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1.
Forty Holstein cows averaging 85 +/- 50 d in milk were assigned to five dietary treatments for 56 d to determine the effects of ruminal starch degradability and supplemental fat on milk yield and composition and nutrient digestibilities. Treatments were 1) dry-rolled sorghum, no added fat; 2) dry-rolled sorghum plus 2.5% prilled fatty acids; 3) steam-flaked sorghum, no added fat; 4) steam-flaked sorghum plus 2.5% prilled fatty acids; and 5) steam-flaked sorghum plus 5% prilled fatty acids. Fat supplementation at 2.5 and 5% increased the content of fatty acids in diets from 3.0 to 5.4 and 7.7%, respectively. Milk yield was increased 2.0 kg/d when steam-flaked sorghum plus 0 or 2.5% added fat was fed and was 2.4 kg/d higher when prilled fatty acids were fed at 2.5 versus 0%. Cows fed supplemental fat at 5% did not increase milk yield over that of cows fed no added fat. For cows fed 2.5% fat, steam-flaking decreased dry matter intake 12% and increased efficiency of conversion of feed to milk 11%. Milk composition was unaffected by treatments, except that lactose was depressed by fat supplementation. Milk protein yield and efficiency of conversion of dietary protein to milk protein were increased when steam-flaked sorghum was fed. Starch digestibilities were increased from 92.6 to 98.2% when sorghum was steam-flaked compared with dry-rolled and fat supplementation tended to decrease digestibility of neutral detergent fiber. Steam-flaking tended to improve, and the addition of 2.5% fat did improve, the lactational performances of the cows. These effects appeared additive, but 5% fat appeared to be excessive.  相似文献   

2.
Four cannulated cows in a 4 x 4 Latin square design were used to study the effects of supplemental dietary fatty acids from roasted soybeans combined with tallow or partially hydrogenated fats, varying in esterification and fatty acid chain length, on nutrient digestion and lactation performance. Diets were formulated to contain (DM basis) 48% forage in addition to 1.5% fatty acids from roasted soybeans and 2.5% fatty acids from tallow, partially hydrogenated tallow triglycerides, partially hydrogenated tallow fatty acids, or a blend of 30% tallow and 70% hydrogenated fatty acids that were rich in palmitic acid. Apparent total tract digestibilities of OM, N, and NDF were similar among diets. Supplemental fat as fatty acids, compared with triglycerides, increased digestibilities of total fatty acids and C18:1 in the small intestine, perhaps indicating that lipolysis was rate-limiting. Fatty acids also increased milk fat percentage and efficiency of 4% FCM production. Although intake of C16 fatty acids was higher for cows fed the fat rich in palmitic acid than for those fed the tallow fatty acids, total duodenal flows of C16 fatty acids were similar, and digestibility in the small intestine was unaffected. Dry matter intake, 4% FCM production, and milk protein percentage were similar among treatments.  相似文献   

3.
OBJECTIVES: We investigated the relation between insulin and coronary atherosclerosis and restenosis of the coronary arteries, by performing elective percutaneous transluminal coronary angioplasty (PTCA). BACKGROUND: Insulin is known to promote atherosclerosis of the arteries and has been implicated in the development of restenosis after PTCA. METHODS: Of 210 angina patients who underwent PTCA, newly detected lesions in 35 consecutive nondiabetic subjects without previous intervention on the same main coronary arteries were analyzed after a 75-g oral glucose tolerance test (OGTT) and follow-up coronary angiography. Atherosclerotic lesions were evaluated by pattern, severity and extent. Restenosis was defined as loss of gain, the percentage of loss of the initial gain in the coronary diameter achieved by PTCA > or = 50%. RESULTS: Patients with restenosis had a significantly higher extent index (a marker of atherosclerosis), insulin area, ratio of insulin area to glucose area, insulinogenic index and minimal lumen diameter after PTCA than those without restenosis (p=0.001, 0.011, 0.002, 0.016 and 0.041, respectively). Simple regression analysis revealed that only the ratio of insulin area to glucose area (a relative marker of enhanced insulin secretion) significantly correlated with the extent index (p=0.035). Extent index, insulin area, the ratio of insulin area to glucose area and insulinogenic index significantly correlated with loss of gain (p=0.001, 0.010, 0.002 and 0.032, respectively). Stepwise multiple regression analyses revealed that extent index and the ratio of insulin area to glucose area significantly correlated with loss of gain. CONCLUSIONS: Enhanced secretion of insulin during the OGTT might be useful as a predictor of coronary atherosclerosis and of restenosis after elective PTCA in nondiabetic patients with effort angina.  相似文献   

