives><mixed-citation xml:lang="ru">The living skeleton. /Ed. Ch. Roux. Wolters Kluwer Health, 2007.</mixed-citation><mixed-citation xml:lang="en">The living skeleton. /Ed. Ch. Roux. Wolters Kluwer Health, 2007.</mixed-citation></citation-alternatives></ref><ref id="cit61"><label>61</label><citation-alternatives><mixed-citation xml:lang="ru">Tuominen J.T., Impivaara O., Puukka P. et al. Bone mineral density in patients with type 1 and type 2 diabetes . Diabetes Care 1999; 22: 1196-200.</mixed-citation><mixed-citation xml:lang="en">Tuominen J.T., Impivaara O., Puukka P. et al. Bone mineral density in patients with type 1 and type 2 diabetes . Diabetes Care 1999; 22: 1196-200.</mixed-citation></citation-alternatives></ref><ref id="cit62"><label>62</label><citation-alternatives><mixed-citation xml:lang="ru">Uchiyama Y., Miyama K., Kataginri T. et al. Adipose conversion is accelerated in bone marrow cells of congenitally osteoporotic SAMP6 mice [abstract]. J Bone Miner Res 1994; 9(Suppl 1): S321.</mixed-citation><mixed-citation xml:lang="en">Uchiyama Y., Miyama K., Kataginri T. et al. Adipose conversion is accelerated in bone marrow cells of congenitally osteoporotic SAMP6 mice [abstract]. J Bone Miner Res 1994; 9(Suppl 1): S321.</mixed-citation></citation-alternatives></ref><ref id="cit63"><label>63</label><citation-alternatives><mixed-citation xml:lang="ru">Verma S., Rajaratnam J.H., Denton J. et al. Adipocytic proportion of bone marrow is inversely related to bone formation in osteoporosis. J Clin Pathol 2002; 55(9): 693-8.</mixed-citation><mixed-citation xml:lang="en">Verma S., Rajaratnam J.H., Denton J. et al. Adipocytic proportion of bone marrow is inversely related to bone formation in osteoporosis. J Clin Pathol 2002; 55(9): 693-8.</mixed-citation></citation-alternatives></ref><ref id="cit64"><label>64</label><citation-alternatives><mixed-citation xml:lang="ru">Van Staa T., Leufkens H.G.M., Cooper C. The epidemiology of corticosteroid-induced osteoporosis: a meta-analysis. Osteoporos Int 2002;13:777-87.</mixed-citation><mixed-citation xml:lang="en">Van Staa T., Leufkens H.G.M., Cooper C. The epidemiology of corticosteroid-induced osteoporosis: a meta-analysis. Osteoporos Int 2002;13:777-87.</mixed-citation></citation-alternatives></ref><ref id="cit65"><label>65</label><citation-alternatives><mixed-citation xml:lang="ru">Von Mach M.A., Stoeckli R., Bilz S. Et al. Changes in bone mineral content after surgical treatment of morbid obesity. Metabolism 2004; 53(7): 918-21.</mixed-citation><mixed-citation xml:lang="en">Von Mach M.A., Stoeckli R., Bilz S. Et al. Changes in bone mineral content after surgical treatment of morbid obesity. Metabolism 2004; 53(7): 918-21.</mixed-citation></citation-alternatives></ref><ref id="cit66"><label>66</label><citation-alternatives><mixed-citation xml:lang="ru">Wang M.C., Bachrach L.K., Van Loan M. et al. The relative contributions of lean tissue mass and fat mass to bone density in young women. Bone 2005; 37(4): 474-81.</mixed-citation><mixed-citation xml:lang="en">Wang M.C., Bachrach L.K., Van Loan M. et al. The relative contributions of lean tissue mass and fat mass to bone density in young women. Bone 2005; 37(4): 474-81.</mixed-citation></citation-alternatives></ref><ref id="cit67"><label>67</label><citation-alternatives><mixed-citation xml:lang="ru">Wehrli F.W., Hopkins J.A., Hwang S.N., et al. Cross-sectional study of osteopenia with quantitative MR imaging and bone densitometry. Radiology 2000; 217: 527-38.</mixed-citation><mixed-citation xml:lang="en">Wehrli F.W., Hopkins J.A., Hwang S.N., et al. Cross-sectional study of osteopenia with quantitative MR imaging and bone densitometry. Radiology 2000; 217: 527-38.</mixed-citation></citation-alternatives></ref><ref id="cit68"><label>68</label><citation-alternatives><mixed-citation xml:lang="ru">Weisberg S.P., McCann D., Desai M. et al. Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 2003;112(12): 1796-1808.</mixed-citation><mixed-citation xml:lang="en">Weisberg S.P., McCann D., Desai M. et al. Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 2003;112(12): 1796-1808.</mixed-citation></citation-alternatives></ref><ref id="cit69"><label>69</label><citation-alternatives><mixed-citation xml:lang="ru">Zhao L.J., Jiang H., Papasianm Ch.J. et al. Correlation on obesity and osteoporosis : effect of fat mass on the determination of osteoporosis. J Bone Miner Res 2008; 23(1): 17-29.</mixed-citation><mixed-citation xml:lang="en">Zhao L.J., Jiang H., Papasianm Ch.J. et al. Correlation on obesity and osteoporosis : effect of fat mass on the determination of osteoporosis. J Bone Miner Res 2008; 23(1): 17-29.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
