PMID- 36891058 OWN - NLM STAT- MEDLINE DCOM- 20230310 LR - 20230314 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 14 DP - 2023 TI - The relationship between the monocyte-to-lymphocyte ratio and osteoporosis in postmenopausal females with T2DM: A retrospective study in Chinese population. PG - 1112534 LID - 10.3389/fendo.2023.1112534 [doi] LID - 1112534 AB - INTRODUCTION: The risk of fragility fractures is increased in patients with type 2 diabetes mellitus (T2DM). Many reports indicate that inflammatory and immune responses are associated with osteoporosis and osteopenia. The monocyte-to-lymphocyte ratio (MLR) is a novel potential marker of inflammatory and immune responses. The present study evaluated the associations between the MLR and osteoporosis in postmenopausal females with T2DM. METHODS: Data were obtained from 281 T2MD postmenopausal females, and divided into three groups: Osteoporosis group, osteopenia group and normal BMD group. RESULT: Data analyses revealed that the MLR was significantly lower in T2MD postmenopausal females with osteoporosis than in those with osteopenia and normal BMD. Logistic regression showed that the MLR was an independent protective factor for osteoporosis in postmenopausal females with T2DM (odds ratio [OR]: 0.015, 95% confidence interval [CI]: 0.000-0.772). Based on the receiver operating characteristic (ROC) curve, the MLR for diagnosing osteoporosis in postmenopausal females with T2DM was projected to be 0.1019, an area under the curve of 0.761 (95% CI: 0.685-0.838), a sensitivity of 74.8% and a specificity of 25.9%. CONCLUSIONS: The MLR have a high efficacy in diagnosis for osteoporosis in postmenopausal females with T2DM. MLR have the potential to be used as diagnosis marker for osteoporosis in postmenopausal females with T2DM. CI - Copyright (c) 2023 Li, Zhang, Zhang, Zhang, Zhu, Xie and Wang. FAU - Li, Hailin AU - Li H AD - Department of General Family Medicine, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Zhang, Xinqi AU - Zhang X AD - Department of General Family Medicine, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Zhang, Qi AU - Zhang Q AD - Department of General Family Medicine, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Zhang, Qiong AU - Zhang Q AD - Department of General Family Medicine, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Zhu, Xueying AU - Zhu X AD - Department of General Family Medicine, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Xie, Tuxiu AU - Xie T AD - Department of General Family Medicine, Renmin Hospital of Wuhan University, Wuhan, China. FAU - Wang, Shuo AU - Wang S AD - Department of Endocrinology & Metabolism, Renmin Hospital of Wuhan University, Wuhan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230220 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 SB - IM MH - Humans MH - Female MH - Retrospective Studies MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - Monocytes MH - Postmenopause MH - East Asian People MH - *Osteoporosis/diagnosis/epidemiology/complications MH - Lymphocytes MH - *Bone Diseases, Metabolic PMC - PMC9987332 OTO - NOTNLM OT - T2DM OT - monocyte-to-lymphocyte OT - osteoporosis OT - postmenopausal females OT - retrospective study COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/03/10 06:00 MHDA- 2023/03/11 06:00 PMCR- 2023/01/01 CRDT- 2023/03/09 02:08 PHST- 2022/11/30 00:00 [received] PHST- 2023/01/30 00:00 [accepted] PHST- 2023/03/09 02:08 [entrez] PHST- 2023/03/10 06:00 [pubmed] PHST- 2023/03/11 06:00 [medline] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2023.1112534 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2023 Feb 20;14:1112534. doi: 10.3389/fendo.2023.1112534. eCollection 2023.