The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study
Abstract Background The aim of this study was to investigate the association between fasting blood glucose and osteoporosis in women with diabetes, anemia, and renal function. Methods The medical records of women who underwent a general health examination at a regional hospital in southern Taiwan we...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-01-01
|
| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-023-02851-w |
| _version_ | 1797362923240161280 |
|---|---|
| author | Tzyy-Ling Chuang Malcolm Koo Yuh-Feng Wang |
| author_facet | Tzyy-Ling Chuang Malcolm Koo Yuh-Feng Wang |
| author_sort | Tzyy-Ling Chuang |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to investigate the association between fasting blood glucose and osteoporosis in women with diabetes, anemia, and renal function. Methods The medical records of women who underwent a general health examination at a regional hospital in southern Taiwan were retrospectively reviewed. Logistic regression analysis was performed to assess the association between osteoporosis and fasting blood glucose separately for the eight subgroups (diabetes or non-diabetes, anemia or non-anemia, normal or decreased renal function), adjusting for other clinical characteristics and laboratory findings. Results A total of 11,872 women were included in the study. Among women with diabetes, anemia, and decreased renal function, an increment of 10 mg/dL in fasting blood glucose was associated with an increased risk of osteoporosis (adjusted odds ratio [aOR] = 1.57, p = 0.004). Among women without diabetes, fasting blood glucose was significantly associated with an increased risk of osteoporosis in those with anemia and normal renal function (OR = 1.14, p = 0.023) and those without anemia and normal renal function (OR = 1.04, p = 0.015), but these associations were not significant after adjusting for other covariates. Conclusions Higher fasting blood glucose levels in women with diabetes, anemia, and decreased renal function were associated with an increased risk of osteoporosis. Clinicians should be vigilant about glucose control in patients with diabetes to reduce the risk of fracture. |
| first_indexed | 2024-03-08T16:14:24Z |
| format | Article |
| id | doaj.art-757659fe7cf849fc91ac57884b272c90 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-08T16:14:24Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-757659fe7cf849fc91ac57884b272c902024-01-07T12:42:48ZengBMCBMC Women's Health1472-68742024-01-0124111410.1186/s12905-023-02851-wThe impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional studyTzyy-Ling Chuang0Malcolm Koo1Yuh-Feng Wang2Department of Nuclear Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationDepartment of Nursing, Tzu Chi University of Science and TechnologyDepartment of Nuclear Medicine, Taipei Veterans General HospitalAbstract Background The aim of this study was to investigate the association between fasting blood glucose and osteoporosis in women with diabetes, anemia, and renal function. Methods The medical records of women who underwent a general health examination at a regional hospital in southern Taiwan were retrospectively reviewed. Logistic regression analysis was performed to assess the association between osteoporosis and fasting blood glucose separately for the eight subgroups (diabetes or non-diabetes, anemia or non-anemia, normal or decreased renal function), adjusting for other clinical characteristics and laboratory findings. Results A total of 11,872 women were included in the study. Among women with diabetes, anemia, and decreased renal function, an increment of 10 mg/dL in fasting blood glucose was associated with an increased risk of osteoporosis (adjusted odds ratio [aOR] = 1.57, p = 0.004). Among women without diabetes, fasting blood glucose was significantly associated with an increased risk of osteoporosis in those with anemia and normal renal function (OR = 1.14, p = 0.023) and those without anemia and normal renal function (OR = 1.04, p = 0.015), but these associations were not significant after adjusting for other covariates. Conclusions Higher fasting blood glucose levels in women with diabetes, anemia, and decreased renal function were associated with an increased risk of osteoporosis. Clinicians should be vigilant about glucose control in patients with diabetes to reduce the risk of fracture.https://doi.org/10.1186/s12905-023-02851-wanemiaBone mineral densityDiabetes MellitusEstimated glomerular filtration rateOsteoporosis |
| spellingShingle | Tzyy-Ling Chuang Malcolm Koo Yuh-Feng Wang The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study BMC Women's Health anemia Bone mineral density Diabetes Mellitus Estimated glomerular filtration rate Osteoporosis |
| title | The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study |
| title_full | The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study |
| title_fullStr | The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study |
| title_full_unstemmed | The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study |
| title_short | The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study |
| title_sort | impact of diabetes anemia and renal function in the relationship between osteoporosis and fasting blood glucose among taiwanese women a cross sectional study |
| topic | anemia Bone mineral density Diabetes Mellitus Estimated glomerular filtration rate Osteoporosis |
| url | https://doi.org/10.1186/s12905-023-02851-w |
| work_keys_str_mv | AT tzyylingchuang theimpactofdiabetesanemiaandrenalfunctionintherelationshipbetweenosteoporosisandfastingbloodglucoseamongtaiwanesewomenacrosssectionalstudy AT malcolmkoo theimpactofdiabetesanemiaandrenalfunctionintherelationshipbetweenosteoporosisandfastingbloodglucoseamongtaiwanesewomenacrosssectionalstudy AT yuhfengwang theimpactofdiabetesanemiaandrenalfunctionintherelationshipbetweenosteoporosisandfastingbloodglucoseamongtaiwanesewomenacrosssectionalstudy AT tzyylingchuang impactofdiabetesanemiaandrenalfunctionintherelationshipbetweenosteoporosisandfastingbloodglucoseamongtaiwanesewomenacrosssectionalstudy AT malcolmkoo impactofdiabetesanemiaandrenalfunctionintherelationshipbetweenosteoporosisandfastingbloodglucoseamongtaiwanesewomenacrosssectionalstudy AT yuhfengwang impactofdiabetesanemiaandrenalfunctionintherelationshipbetweenosteoporosisandfastingbloodglucoseamongtaiwanesewomenacrosssectionalstudy |