PMID- 32982357 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220417 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 13 DP - 2020 TI - The Correlation of Type 2 Diabetes Status with Bone Mineral Density in Middle-Aged Adults. PG - 3269-3276 LID - 10.2147/DMSO.S268592 [doi] AB - 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: beta=0.039, 95% CI: 0.025-0.052; model 2: beta=0.045, 95% CI: 0.031-0.059; model 3: beta=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: beta=0.033, 95% CI: 0.003-0.062; females: beta=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. CI - (c) 2020 Yao et al. FAU - Yao, Xiaocong AU - Yao X AD - Department of Osteoporosis Care and Control, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, People's Republic of China. FAU - Xu, Xiaocheng AU - Xu X AD - Department of Cancer Medicine, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, People's Republic of China. FAU - Jin, Fang AU - Jin F AD - Department of Osteoporosis Care and Control, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, People's Republic of China. FAU - Zhu, Zhongxin AU - Zhu Z AD - Department of Osteoporosis Care and Control, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, People's Republic of China. AD - Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, People's Republic of China. LA - eng PT - Journal Article DEP - 20200916 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC7509476 OTO - NOTNLM OT - HbA1c OT - NHANES OT - bone health OT - diabetes OT - glucose COIS- The authors report no conflicts of interest for this work. EDAT- 2020/09/29 06:00 MHDA- 2020/09/29 06:01 PMCR- 2020/09/16 CRDT- 2020/09/28 05:37 PHST- 2020/06/20 00:00 [received] PHST- 2020/08/19 00:00 [accepted] PHST- 2020/09/28 05:37 [entrez] PHST- 2020/09/29 06:00 [pubmed] PHST- 2020/09/29 06:01 [medline] PHST- 2020/09/16 00:00 [pmc-release] AID - 268592 [pii] AID - 10.2147/DMSO.S268592 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2020 Sep 16;13:3269-3276. doi: 10.2147/DMSO.S268592. eCollection 2020.