Ro. Pierce et A. Perry, THE EFFECTS OF THIAZIDE DIURETICS ON BONE-MINERAL METABOLISM, Journal of the National Medical Association, 90(1), 1998, pp. 46-50
Thiazide diuretics cause changes in calcium metabolism. Clinically, th
ese changes include a decreased excretion of calcium, and in some inst
ances, this results in a corresponding increase in bone mineral. The s
tudy of mineral metabolism in bone is difficult because of the slow tu
rnover rate of bone. For this reason, the rat fracture model was used
to study bone mineral metabolism in animals given thiazide diuretics.
Fifty rats were divided into four groups: group 1 received a fracture
of the right tibia and thiazide diuretics, group 2 received thiazide a
nd no fracture, group 3 received no drugs and a fracture, and group 4
received no drugs and no Fracture. At the end of 35 days postinjury, a
ll animals were sacrificed. Biochemical and biomechanical results were
analyzed, and revealed that animals that received thiazide diuretics
and a fracture had the highest bone mineral content.