4.
Forty-four multiparous and 43 primiparous Holstein cows were used to study the effect of dietary alfalfa silage: grain ratio on digestion, passage of digesta, and energy balance in a complete lactation experiment. Cows were placed on one of five treatments with forage contents from 38.2 to 98.2% (DM basis) during the first 12 wk of lactation. Forage content was increased during wk 13 to 26 of lactation to give diets containing 48.2 to 98.2% forage and again during wk 27 to 44 to give diets containing 68.2 to 98.2% forage. Both DMI and DM digestibilities decreased as proportion of dietary forage increased. The DM digestibilities for multiparous and primiparous cows ranged between 69.3 and 57.3% during early lactation and 64.9 and 55.5% during late lactation. Increased percentage of forage in the diet decreased and then increased (quadratic relationship) the ruminal retention time of La, a marker applied to the alfalfa silage in early and late lactation. Time cows spent eating and ruminating per kilogram of DMI increased as proportion of forage in the diet increased. Cows fed diets with a high proportion of alfalfa silage remained in negative energy balance longer than cows fed high grain diets. Intake of NEL (calculated by either of two methods) minus NEL output (milk, maintenance, and BW change) resulted in net balances of NEL after 36 wk of lactation within 5% of NEL intake and indicated that estimates of the NEL value of feedstuffs used in this experiment were reasonably accurate.  相似文献   

5.
Holstein cows (n = 24) averaging 42 d in milk were used in a randomized complete block design during a 4-wk trial. A control total mixed ration (TMR) was compared with TMR supplemented with Ca salts of fatty acids from canola oil, soybean oil, or linseed oil. The three vegetable oils were progressively more unsaturated; the dominant fatty acids were, respectively, cis-delta-9-C18:1, C18:2, and C18:3. Apparent total tract digestibility of dry matter, crude protein, ether extract, and neutral detergent fiber was higher for rations containing Ca salts than for the control ration. Milk yield increased linearly as the unsaturation of the dominant fatty acid in the Ca salts increased. Milk fat percentage was reduced when Ca salts were added to the rations. The addition of Ca salts to the ration decreased the proportions of saturated fatty acids that contained C6 to C16 and increased the proportions of C18:0, cis-delta-C18:1, and trans-delta-11-C18:1 in milk fat. Proportions of C18:2 and C18:3 increased linearly, and cis-delta-9-C18:1 decreased linearly, as the unsaturation of the dominant fatty acid in the Ca salts increased. The proportion of fat that was liquid at 5 degrees C was higher for butter from cows fed diets containing Ca salts, but the proportion of liquid fat at 20 degrees C was not affected. Calcium salts of unsaturated fatty acids added to the diets of dairy cows improved the thermal properties of milk fat.  相似文献   

6.
Based on previous in vitro results that showed reduced biohydrogenation of oleamide by ruminal microbes, this study was conducted to determine whether the addition of oleamide to the diets of dairy cows would enhance the C18:1 concentration in milk. Nine first lactation Holstein cows were fed three diets in a 3 x 3 Latin square replicated three times. Each period lasted 3 wk. The total mixed diets consisted of 42% corn silage and 58% concentrate (dry matter basis) with either no added fat (control), 3.5% high oleic canola oil, or 3.5% oleamide. Dry matter intake was reduced when oleamide was added to the diet but not when canola oil was added. Milk yields were the same for cows fed all three diets. Canola oil reduced fat-corrected milk yield and milk fat concentration, but these were not affected by oleamide. Milk protein concentration was lower for cows fed oleamide than for cows fed canola oil. Milk C18:1 averaged 23.16% of total fatty acids for cows fed the control diet and increased to 35.13% when canola oil was fed. Oleamide further increased C18:1 to 48.16% of total fatty acids in milk. All fatty acids with > or = 16 carbon chain length were reduced by oleamide. Oleamide was more effective than was canola oil in this study at increasing the oleic acid content of bovine milk. Oleamide reduced dietary intake when added at 3.5% of the dietary dry matter but still had no effect on milk yield or milk composition.  相似文献   

