Discrepancies in bone mineral density and fracture risk in patients with type 1 and type 2 diabetes—a meta-analysis

Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently. Pubmed, Embase, and Web of Science were searched using the terms "diabetes", "fracture", and "bone mineral". Hip fracture risk was increase...

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Published in	Osteoporosis international Vol. 18; no. 4; pp. 427 - 444
Main Author	Vestergaard, P.
Format	Journal Article
Language	English
Published	London Springer 01.04.2007 Springer Nature B.V
Subjects	Adult Aged Biological and medical sciences Body Mass Index Bone density Bone Density - physiology Diabetes Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - physiopathology Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - physiopathology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Fractures Fractures, Bone - etiology Fractures, Bone - physiopathology Glycated Hemoglobin A - analysis Hip Fractures - etiology Hip Fractures - physiopathology Hip joint Humans Injuries of the limb. Injuries of the spine Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Meta-analysis Middle Aged Osteoarticular system. Muscles Osteoporosis Radiodiagnosis. Nmr imagery. Nmr spectrometry Risk Risk Factors Spine Traumas. Diseases due to physical agents Endocrinopathy Type 2 diabetes Human Immunopathology Diseases of the osteoarticular system Autoimmune disease Metabolic diseases Fracture Trauma Meta-analysis Osteoporosis Type 1 diabetes Risk factor Bone mineral density Diabetes
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Abstract	Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently. Pubmed, Embase, and Web of Science were searched using the terms "diabetes", "fracture", and "bone mineral". Hip fracture risk was increased in T1D (RR = 6.94, 95% CI: 3.25-14.78, five studies) and T2D (1.38, 95% CI: 1.25-1.53, eight studies) compared to subjects without diabetes. The increase in relative hip fracture risk was significantly higher in T1D than in T2D. BMD Z-score was decreased in the spine (mean +/- SEM -0.22 +/- 0.01) and hip (-0.37 +/- 0.16) in T1D and increased in the spine (0.41 +/- 0.01) and hip (0.27 +/- 0.01) in T2D. A meta-regression showed that body mass index (BMI) was a major determinant for BMD in both the spine and hip. Glycated haemoglobin (HbA1C) was not linked to BMD. The increase in fracture risk was higher and BMD lower in patients with complications to diabetes. Hip fracture risk is increased in both T1D and T2D, whereas BMD is increased in T2D and decreased in T1D. A common factor such as complications may explain the increase in fracture risk, whereas BMI may ameliorate the increase in fracture risk in T2D.
AbstractList	Introduction and hypothesis: Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently. Material and methods Pubmed, Embase, and Web of Science were searched using the terms "diabetes," "fracture," and "bone mineral." Results: Hip fracture risk was increased in T1D (RR=6.94, 95% CI: 3.25+-14.78, five studies) and T2D (1.38, 95% CI: 1.25+-1.53, eight studies) compared to subjects without diabetes. The increase in relative hip fracture risk was significantly higher in T1D than in T2D. BMD Z-score was decreased in the spine (mean +- SEM -0.22 +- 0.01) and hip (-0.37 +- 0.16) in T1D and increased in the spine (0.41 +- 0.01) and hip (0.27 +- 0.01) in T2D. A meta-regression showed that body mass index (BMI) was a major determinant for BMD in both the spine and hip. Glycated haemoglobin (HbA1C) was not linked to BMD. The increase in fracture risk was higher and BMD lower in patients with complications to diabetes. Conclusions: Hip fracture risk is increased in both T1D and T2D, whereas BMD is increased in T2D and decreased in T1D. A common factor such as complications may explain the increase in fracture risk, whereas BMI may ameliorate the increase in fracture risk in T2D. [PUBLICATION ABSTRACT] Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently. Pubmed, Embase, and Web of Science were searched using the terms "diabetes", "fracture", and "bone mineral". Hip fracture risk was increased in T1D (RR = 6.94, 95% CI: 3.25-14.78, five studies) and T2D (1.38, 95% CI: 1.25-1.53, eight studies) compared to subjects without diabetes. The increase in relative hip fracture risk was significantly higher in T1D than in T2D. BMD Z-score was decreased in the spine (mean +/- SEM -0.22 +/- 0.01) and hip (-0.37 +/- 0.16) in T1D and increased in the spine (0.41 +/- 0.01) and hip (0.27 +/- 0.01) in T2D. A meta-regression showed that body mass index (BMI) was a major determinant for BMD in both the spine and hip. Glycated haemoglobin (HbA1C) was not linked to BMD. The increase in fracture risk was higher and BMD lower in patients with complications to diabetes. Hip fracture risk is increased in both T1D and T2D, whereas BMD is increased in T2D and decreased in T1D. A common factor such as complications may explain the increase in fracture risk, whereas BMI may ameliorate the increase in fracture risk in T2D. Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently.INTRODUCTION AND HYPOTHESISDiabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently.Pubmed, Embase, and Web of Science were searched using the terms "diabetes", "fracture", and "bone mineral".MATERIAL AND METHODSPubmed, Embase, and Web of Science were searched using the terms "diabetes", "fracture", and "bone mineral".Hip fracture risk was increased in T1D (RR = 6.94, 95% CI: 3.25-14.78, five studies) and T2D (1.38, 95% CI: 1.25-1.53, eight studies) compared to subjects without diabetes. The increase in relative hip fracture risk was significantly higher in T1D than in T2D. BMD Z-score was decreased in the spine (mean +/- SEM -0.22 +/- 0.01) and hip (-0.37 +/- 0.16) in T1D and increased in the spine (0.41 +/- 0.01) and hip (0.27 +/- 0.01) in T2D. A meta-regression showed that body mass index (BMI) was a major determinant for BMD in both the spine and hip. Glycated haemoglobin (HbA1C) was not linked to BMD. The increase in fracture risk was higher and BMD lower in patients with complications to diabetes.RESULTSHip fracture risk was increased in T1D (RR = 6.94, 95% CI: 3.25-14.78, five studies) and T2D (1.38, 95% CI: 1.25-1.53, eight studies) compared to subjects without diabetes. The increase in relative hip fracture risk was significantly higher in T1D than in T2D. BMD Z-score was decreased in the spine (mean +/- SEM -0.22 +/- 0.01) and hip (-0.37 +/- 0.16) in T1D and increased in the spine (0.41 +/- 0.01) and hip (0.27 +/- 0.01) in T2D. A meta-regression showed that body mass index (BMI) was a major determinant for BMD in both the spine and hip. Glycated haemoglobin (HbA1C) was not linked to BMD. The increase in fracture risk was higher and BMD lower in patients with complications to diabetes.Hip fracture risk is increased in both T1D and T2D, whereas BMD is increased in T2D and decreased in T1D. A common factor such as complications may explain the increase in fracture risk, whereas BMI may ameliorate the increase in fracture risk in T2D.CONCLUSIONSHip fracture risk is increased in both T1D and T2D, whereas BMD is increased in T2D and decreased in T1D. A common factor such as complications may explain the increase in fracture risk, whereas BMI may ameliorate the increase in fracture risk in T2D.
Author	Vestergaard, P.
Author_xml	– sequence: 1 givenname: P. surname: Vestergaard fullname: Vestergaard, P.
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18593024$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/17068657$$D View this record in MEDLINE/PubMed
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Keywords	Endocrinopathy Type 2 diabetes Human Immunopathology Diseases of the osteoarticular system Autoimmune disease Metabolic diseases Fracture Trauma Meta-analysis Osteoporosis Type 1 diabetes Risk factor Bone mineral density Diabetes
Language	English
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PublicationTitle	Osteoporosis international
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Snippet	Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently. Pubmed, Embase, and Web of... Introduction and hypothesis: Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently.... Diabetes affects bone metabolism. The hypothesis was that type 1 (T1D) and type 2 (T2D) affects BMD and fracture risk differently.INTRODUCTION AND...
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SubjectTerms	Adult Aged Biological and medical sciences Body Mass Index Bone density Bone Density - physiology Diabetes Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - physiopathology Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - physiopathology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Fractures Fractures, Bone - etiology Fractures, Bone - physiopathology Glycated Hemoglobin A - analysis Hip Fractures - etiology Hip Fractures - physiopathology Hip joint Humans Injuries of the limb. Injuries of the spine Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Meta-analysis Middle Aged Osteoarticular system. Muscles Osteoporosis Radiodiagnosis. Nmr imagery. Nmr spectrometry Risk Risk Factors Spine Traumas. Diseases due to physical agents
Title	Discrepancies in bone mineral density and fracture risk in patients with type 1 and type 2 diabetes—a meta-analysis
URI	https://www.ncbi.nlm.nih.gov/pubmed/17068657 https://www.proquest.com/docview/218847297 https://www.proquest.com/docview/70230865
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