Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DM
Xinshui Wang,1 Lijuan Jiang,2 Xiaonan Shao3 1Department of Endocrinology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of China; 2Department of Clinical Laboratory, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic...
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Dove Medical Press
2021-08-01
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| Series: | Therapeutics and Clinical Risk Management |
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| Online Access: | https://www.dovepress.com/association-analysis-of-insulin-resistance-and-osteoporosis-risk-in-ch-peer-reviewed-fulltext-article-TCRM |
| _version_ | 1828972248359239680 |
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| author | Wang X Jiang L Shao X |
| author_facet | Wang X Jiang L Shao X |
| author_sort | Wang X |
| collection | DOAJ |
| description | Xinshui Wang,1 Lijuan Jiang,2 Xiaonan Shao3 1Department of Endocrinology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of China; 2Department of Clinical Laboratory, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of China; 3Department of Nuclear Medicine, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of ChinaCorrespondence: Lijuan JiangDepartment of Clinical Laboratory, the Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of ChinaTel +86-0-13776885831Fax +86-0519-86621235Email czyyjlj@126.comBackground: To explore the relationship between insulin resistance and osteoporosis risk in Chinese patients with type 2 diabetes mellitus (T2DM).Methods: A total of 234 T2DM patients were retrospectively analyzed, and their lumbar bone mineral density (BMD) and insulin resistance using C-peptide-based homeostasis model of insulin resistance [HOMA-IR (CP)] were assessed. Univariate and multivariable logistic regression methods were used to evaluate the association between HOMA-IR (CP) and osteoporosis, and subgroup analysis was performed on female and male patients.Results: After fully adjusting the covariates, the association between HOMA-IR (CP) and osteoporosis was only significant in female patients (P = 0.022); the interaction effect with gender was significant (P for interaction < 0.05). Curve fitting showed that the relationship between HOMA-IR (CP) and osteoporosis in women was nonlinear. When HOMA-IR (CP) is < 4.00, its effect on osteoporosis was not significant (P = 0.474); when HOMA-IR (CP) is > 4.00, the risk of osteoporosis increased significantly, with OR = 26.88 (95% CI: 2.75– 262.69, P = 0.005). The relationship between insulin resistance and osteoporosis risk in T2DM patients is significantly affected by gender.Conclusion: The higher the degree of insulin resistance in female patients, the greater the risk of osteoporosis, but the two are not linearly associated.Keywords: type 2 diabetes mellitus, insulin resistance, osteoporosis, bone mineral density, homeostasis model assessment for insulin resistance |
| first_indexed | 2024-12-14T13:23:56Z |
| format | Article |
| id | doaj.art-63c6464b70424e0b8a0c7ec37eef665b |
| institution | Directory Open Access Journal |
| issn | 1178-203X |
| language | English |
| last_indexed | 2024-12-14T13:23:56Z |
| publishDate | 2021-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Therapeutics and Clinical Risk Management |
| spelling | doaj.art-63c6464b70424e0b8a0c7ec37eef665b2022-12-21T22:59:52ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2021-08-01Volume 1790991668388Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DMWang XJiang LShao XXinshui Wang,1 Lijuan Jiang,2 Xiaonan Shao3 1Department of Endocrinology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of China; 2Department of Clinical Laboratory, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of China; 3Department of Nuclear Medicine, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of ChinaCorrespondence: Lijuan JiangDepartment of Clinical Laboratory, the Third Affiliated Hospital of Soochow University, Changzhou, 213003, People’s Republic of ChinaTel +86-0-13776885831Fax +86-0519-86621235Email czyyjlj@126.comBackground: To explore the relationship between insulin resistance and osteoporosis risk in Chinese patients with type 2 diabetes mellitus (T2DM).Methods: A total of 234 T2DM patients were retrospectively analyzed, and their lumbar bone mineral density (BMD) and insulin resistance using C-peptide-based homeostasis model of insulin resistance [HOMA-IR (CP)] were assessed. Univariate and multivariable logistic regression methods were used to evaluate the association between HOMA-IR (CP) and osteoporosis, and subgroup analysis was performed on female and male patients.Results: After fully adjusting the covariates, the association between HOMA-IR (CP) and osteoporosis was only significant in female patients (P = 0.022); the interaction effect with gender was significant (P for interaction < 0.05). Curve fitting showed that the relationship between HOMA-IR (CP) and osteoporosis in women was nonlinear. When HOMA-IR (CP) is < 4.00, its effect on osteoporosis was not significant (P = 0.474); when HOMA-IR (CP) is > 4.00, the risk of osteoporosis increased significantly, with OR = 26.88 (95% CI: 2.75– 262.69, P = 0.005). The relationship between insulin resistance and osteoporosis risk in T2DM patients is significantly affected by gender.Conclusion: The higher the degree of insulin resistance in female patients, the greater the risk of osteoporosis, but the two are not linearly associated.Keywords: type 2 diabetes mellitus, insulin resistance, osteoporosis, bone mineral density, homeostasis model assessment for insulin resistancehttps://www.dovepress.com/association-analysis-of-insulin-resistance-and-osteoporosis-risk-in-ch-peer-reviewed-fulltext-article-TCRMtype 2 diabetes mellitusinsulin resistanceosteoporosisbone mineral densityhomeostasis model assessment for insulin resistance |
| spellingShingle | Wang X Jiang L Shao X Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DM Therapeutics and Clinical Risk Management type 2 diabetes mellitus insulin resistance osteoporosis bone mineral density homeostasis model assessment for insulin resistance |
| title | Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DM |
| title_full | Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DM |
| title_fullStr | Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DM |
| title_full_unstemmed | Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DM |
| title_short | Association Analysis of Insulin Resistance and Osteoporosis Risk in Chinese Patients with T2DM |
| title_sort | association analysis of insulin resistance and osteoporosis risk in chinese patients with t2dm |
| topic | type 2 diabetes mellitus insulin resistance osteoporosis bone mineral density homeostasis model assessment for insulin resistance |
| url | https://www.dovepress.com/association-analysis-of-insulin-resistance-and-osteoporosis-risk-in-ch-peer-reviewed-fulltext-article-TCRM |
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