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The Correlation of Type 2 Diabetes Status with Bone Mineral Density in Middle-Aged Adults

Authors Yao X, Xu X, Jin F, Zhu Z

Received 20 June 2020

Accepted for publication 19 August 2020

Published 16 September 2020 Volume 2020:13 Pages 3269—3276

DOI https://doi.org/10.2147/DMSO.S268592

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Konstantinos Tziomalos


Xiaocong Yao,1 Xiaocheng Xu,2 Fang Jin,1 Zhongxin Zhu1,3

1Department of Osteoporosis Care and Control, The First People’s Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, People’s Republic of China; 2Department of Cancer Medicine, The First People’s Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, People’s Republic of China; 3Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, People’s Republic of China

Correspondence: Zhongxin Zhu Email orthozzx@163.com

Background: Bone metabolism can be influenced by type 2 diabetes mellitus (T2DM). However, the relationship between T2DM and bone mineral density (BMD) remains inconsistent. This study explored the differences in BMD in middle-aged adults with and without T2DM.
Methods: We conducted a cross-sectional study of 4986 participants aged 40– 59 years who participated in the National Health and Nutrition Examination Survey (NHANES) 2011– 2018. We performed multivariable logistic regression models to evaluate the associations between T2DM status, serum glucose, glycohemoglobin (HbA1c), disease duration and lumbar BMD.
Results: There was a positive association between T2DM status and lumbar BMD in all three models (model 1: β=0.039, 95% CI: 0.025– 0.052; model 2: β=0.045, 95% CI: 0.031– 0.059; model 3: β=0.035, 95% CI: 0.014– 0.055). In the subgroup analysis stratified by gender, this positive association existed in both gender after adjusting for confounders (males: β=0.033, 95% CI: 0.003– 0.062; females: β=0.035, 95% CI: 0.008– 0.062). Besides, there were no significant associations of serum glucose, HbA1c, disease duration with lumbar BMD in both genders with T2DM.
Conclusion: This study indicated that middle-aged adults with T2DM had significantly higher lumbar BMD compared with those without DM.

Keywords: diabetes, glucose, HbA1c, bone health, NHANES

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