7.
Lactation has been negatively associated with fertility because pregnancy rates in maiden heifers exceed those obtained after first or subsequent calvings. The extent of this difference is less in pasture-fed dairy cows ( < 10%) than in American Holsteins ( > 20%) fed grain and conserved forages. The latter cows have pregnancy rates to first insemination and oestrus detection rates of only 40 to 45%. This suggests that the subsequent fertility of inherently fertile Holstein heifers may be severely compromised by high levels of milk production. International comparisons show that pasture-fed dairy cows may experience extended periods of anovulatory anoestrum but have normal fertility (60% pregnancy rate to first insemination) once cycling. The high-producing American Holstein may ovulate within 4 weeks postpartum but is more likely to continue ovulating without being detected in oestrus. Both situations are associated with negative energy balances (NEB) during early lactation. The severity and duration of this NEB may vary with body condition at calving, age or parity, ration formulation, production level and environmental factors. Relative daily milk yield is not an absolute indicator of NEB, because some lower producing cows within a herd have lower feed intakes and more severe energy deficits. NEB is not simple to measure; nonetheless, it is correlated with genetic improvement for milk yield. A positive energy balance, greater weight gain and higher body condition score have all been shown to be positively correlated with plasma progesterone concentrations in early lactation. No studies have investigated the possibility that the rapid increase in metabolic rate at this time may also alter steroid concentrations with consequent effects on oestrous behaviour and fertility. Studies to more precisely define the effects of increasing milk yields in early lactation, especially in Holsteins, may need to be completed in Australia and New Zealand. Oestrus detection rates and pregnancy rates for American Holsteins of less than 50% are accepted widely in the USA. Such low detection rates confound studies on fertility. The objective should be to increase these 2 rates to at least 80% and 60% respectively. This may involve the use of controlled breeding, especially if oestrous behaviour is less overt in high-producing Holstein cows.  相似文献   

8.
A Bayesian procedure is presented to analyze test day performances in the scope of Wood's lactation function: atb (exp (-ct)), where a, b, and c = parameters, and t = time-dependent variable. The procedure has been applied to 148,557 test day controls corresponding to records for 15,349 first lactations of Spanish dairy cows. The procedure uses all available information and reduces the presence of atypical lactations. Moreover, the posterior marginal distribution of (co)variance components, breeding values, and systematic effects for the underlying variables of Wood's function are provided. The posterior means of the heritabilities were 0.43, 0.17, 0.40, and 0.29 for the parameters a (initial milk yield), b (ascent to peak), c (descent from peak), and total milk yield, respectively. Selection for total milk yield implies a great effect on the initial milk yield (a) but only minor effects on ascent to peak (b) and descent from peak (c).  相似文献   

9.
Adequacy of amino acids in diets fed to lactating dairy cows   总被引:1,自引:0,他引:1  
The Cornell Net Carbohydrate and Protein System was used to evaluate absorbable limiting amino acids (AA) for milk yield. The system was utilized to characterize whether diets in five previous experiments met AA requirements for milk protein synthesis. Twenty-nine treatment means for milk yield from 367 cows constituted the database for the evaluation. Using the mechanistic relationships of nutrient metabolism described in the Cornell system, absorbed amounts were predicted of each essential AA from a diet and milk yields allowed by the most limiting AA. Regression of observed milk yield (Y) on predicted milk yield (X) using all treatment means (n = 29) was Y = 2.3 + 0.799X (r2 = 0.72). The linear relationship was stronger using 6 treatment means (n = 18) when protein supplements were fed rather than when ruminally protected AA were fed or when AA were postruminally infused (Y = -1.8 + 0.983X; r2 = 0.93). The Cornell system predicted that, for diets based on corn, Met or Lys was limiting when soybean meal was the protein source, but Lys was limiting when corn gluten meal or brewers grains were the source of protein. By AA limitation, the Cornell system explained differences in milk yield for diets that differed in supplemental protein sources in some of the experiments. As determined from milk protein yields in these studies, requirements for individual essential AA were expressed as a percentage of dietary dry matter or total essential AA, and values were relatively constant among dietary treatments and experiments.  相似文献   

