不很清楚,文中這樣講

來源: 2019-10-14 12:33:17 [博客] [舊帖] [給我悄悄話] 本文已被閱讀:

Possible Mechanisms

A possible biological explanation for the findings in the present study is not clear. The magnitude of intakes of vitamins B6 andB12 associated with an increased risk of hip fracture in our study far exceeded the recommended dietary allowances (RDAs) (1.3-1.7 mg/d for vitamin B6 and 2.4 μg/d for vitamin B12).15

Possible adverse effects of high-dose vitamin B6 supplementation have previously been suggested.24,25 High doses (≥500 mg/d) might increase the risk of falling because neurological symptoms, including ataxia, neuropathy, and decreased muscle tone, have been reported, and milder neurological symptoms have been observed at doses of approximately 100 mg/d as adverse effects.26 Preliminary work suggested that high vitamin B6 concentrations might accelerate bone loss by counteracting the modulating influence of estrogens on steroid receptors.27 A recent paradox theory proposes that large doses of pyridoxine, the inactive form of vitamin B6 included in supplements and found in foods, inhibits the active form pyridoxal phosphate.28

We do not have an explanation for the mechanism by which vitamin B12 may contribute to increased fracture risk.