Trabecular bone score in obese patients with and without diabetes

The link between obesity, diabetes and bone metabolism is quite complex and not entirely clear. Although many clinical and epidemiological studies demonstrate that obesity enhances bone mineral density, its effect on bone microarchitecture is uncertain. The objective of this study was to examine th...

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Main Authors: Gordana Dzeletovic, Aleksandar Jovanovic, Tatjana Novakovic, Snezana Markovic-Jovanovic, Emilija Novakovic, Anja Dzeletovic, Milena Lukić, Biljana Kostic-Inic, Sanja Jovanovic, Miljan Jankovic
Format: Article
Language:English
Published: PAGEPress Publications 2024-02-01
Series:Italian Journal of Medicine
Subjects:
Online Access:https://italjmed.org/index.php/ijm/article/view/1696
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author Gordana Dzeletovic
Aleksandar Jovanovic
Tatjana Novakovic
Snezana Markovic-Jovanovic
Emilija Novakovic
Anja Dzeletovic
Milena Lukić
Biljana Kostic-Inic
Sanja Jovanovic
Miljan Jankovic
author_facet Gordana Dzeletovic
Aleksandar Jovanovic
Tatjana Novakovic
Snezana Markovic-Jovanovic
Emilija Novakovic
Anja Dzeletovic
Milena Lukić
Biljana Kostic-Inic
Sanja Jovanovic
Miljan Jankovic
author_sort Gordana Dzeletovic
collection DOAJ
description The link between obesity, diabetes and bone metabolism is quite complex and not entirely clear. Although many clinical and epidemiological studies demonstrate that obesity enhances bone mineral density, its effect on bone microarchitecture is uncertain. The objective of this study was to examine the bone microarchitecture in obese patients with and without diabetes. The study included 119 individuals with ages from 30 to 50. Participants were divided into three groups: obese patients, obese diabetic patients, and a healthy control group. Results showed that obesity has a positive effect on trabecular bone score (TBS). Diabetes and obesity have a significant interactive impact on bone microarchitecture (TBS). Furthermore, HbA1c influences TBS in both obese diabetic patients and obese non-diabetic subjects. In contrast to the majority of studies, we found that obesity positively influenced TBS. TBS was inversely related to HbA1c levels in obese type 2 diabetics. Diabetes and obesity have a significant interactive impact on bone structure, in particular on bone microarchitecture.
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spelling doaj.art-78f48ad758984289908a04b4bf850bd42024-02-05T20:36:27ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522024-02-0118110.4081/itjm.2024.1696Trabecular bone score in obese patients with and without diabetesGordana Dzeletovic0Aleksandar Jovanovic1Tatjana Novakovic2Snezana Markovic-Jovanovic3Emilija Novakovic4Anja Dzeletovic5Milena Lukić6Biljana Kostic-Inic7Sanja Jovanovic8Miljan Jankovic9Military Hospital, Novi SadFaculty of Medicine, University of Pristina - Kosovska MitrovicaFaculty of Medicine, University of Pristina - Kosovska MitrovicaFaculty of Medicine, University of Pristina - Kosovska MitrovicaFaculty of Medicine, University of Pristina - Kosovska MitrovicaFaculty of Medicine, Novi SadCord IPS, Novi SadClinical Hospital Centre, Pristina, GračanicaFaculty of Medicine, University of Pristina - Kosovska MitrovicaFaculty of Medicine, University of Pristina - Kosovska Mitrovica The link between obesity, diabetes and bone metabolism is quite complex and not entirely clear. Although many clinical and epidemiological studies demonstrate that obesity enhances bone mineral density, its effect on bone microarchitecture is uncertain. The objective of this study was to examine the bone microarchitecture in obese patients with and without diabetes. The study included 119 individuals with ages from 30 to 50. Participants were divided into three groups: obese patients, obese diabetic patients, and a healthy control group. Results showed that obesity has a positive effect on trabecular bone score (TBS). Diabetes and obesity have a significant interactive impact on bone microarchitecture (TBS). Furthermore, HbA1c influences TBS in both obese diabetic patients and obese non-diabetic subjects. In contrast to the majority of studies, we found that obesity positively influenced TBS. TBS was inversely related to HbA1c levels in obese type 2 diabetics. Diabetes and obesity have a significant interactive impact on bone structure, in particular on bone microarchitecture. https://italjmed.org/index.php/ijm/article/view/1696Obesitydiabetestrabecular bone density
spellingShingle Gordana Dzeletovic
Aleksandar Jovanovic
Tatjana Novakovic
Snezana Markovic-Jovanovic
Emilija Novakovic
Anja Dzeletovic
Milena Lukić
Biljana Kostic-Inic
Sanja Jovanovic
Miljan Jankovic
Trabecular bone score in obese patients with and without diabetes
Italian Journal of Medicine
Obesity
diabetes
trabecular bone density
title Trabecular bone score in obese patients with and without diabetes
title_full Trabecular bone score in obese patients with and without diabetes
title_fullStr Trabecular bone score in obese patients with and without diabetes
title_full_unstemmed Trabecular bone score in obese patients with and without diabetes
title_short Trabecular bone score in obese patients with and without diabetes
title_sort trabecular bone score in obese patients with and without diabetes
topic Obesity
diabetes
trabecular bone density
url https://italjmed.org/index.php/ijm/article/view/1696
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