PMID- 38509497 OWN - NLM STAT- MEDLINE DCOM- 20240322 LR - 20240323 IS - 1471-2474 (Electronic) IS - 1471-2474 (Linking) VI - 25 IP - 1 DP - 2024 Mar 21 TI - Association of sarcopenia with osteoporosis in Chinese patients with type 2 diabetes. PG - 226 LID - 10.1186/s12891-024-07323-2 [doi] LID - 226 AB - BACKGROUND: People with type 2 diabetes mellitus (T2DM) present a higher tendency to develop sarcopenia and osteoporosis compared with the normal population. Currently, osteoporosis screening has been frequently performed among T2DM patients, but sarcopenia screening is relatively less, and the association between the two diseases remains unclear. Herein, this study aims to determine the association between sarcopenia and osteoporosis in Chinese T2DM patients. METHODS: This was a retrospective study of 678 patients with T2DM in the First Affiliated Hospital of Wenzhou Medical University. The bone mineral density (BMD) and muscle mass were measured by using dual-energy X-ray absorptiometry scanning. The diagnostic criteria of sarcopenia referred to the consensus by the Asia Working Group for Sarcopenia (AWGS). RESULT: Among T2DM patients, the proportion of the sarcopenia population complicated with osteoporosis was higher than that of the non-sarcopenia (30.9% vs. 8.6% in men and 46.9% vs. 33.9% in women), but only significantly in men. The BMD of the hip and femoral neck was positively correlated with skeletal muscle mass index (SMI), grip strength, and gait speed (P < 0.01). After adjusting all covariates, the association between sarcopenia and BMD showed odds ratios of 0.43 (95% CI:0.28-0.66) for the femoral neck and 0.49 (95% CI:0.32-0.73) for the hip. CONCLUSIONS: The BMD of the hip and femoral neck in T2DM patients is related to sarcopenia-related indicators and represents an independent protective factor for sarcopenia. To reduce the risk of falls, fractures, and weakness, it is necessary to take sarcopenia assessment in people with T2DM and osteopenia/osteoporosis. CI - (c) 2024. The Author(s). FAU - Xu, Ke AU - Xu K AD - Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. FAU - Feng, Xiaozhen AU - Feng X AD - Department of Health Care Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. FAU - Xu, Zeru AU - Xu Z AD - Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. FAU - Pan, Yang AU - Pan Y AD - Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. FAU - Zhang, Ping AU - Zhang P AD - Department of Endocrinology, Xining Second People's Hospital, Xining, 810000, China. FAU - Zhu, Hong AU - Zhu H AD - Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. zhuhong@wmu.edu.cn. LA - eng PT - Journal Article DEP - 20240321 PL - England TA - BMC Musculoskelet Disord JT - BMC musculoskeletal disorders JID - 100968565 SB - IM MH - Male MH - Humans MH - Female MH - *Sarcopenia/diagnostic imaging/epidemiology MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - Retrospective Studies MH - *Osteoporosis/diagnostic imaging/epidemiology MH - Bone Density/physiology MH - Absorptiometry, Photon MH - China/epidemiology PMC - PMC10956338 OTO - NOTNLM OT - Osteoporosis OT - Sarcopenia OT - Type 2 diabetes COIS- The authors declare that they have no competing interests. EDAT- 2024/03/21 06:43 MHDA- 2024/03/22 06:44 PMCR- 2024/03/21 CRDT- 2024/03/21 00:45 PHST- 2023/03/08 00:00 [received] PHST- 2024/02/28 00:00 [accepted] PHST- 2024/03/22 06:44 [medline] PHST- 2024/03/21 06:43 [pubmed] PHST- 2024/03/21 00:45 [entrez] PHST- 2024/03/21 00:00 [pmc-release] AID - 10.1186/s12891-024-07323-2 [pii] AID - 7323 [pii] AID - 10.1186/s12891-024-07323-2 [doi] PST - epublish SO - BMC Musculoskelet Disord. 2024 Mar 21;25(1):226. doi: 10.1186/s12891-024-07323-2.