Bone mineral density and its relationship with body mass index in postmenopausal women with type 2 diabetes mellitus in mainland China
Bone mineral density (BMD) and its association with body mass index (BMI) are uncertain in postmenopausal women with type 2 diabetes mellitus (T2DM) in mainland China. This study was performed to assess this association including 1,042 postmenopausal women with T2DM and 919 non-diabetic control subj...
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description | Bone mineral density (BMD) and its association with body mass index (BMI) are uncertain in postmenopausal women with type 2 diabetes mellitus (T2DM) in mainland China. This study was performed to assess this association including 1,042 postmenopausal women with T2DM and 919 non-diabetic control subjects. Bone mineral density of the posteroanterior spine and of the left hip was measured by use of dual-energy X-ray absorptiometry. Diabetic participants were divided into three groups according to BMI, i.e. low BMI (DML < 18.5 kg/m²), intermediate BMI (DMM 18.5-24.9 kg/m²), and high BMI (DMH >= 25 kg/m²). The BMD values of diabetic subjects between groups exhibited a significant gradient difference, with DML < DMM < DMH. On the fitting curves, where BMD in various skeletal regions varied with age, BMDs of DML were approximately 15% lower than those of DMM, and those of DMM were approximately 10% lower than those of DMH. For prevalence and risks of osteoporosis a gradient difference was observed among diabetic groups, DML > DMM [almost equal to] control > DMH. The osteoporosis risk was higher for the hip than for the lumbar spine, especially in DML. This study indicated that postmenopausal women with T2DM had higher BMD and lower osteoporosis risk in the lumbar spine, and that lower BMI was an indicator of osteoporosis in mainland China. |
doi_str_mv | 10.1007/s00774-008-0023-9 |
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This study was performed to assess this association including 1,042 postmenopausal women with T2DM and 919 non-diabetic control subjects. Bone mineral density of the posteroanterior spine and of the left hip was measured by use of dual-energy X-ray absorptiometry. Diabetic participants were divided into three groups according to BMI, i.e. low BMI (DML < 18.5 kg/m²), intermediate BMI (DMM 18.5-24.9 kg/m²), and high BMI (DMH >= 25 kg/m²). The BMD values of diabetic subjects between groups exhibited a significant gradient difference, with DML < DMM < DMH. On the fitting curves, where BMD in various skeletal regions varied with age, BMDs of DML were approximately 15% lower than those of DMM, and those of DMM were approximately 10% lower than those of DMH. For prevalence and risks of osteoporosis a gradient difference was observed among diabetic groups, DML > DMM [almost equal to] control > DMH. The osteoporosis risk was higher for the hip than for the lumbar spine, especially in DML. This study indicated that postmenopausal women with T2DM had higher BMD and lower osteoporosis risk in the lumbar spine, and that lower BMI was an indicator of osteoporosis in mainland China.</description><identifier>ISSN: 0914-8779</identifier><identifier>EISSN: 1435-5604</identifier><identifier>DOI: 10.1007/s00774-008-0023-9</identifier><identifier>PMID: 19169767</identifier><language>eng</language><publisher>Japan: Japan : Springer Japan</publisher><subject>Biological and medical sciences ; Body Mass Index ; Bone Density ; Bones ; Case-Control Studies ; China - epidemiology ; Chinese women ; diabetes mellitus ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetes. Impaired glucose tolerance ; Diseases of the osteoarticular system ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Middle Aged ; Odds Ratio ; Older people ; Original Article ; Orthopedics ; Osteoarticular system. Muscles ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - epidemiology ; Osteoporosis. Osteomalacia. Paget disease ; Postmenopause - physiology ; Prevalence ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Regression Analysis</subject><ispartof>Journal of bone and mineral metabolism, 2009-03, Vol.27 (2), p.190-197</ispartof><rights>The Japanese Society for Bone and Mineral Research and Springer 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-38cd036ad0de7d77146c68942f7094ae7f86ca81ea624ad00475b9b9067085583</citedby><cites>FETCH-LOGICAL-c477t-38cd036ad0de7d77146c68942f7094ae7f86ca81ea624ad00475b9b9067085583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00774-008-0023-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00774-008-0023-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21152954$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19169767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shan, Peng-Fei</creatorcontrib><creatorcontrib>Wu, Xian-Ping</creatorcontrib><creatorcontrib>Zhang, Hong</creatorcontrib><creatorcontrib>Cao, Xing-Zhi</creatorcontrib><creatorcontrib>Gu, Wei</creatorcontrib><creatorcontrib>Deng, Xiao-Ge</creatorcontrib><creatorcontrib>Gu, Chi</creatorcontrib><creatorcontrib>Liao, Er-Yuan</creatorcontrib><title>Bone mineral density and its relationship with body mass index in postmenopausal women with type 2 diabetes mellitus in mainland China</title><title>Journal of bone and mineral metabolism</title><addtitle>J Bone Miner Metab</addtitle><addtitle>J Bone Miner Metab</addtitle><description>Bone mineral density (BMD) and its association with body mass index (BMI) are uncertain in postmenopausal women with type 2 diabetes mellitus (T2DM) in mainland China. This study was performed to assess this association including 1,042 postmenopausal women with T2DM and 919 non-diabetic control subjects. Bone mineral density of the posteroanterior spine and of the left hip was measured