10.
Thirty-six multiparous Holstein cows were fed a mixture of corn silage and concentrate [1:1; dry matter (DM) basis] and long hay (0.9 kg/d) through wk 18 of lactation. Beginning at 30 d prepartum through wk 4 of lactation, the total mixed rations of 18 of these cows were top-dressed daily with 10 g of Biomate Yeast Plus (Chr. Hansen's, Inc., Milwaukee, WI). The other 18 cows served as controls. At wk 5, both control and treated cows were divided into three groups and fed 0, 10, or 20 g/d of yeast. Yeast supplementation during early lactation significantly improved DM intake, milk yield, and the digestibility of crude protein and acid detergent fiber. Least squares means for DM intake, fat-corrected milk yield, crude protein digestibility, and acid detergent fiber digestibility for cows fed 0, 10, 20 g/d of yeast during wk 5 to 18 of lactation were 23.8, 24.7, and 25.0 kg/d; 37.7, 40.7, and 41.4 kg/d; 78.5, 80.8, and 79.5%; and 54.4, 60.2, and 56.8%, respectively. Although numerical responses in DM intake and milk yield were greater for cows fed 20 g/d of yeast than for cows fed 10 g/d of yeast, the response was not significant.  相似文献   

11.
We tested the hypothesis that the incidence of retained fetal membranes could be reduced by limiting oxidative stress. Sixty-four primigravid heifers (56 Holstein and 8 Jersey) and 80 multiparous cows (64 Holstein and 16 Jersey) were used. A combination of vitamin E or Zn and Fe was fed in a 2 x 2 x 2 factorial arrangement during the last 42 d prepartum. Amounts of supplements per animal were 1000 IU of vitamin E (d, l alpha-tocopheryl acetate), 0.8 g of Zn (Zn-Met and ZnSO4), and 12 g of Fe (FeSO4.7H2O) for Holsteins and 9 g for Jerseys. Neither vitamin E nor Zn directly affected the incidence of retained fetal membranes, but plasma alpha-tocopherol was lower when fetal membranes were retained > 12 h or when vitamin E was not supplemented. Iron had no direct negative effects on reproductive performance, but cows receiving additional Fe had lower unsaturated iron-binding capacity, which, in turn, was also lower in cows that retained fetal membranes. Days to first observed estrus were reduced by supplementation with either vitamin E or Zn. Vitamin E reduced days to first artificial insemination (AI) and tended to reduce days open. Supplemental Zn tended to reduce days to first AI but did not affect days open. Milk production during the first 12 wk and AI per conception were not affected by supplementation with either vitamin E or Zn. Both vitamin E and Zn reduced days to first observed estrus, indicating improved reproductive health during the early postpartum period.  相似文献   

12.
A routine laboratory assay to evaluate relative concentrations of lipoprotein lipase activator (apo C-II) in cow serum was developed. The assay was linear for at least 120 min after an initial, unexplained, lag ime of 13 to 15 min. Half-maximal activation was in the range of 1 to 2% serum in the assay. Inhibition of activation was indicated at high amounts (10%) of serum. Activation from plasma was half that from serum, presumably caused by an increase in substrate Km in the presence of heparin. Use of glyceryl tri[9,10-3H] oleate yielded excessively high blanks; [2-3H] glyceryl triolein is suggested for routine assay. Relative amounts of activator were not different between dry and lactating cows fed "conventional" diets. Activator concentration increased linearly with increasing dietary fat and was related to concentration of total lipid in plasma. The assay may provide a useful adjunct in studies on lipoprotein metabolism.  相似文献   

