PMID- 36267222 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221022 IS - 2035-8164 (Electronic) IS - 2035-8237 (Print) IS - 2035-8164 (Linking) VI - 14 IP - 6 DP - 2022 TI - Osteosarcopenia and type 2 diabetes mellitus in post-menopausal women: a case-control study. PG - 38570 LID - 10.52965/001c.38570 [doi] LID - 38570 AB - BACKGROUND: Osteosarcopenia has been defined as the concomitance of low bone density (osteopenia/osteoporosis) and sarcopenia. Osteoporosis is characterized by alterations in bone microarchitecture and decrease of bone mineral density (BMD), whereas sarcopenia is the progressive decrease of both muscle mass and function that increase the risk of falls. Type 2 diabetes mellitus (T2DM) is associated with poor bone strength and muscle wasting. OBJECTIVE: The aim of this study is to analyze the association between osteosarcopenia and T2DM in post-menopausal women (PMW). METHODS: We performed an age matched case-control study (1:2 ratio), considering as cases PMW affected by T2DM, and PMW without T2DM as control group. For all patients a DXA evaluation to investigate bone density and body composition measures were performed. Moreover, we carried out muscle strength and performance assessments. Outcome measures were femoral neck and lumbar spine BMD T-scores, appendicular lean mass (ALM), handgrip strength and the Short Physical Performance Battery (SPPB). Data from both groups were analyzed and compared. RESULTS: Thirty-six PMW (12 T2DM vs 24 non-T2DM) were recruited. The frequency of osteosarcopenia was significantly higher in the T2DM group compared to controls (50% vs 17%; OR 5.0, 95% CI 1.05 to 23.79, p = 0.043). Handgrip strength was significantly lower in the T2DM group (10.09 +/- 4.02 kg vs 18.40 +/- 6.83 kg; p = 0.001). CONCLUSIONS: Post-menopausal women with T2DM have a 5 times higher risk to have osteosarcopenia compared to non-diabetic ones. Further studies on larger cohorts are required to confirm these findings. FAU - Moretti, Antimo AU - Moretti A FAU - Palomba, Angela AU - Palomba A FAU - Gimigliano, Francesca AU - Gimigliano F FAU - Paoletta, Marco AU - Paoletta M FAU - Liguori, Sara AU - Liguori S FAU - Zanfardino, Francesco AU - Zanfardino F FAU - Toro, Giuseppe AU - Toro G FAU - Iolascon, Giovanni AU - Iolascon G LA - eng PT - Journal Article DEP - 20221013 PL - United States TA - Orthop Rev (Pavia) JT - Orthopedic reviews JID - 101524779 PMC - PMC9568414 OTO - NOTNLM OT - diabetes mellitus OT - osteoporosis OT - osteosarcopenia OT - sarcopenia COIS- The authors declare that they have no conflict of interest. EDAT- 2022/10/22 06:00 MHDA- 2022/10/22 06:01 PMCR- 2022/10/13 CRDT- 2022/10/21 02:48 PHST- 2022/10/21 02:48 [entrez] PHST- 2022/10/22 06:00 [pubmed] PHST- 2022/10/22 06:01 [medline] PHST- 2022/10/13 00:00 [pmc-release] AID - 38570 [pii] AID - 10.52965/001c.38570 [doi] PST - epublish SO - Orthop Rev (Pavia). 2022 Oct 13;14(6):38570. doi: 10.52965/001c.38570. eCollection 2022.