by use of dual-energy X-ray absorptiometry. Diabetic participants were divided into three groups according to BMI, i.e. low BMI (DML < 18.5 kg/m²), intermediate BMI (DMM 18.5-24.9 kg/m²), and high BMI (DMH >= 25 kg/m²). The BMD values of diabetic subjects between groups exhibited a significant gradient difference, with DML < DMM < DMH. On the fitting curves, where BMD in various skeletal regions varied with age, BMDs of DML were approximately 15% lower than those of DMM, and those of DMM were approximately 10% lower than those of DMH. For prevalence and risks of osteoporosis a gradient difference was observed among diabetic groups, DML > DMM [almost equal to] control > DMH. The osteoporosis risk was higher for the hip than for the lumbar spine, especially in DML. This study indicated that postmenopausal women with T2DM had higher BMD and lower osteoporosis risk in the lumbar spine, and that lower BMI was an indicator of osteoporosis in mainland China.</description><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Bone Density</subject><subject>Bones</subject><subject>Case-Control Studies</subject><subject>China - epidemiology</subject><subject>Chinese women</subject><subject>diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diseases of the osteoarticular system</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Osteoporosis</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - epidemiology</subject><subject>Osteoporosis. Osteomalacia. Paget disease</subject><subject>Postmenopause - physiology</subject><subject>Prevalence</subject><subject>Radiodiagnosis. Nmr imagery. 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Impaired glucose tolerance</topic><topic>Diseases of the osteoarticular system</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Older people</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteoarticular system. Muscles</topic><topic>Osteoporosis</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - epidemiology</topic><topic>Osteoporosis. Osteomalacia. Paget disease</topic><topic>Postmenopause - physiology</topic><topic>Prevalence</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Regression Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shan, Peng-Fei</creatorcontrib><creatorcontrib>Wu, Xian-Ping</creatorcontrib><creatorcontrib>Zhang, Hong</creatorcontrib><creatorcontrib>Cao, Xing-Zhi</creatorcontrib><creatorcontrib>Gu, Wei</creatorcontrib><creatorcontrib>Deng, Xiao-Ge</creatorcontrib><creatorcontrib>Gu, Chi</creatorcontrib><creatorcontrib>Liao, Er-Yuan</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and mineral metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shan, Peng-Fei</au><au>Wu, Xian-Ping</au><au>Zhang, Hong</au><au>Cao, Xing-Zhi</au><au>Gu, Wei</au><au>Deng, Xiao-Ge</au><au>Gu, Chi</au><au>Liao, Er-Yuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bone mineral density and its relationship with body mass index in postmenopausal women with type 2 diabetes mellitus in mainland China</atitle><jtitle>Journal of bone and mineral metabolism</jtitle><stitle>J Bone Miner Metab</stitle><addtitle>J Bone Miner Metab</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>27</volume><issue>2</issue><spage>190</spage><epage>197</epage><pages>190-197</pages><issn>0914-8779</issn><eissn>1435-5604</eissn><abstract>Bone mineral density (BMD) and its association with body mass index (BMI) are uncertain in postmenopausal women with type 2 diabetes mellitus (T2DM) in mainland China. This study was performed to assess this association including 1,042 postmenopausal women with T2DM and 919 non-diabetic control subjects. Bone mineral density of the posteroanterior spine and of the left hip was measured by use of dual-energy X-ray absorptiometry. Diabetic participants were divided into three groups according to BMI, i.e. low BMI (DML < 18.5 kg/m²), intermediate BMI (DMM 18.5-24.9 kg/m²), and high BMI (DMH >= 25 kg/m²). The BMD values of diabetic subjects between groups exhibited a significant gradient difference, with DML < DMM < DMH. On the fitting curves, where BMD in various skeletal regions varied with age, BMDs of DML were approximately 15% lower than those of DMM, and those of DMM were approximately 10% lower than those of DMH. For prevalence and risks of osteoporosis a gradient difference was observed among diabetic groups, DML > DMM [almost equal to] control > DMH. The osteoporosis risk was higher for the hip than for the lumbar spine, especially in DML. This study indicated that postmenopausal women with T2DM had higher BMD and lower osteoporosis risk in the lumbar spine, and that lower BMI was an indicator of osteoporosis in mainland China.</abstract><cop>Japan</cop><pub>Japan : Springer Japan</pub><pmid>19169767</pmid><doi>10.1007/s00774-008-0023-9</doi><tpages>8</tpages></addata></record> |
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subjects | Biological and medical sciences Body Mass Index Bone Density Bones Case-Control Studies China - epidemiology Chinese women diabetes mellitus Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - physiopathology Diabetes. Impaired glucose tolerance Diseases of the osteoarticular system Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Medicine Medicine & Public Health Metabolic Diseases Middle Aged Odds Ratio Older people Original Article Orthopedics Osteoarticular system. Muscles Osteoporosis Osteoporosis - complications Osteoporosis - epidemiology Osteoporosis. Osteomalacia. Paget disease Postmenopause - physiology Prevalence Radiodiagnosis. Nmr imagery. Nmr spectrometry Regression Analysis |
title | Bone mineral density and its relationship with body mass index in postmenopausal women with type 2 diabetes mellitus in mainland China |
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