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Lean mass and fat mass predict bone mineral density in middle-aged individuals with noninsulin-requiring type 2 diabetes mellitus.
Clin Endocrinol (Oxf). 2011 May; 74(5):565-71.CE

Abstract

OBJECTIVE

Despite high bone mineral density (BMD), persons with type 2 diabetes are at greater risk of fracture. The relationship between body composition and BMD in noninsulin-requiring diabetes is unclear. The aim was to examine how fat and lean mass independently affect the skeleton in this population.

RESEARCH DESIGN AND METHODS

Subjects for this cross-sectional analysis were men (n = 78) and women (n = 56) aged 40-65 years (56 ± 6 years) with uncomplicated, noninsulin-requiring type 2 diabetes. Total body fat and lean mass, total body, hip and lumbar spine BMD were measured with dual energy X-ray absorptiometry. Magnetic resonance imaging measured total abdominal, visceral and subcutaneous (SQ) fat.

RESULTS

Subjects had normal all-site BMD and were obese to overweight (body mass index 29-41 kg/m(2)) with controlled diabetes (HbA1c women 6·6 ± 1·2%, men 6·7 ± 1·6%). Lean mass was positively associated with total body, hip, femoral neck and hip BMD in both sexes. Fat mass, abdominal total and SQ fat were associated with total body and hip BMD in women. In multivariate analyses adjusted for sex, lean mass significantly predicted total, hip and femoral neck BMD in men and women. In unadjusted models, lean mass continued to predict BMD at these sites in men; fat mass also predicted total body, femoral and hip BMD in women.

CONCLUSIONS

In men and women with uncomplicated, noninsulin-requiring diabetes, lean mass significantly predicted BMD at the total body, hip and femoral neck. Further research is needed to determine whether acquisition or maintenance of lean mass in T2DM can prevent hip fracture in this at-risk population.

Authors+Show Affiliations

Division of Endocrinology and Metabolism, The Johns Hopkins, Baltimore, MD, USA. kmosele4@jhmi.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21198741

Citation

Moseley, Kendall F., et al. "Lean Mass and Fat Mass Predict Bone Mineral Density in Middle-aged Individuals With Noninsulin-requiring Type 2 Diabetes Mellitus." Clinical Endocrinology, vol. 74, no. 5, 2011, pp. 565-71.
Moseley KF, Dobrosielski DA, Stewart KJ, et al. Lean mass and fat mass predict bone mineral density in middle-aged individuals with noninsulin-requiring type 2 diabetes mellitus. Clin Endocrinol (Oxf). 2011;74(5):565-71.
Moseley, K. F., Dobrosielski, D. A., Stewart, K. J., De Beur, S. M., & Sellmeyer, D. E. (2011). Lean mass and fat mass predict bone mineral density in middle-aged individuals with noninsulin-requiring type 2 diabetes mellitus. Clinical Endocrinology, 74(5), 565-71. https://doi.org/10.1111/j.1365-2265.2010.03965.x
Moseley KF, et al. Lean Mass and Fat Mass Predict Bone Mineral Density in Middle-aged Individuals With Noninsulin-requiring Type 2 Diabetes Mellitus. Clin Endocrinol (Oxf). 2011;74(5):565-71. PubMed PMID: 21198741.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lean mass and fat mass predict bone mineral density in middle-aged individuals with noninsulin-requiring type 2 diabetes mellitus. AU - Moseley,Kendall F, AU - Dobrosielski,Devon A, AU - Stewart,Kerry J, AU - De Beur,Suzanne M Jan, AU - Sellmeyer,Deborah E, Y1 - 2010/12/24/ PY - 2011/1/5/entrez PY - 2011/1/5/pubmed PY - 2011/9/29/medline SP - 565 EP - 71 JF - Clinical endocrinology JO - Clin. Endocrinol. (Oxf) VL - 74 IS - 5 N2 - OBJECTIVE: Despite high bone mineral density (BMD), persons with type 2 diabetes are at greater risk of fracture. The relationship between body composition and BMD in noninsulin-requiring diabetes is unclear. The aim was to examine how fat and lean mass independently affect the skeleton in this population. RESEARCH DESIGN AND METHODS: Subjects for this cross-sectional analysis were men (n = 78) and women (n = 56) aged 40-65 years (56 ± 6 years) with uncomplicated, noninsulin-requiring type 2 diabetes. Total body fat and lean mass, total body, hip and lumbar spine BMD were measured with dual energy X-ray absorptiometry. Magnetic resonance imaging measured total abdominal, visceral and subcutaneous (SQ) fat. RESULTS: Subjects had normal all-site BMD and were obese to overweight (body mass index 29-41 kg/m(2)) with controlled diabetes (HbA1c women 6·6 ± 1·2%, men 6·7 ± 1·6%). Lean mass was positively associated with total body, hip, femoral neck and hip BMD in both sexes. Fat mass, abdominal total and SQ fat were associated with total body and hip BMD in women. In multivariate analyses adjusted for sex, lean mass significantly predicted total, hip and femoral neck BMD in men and women. In unadjusted models, lean mass continued to predict BMD at these sites in men; fat mass also predicted total body, femoral and hip BMD in women. CONCLUSIONS: In men and women with uncomplicated, noninsulin-requiring diabetes, lean mass significantly predicted BMD at the total body, hip and femoral neck. Further research is needed to determine whether acquisition or maintenance of lean mass in T2DM can prevent hip fracture in this at-risk population. SN - 1365-2265 UR - https://www.unboundmedicine.com/medline/citation/21198741/Lean_mass_and_fat_mass_predict_bone_mineral_density_in_middle_aged_individuals_with_noninsulin_requiring_type_2_diabetes_mellitus_ L2 - https://doi.org/10.1111/j.1365-2265.2010.03965.x DB - PRIME DP - Unbound Medicine ER -