PMID- 31617425 OWN - NLM STAT- MEDLINE DCOM- 20210426 LR - 20210426 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 48 IP - 2 DP - 2020 Feb TI - Comparison of FRAX in postmenopausal Asian women with and without type 2 diabetes mellitus: a retrospective observational study. PG - 300060519879591 LID - 10.1177/0300060519879591 [doi] LID - 0300060519879591 AB - OBJECTIVE: To compare the fracture risk in postmenopausal Asian women with or without type 2 diabetes mellitus (T2DM). METHODS: The study cohort comprised data from consecutive postmenopausal women with T2DM that were retrieved from a prospectively maintained institutional database from 2001 to 2009. Postmenopausal women without DM from the Medical Examination Center from 2001 to 2009 formed the control cohort. The primary endpoint was the World Health Organization Fracture Risk Algorithm (FRAX, revised 2013) score. The secondary endpoint was bone mineral density (BMD). RESULTS: There were 1014 individuals included for the assessment (T2DM, n=500 and non-DM, n=514). Based on the FRAX model, the risk of major osteoporotic fractures and hip fractures over the next 10 years was higher in the T2DM group compared with the non-DM group. Compared with the T2DM group, the non-DM group had a lower BMD. After adjusting for age, gender, history of alcohol consumption, smoking status, body mass index, and low-density lipoprotein, the differences were statistically significant. CONCLUSIONS: Compared with postmenopausal women without DM, postmenopausal women with T2DM had a significantly higher fracture risk calculated using the FRAX model. Early intervention for postmenopausal women with T2DM may be necessary, although T2DM is associated with a high BMD. FAU - Wang, Chen AU - Wang C AUID- ORCID: 0000-0003-2322-5758 AD - Department of Anesthesiology, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 76 Jiefang Avenue, Qiaokou District, Wuhan, Hubei, China. FAU - Liu, Jun AU - Liu J AD - Department of Gynaecology and Obstetrics, The First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Yuexiu District, Guangzhou, China. FAU - Xiao, Li AU - Xiao L AD - Department of Gynaecology and Obstetrics, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No. 26, Shengli Street, Wuhan, Hubei, China. FAU - Liu, Dan AU - Liu D AD - Department of Internal Medicine, Amcare Primary Care & Out Patient Services Center, Building 3, Anhui Beili Yiyuan, Beiyuan Road, Chaoyang District, Beijing, China. FAU - Yan, Wenjing AU - Yan W AD - Operation Room, Wuhan Central Hospital, Tongji Medical College, Huazhong University of Science and Technology, Gusao Shu No. 16, Jiang'an District, Wuhan, China. FAU - Hu, Ting AU - Hu T AD - Operation Room, Wuhan Central Hospital, Tongji Medical College, Huazhong University of Science and Technology, Gusao Shu No. 16, Jiang'an District, Wuhan, China. FAU - Li, Kunhong AU - Li K AUID- ORCID: 0000-0003-0333-2150 AD - Department of Anesthesiology, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 76 Jiefang Avenue, Qiaokou District, Wuhan, Hubei, China. FAU - Hua, Xiaociao AU - Hua X AD - Department of Anesthesiology, The Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, No. 56, Lingyuan West Road, Guangzhou, China. FAU - Zeng, Xianshang AU - Zeng X AD - Department of Orthopedics, The First Affiliated Hospital of Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Yuexiu District, Guangzhou, China. LA - eng PT - Journal Article PT - Observational Study DEP - 20191016 PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 SB - IM MH - Aged MH - Bone Density MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - Female MH - Humans MH - Middle Aged MH - *Osteoporosis, Postmenopausal/complications MH - *Osteoporotic Fractures/epidemiology MH - Postmenopause MH - Risk Assessment MH - *Risk Factors PMC - PMC7783259 OTO - NOTNLM OT - Diabetes mellitus OT - FRAX OT - bone mineral density OT - fracture risk assessment tool OT - hip fracture OT - osteoporosis OT - osteoporotic fracture OT - postmenopausal EDAT- 2019/10/17 06:00 MHDA- 2021/04/27 06:00 PMCR- 2019/10/16 CRDT- 2019/10/17 06:00 PHST- 2019/10/17 06:00 [pubmed] PHST- 2021/04/27 06:00 [medline] PHST- 2019/10/17 06:00 [entrez] PHST- 2019/10/16 00:00 [pmc-release] AID - 10.1177_0300060519879591 [pii] AID - 10.1177/0300060519879591 [doi] PST - ppublish SO - J Int Med Res. 2020 Feb;48(2):300060519879591. doi: 10.1177/0300060519879591. Epub 2019 Oct 16.