13.
Although the effect of hyperoxia on antioxidant enzymes is well known, the effect of subtoxic levels of hyperoxia on gamma-glutamyltransferase (gamma-GT), involved in the degradation and uptake of extracellular GSH for intracellular GSH synthesis, is unknown. The aim of the study was to investigate (1) the effects of in vitro hyperoxia on gamma-GT activity of type II cells and (2) the effects of the lazaroid U-74389G and N-acetylcysteine (NAC) on the hyperoxia-induced changes in gamma-GT and antioxidant enzyme activities. At 48 h after isolation, rat type II cells were exposed for 2 days to air, 60% O2 or 85% O2 with or without 30 microM U-74389G or 100 microM NAC. After the exposure, the cells were harvested and assayed for superoxide dismutase (SOD), glutathione peroxidase (GPx), gamma-GT activity, and GSH levels. In another series of experiments 85% O2-exposed cells, with or without U-74389G, were used for Northern blotting of gamma-GT mRNA. Exposure to 60% O2 decreased gamma-GT and GSH by -47 and -34%, respectively, while SOD and GPx activities remained unchanged. After 85% O2-exposure gamma-GT decreased by -55%, SOD and GPx increased by +55 and +87%, respectively, while GSH decreased by -35%. NAC treatment decreased gamma-GT activity by -42% in the air-exposed cells. After 60% O2, U-74389G led to significantly higher gamma-GT (+117%) and GSH (+26%) while NAC only led to higher GSH (+28%) compared to the oxygen-exposed cells not treated with NAC or U-74389G. After 85% O2 U-74389G increased gamma-GT, SOD, and GSH by +72, +58, and +68%, respectively, while NAC only increased SOD (+49%) and GSH (+26%) compared to the oxygen-exposed cells not treated with NAC or U-74389G. The 85% O2 exposure, with or without U-74389G, had no effect on gamma-GT mRNA levels. The results show that hyperoxia decreases rat type II cell gamma-GT activity in vitro. This effect was not related to an altered regulation at mRNA level and it was not associated with the hyperoxia-induced decrease in intracellular GSH, since restoration of the GSH levels by NAC did not restore gamma-GT activity. The lazaroid U-74389G with vitamin E-like properties effectively prevented the decrease in gamma-GT and GSH, so that direct inactivation of the membrane-bound gamma-GT by hyperoxia is the most likely mechanism.  相似文献   

14.
5 lactating cows were used in a trial to investigate the process of Zn absorption and Zn retention under conditions of Zn deficiency and variations in Zn supplementation. The apparent Zn absorption was found to be markedly increased if the animals were fed a Zn deficient semisynthetic diet containing 6 mg Zn per kg of dry matter during the depletion period. Apparent Zn absorption continued to rise with continuing Zn depletion. Over a period of 6 weeks of Zn depletion the mean rate of Zn absorption was 58% with increases from 51% to 64% between the 1st and 6th week of experiment. After 19 weeks of Zn depletion 75% of the supplemented zinc were absorbed. With a Zn supply of 22 ppm and 54 ppm the rate of apparent Zn absorption decreased to 51% and 44% while still higher Zn supplements, up to 436 ppm, produced only a slight further decline down to 40%. The absolute Zn balances were shown to be directly associated with the level of Zn supply, all the more so because a linear relationship was found to exist between the levels of alimentary zinc supplementation and absolute Zn retention. Under conditions of Zn deficiency the cows exhibited a negative Zn balance, where animals with the highest milk yields showed the most negative Zn balances and remained for the longest period in the negative phase. With increasing periods of Zn depletion a homeostatic mechanism of Zn regulation in the organism of the animals became more and more pronounced so that at advanced stages of Zn depletion Zn retention of some extent occurred.  相似文献   

15.
The balance of water, Na+, K+, Cl-, and total solute in the kidney and the N balance of the whole body were measured for six high yielding cows at 2 wk prepartum (period 1) and at 2 wk (period 2) and 7 wk (period 3) postpartum during winter and autumn in Israel. The onset of lactation was not followed by an increase in glomerular filtration rate and urine volume. To meet the deficiency in Na+, K+, and Cl- ions, the kidney conserves them during early lactation, mainly by increasing tubular reabsorption. An interdependent relationship exists between the excreted urea and nonurea solutes. Thus, reduction of ion concentrations in urine during early lactation reflects both the need to excrete a large load of urea and the effort to conserve Na+, K+, and Cl-. The high load of urea during early lactation was a result of a negative N balance that was most likely related to a negative energy balance. We concluded, through a comparison of our results with those of a similar study during summer, that the role of the kidney in ion conservation is more pronounced during summer than during winter and that the recovery of cows from a negative balance of energy and N is faster in summer than in winter.  相似文献   

