BONE MINERAL DENSITY AT DIFFERENT LOCATIONS IN TYPE 2 DIABETES MELLITUS AND ANALYSIS OF FRACTURE SITES

作者：Rao, Xiaopang; Shi, Xiujuan; Chii, Xiaolin; Wan, Meiyan^*

来源：Acta Medica Mediterranea, 2018, 34(5): 1239-1243.

DOI：10.19193/0393-6384_2018_5_190

• Type 2 diabetes mellitus
• bone mineral density
• osteoporosis
• fracture

This study investigated changes in bone mineral density (BMD) at different locations in 125 patients with type 2 diabetes mellitus (T2DM) and 240 healthy controls between 2012 and 2015. BMD was assessed using dual-energy X-ray absorptiometry. BMD at L2 in men with T2DM was lower than in controls, and the difference was statistically significant (P<0.05). BMD in women with T2DM was lower at Wards triangle and the femoral neck than in controls, and the difference was statistically significant (P<0.05). The prevalence of osteoporosis was higher in women with T2DM (55.20%) and women without T2DM (29.16%) than in men with T2DM (28.80%) and men without T2DM (21.66%), and the difference was statistically significant (P<0.05). The prevalence of osteoporosis at L2 and L1-4 (5.40% and 16%) in men with T2DM was higher than that in men without T2DM (1.66% and 9.85%), and the difference was statistically significant (P<0.05). The prevalence of osteoporosis at Wards angle, the femoral neck, and the femur (20%, 12.80%, and 42.40%) in women with T2DM was higher than that in women without T2DM (3.33%, 5%, and 17.91%), and the difference was statistically significant (P< 0.05). The preferred examination sites for early diagnosis of osteoporosis in men and women with T2DM are Ward's triangle and L2, which are consistent with common osteoporotic fracture sites.

• 出版日期2018
• 单位青岛市市立医院