16.
Beginning at wk 5 of lactation, 136 cows (34 per treatment) were supplemented daily for 38 wk with 0, 10.3, 20.6, or 41.2 mg of recombinantly derived bST monomer. Cows were obtained from University of Kentucky, University of Minnesota, University of Pennsylvania, and The Ohio State University. Nine cows (4 at 0 mg/d, 1 at 10.3 mg/d, 1 at 20.6 mg/d, and 3 at 41.2 mg/d) did not complete the experiment because of health problems. Data from these cows were included in the reproduction and health databases but not in the production database. Cows supplemented with bST produced more milk, consumed more feed, had lower rates of BW gain, and had improved efficiencies of milk production (conversion of feed and NEL to milk). Additional increases in productivity were modest at 20.6 and 41.2 mg/d versus productivity at 10.3 mg/d of bST. Concentrations of fat, protein, and TS in milk were unaffected. At 10.3 mg/d, bST did not adversely affect reproduction or health.  相似文献   

17.
Twenty Holstein-Friesian cows were assigned to one of four feeding groups throughout lactation in a full change-over experiment using two total mixed diets. The low concentrate total mixed diet contained 100 g of concentrate/kg of fresh matter, and the high concentrate total mixed diet contained 300 g of concentrate/kg of fresh matter. The remainder of the total mixed diet was grass silage. The two changeover groups switched total mixed diets at 153 d of lactation; the other two treatment groups remained on their assigned diets throughout lactation. For analysis of short-term feeding behavior, four periods of 3 wk each were identified. The midpoints of these periods were -102, -18, 18, and 102 d from the changeover. The concentrate content of the total mixed diet significantly affected dry matter intake and all short-term feeding behavior variables. Cows that consumed the high concentrate total mixed diet had fewer but longer visits to the feeders and ate more feed per visit than did cows consuming the low concentrate total mixed diet. With one exception, no significant effect of stage of lactation was detected for any of the short-term feeding behavior variables. Despite a highly significant decline in dry matter intake as lactation progressed for cows consuming the high concentrate total mixed diet, there were no interactions between total mixed diet and stage of lactation for any of the short-term feeding behavior variables. Large differences in feeding behavior were detected between cows consuming the same total mixed diet. These last two findings suggest that the use of short-term feeding behavior variables to predict daily intake is unlikely to be successful.  相似文献   

18.
This study examines the influence of parity, stage of lactation, and single isolations (i.e., the isolation of a microorganism that could not be reisolated in the same quarter in the next sampling) of staphylococci other than Staphylococcus aureus (coagulase-negative staphylococci), Corynebacterium bovis, or esculin-positive cocci other than Streptococcus uberis (referred to as esculin-positive cocci throughout) on the monthly log(e)-transformed somatic cell count (SCC) for 180 first, second, and third parity cows that were observed over a whole lactation. Repeated measures ANOVA was used to analyze the data. No significant effect was found for the infection variable. However, the results indicated that even single isolations of coagulase-negative staphylocci, C. bovis, or esculin-positive cocci resulted in a numerical or statistically significant increase in SCC. Least squares mean SCC (log(e)-transformed) for bacterio-logically negative cows and cows with single isolations of coagulase-negative staphylococci, C. bovis, or esculin-positive cocci were 3.90, 3.97, 4.08, and 4.17, respectively. Significant effects of parity, stage of lactation, and the interaction of parity and stage of lactation could not be found when only bacteriologically negative cows were considered. Least squares mean SCC for first, second, and third parity cows were 3.80, 3.93, and 3.97, respectively. However, the effects of parity, stage of lactation, and the interaction of parity and stage of lactation were significant when all 180 cows were included. Therefore, these effects must be due to factors that were present in the infected groups.  相似文献   

19.
20.
The prevalence of osteoporosis and the incidence of fractures are substantially lower in black than in white subjects, a finding generally attributed to racial differences in adult bone mass. Whether these racial differences are present in childhood is the subject of considerable interest, as the amount of bone gained during growth is a major determinant of future susceptibility to fractures. We measured the density and size of the vertebrae and femurs of 80 black and 80 white healthy children, 8-18 yr of age, matched for age, gender, height, weight, and stage of sexual development, using computed tomography. Race had a significant and differential effect on the bones in the axial and appendicular skeletons. In the axial skeleton, black children had greater cancellous bone density, but similar cross-sectional area of the vertebral bodies. In contrast, in the appendicular skeleton, black children had greater femoral cross-sectional area, but similar cortical bone area and cortical bone density. Compared to white children, vertebral bone density and femoral cross-sectional area at sexual maturity were, on the average, 10.75% and 5.7% higher, respectively, in black children. Such significant variations may contribute to the racial differences in the prevalence of osteoporosis between black and white adults.  相似文献   

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