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Assessment of risk factors for bone fractures in patients with type 2 diabetes mellitus: A study in Saudi Arabia.
- Source :
-
Diabetes & metabolic syndrome [Diabetes Metab Syndr] 2021 May-Jun; Vol. 15 (3), pp. 955-961. Date of Electronic Publication: 2021 Apr 20. - Publication Year :
- 2021
-
Abstract
- Background and Aims: This study aimed to estimate the prevalence of bone fractures and analyze their associated risk factors in people with and without type 2 diabetes (T2D) in Saudi Arabia.<br />Methods: This study was conducted among 1188 people (581 type 2 diabetes) in Prince Sultan Military Medical City, Riyadh, Saudi Arabia. In addition to the demographic variables, glycated hemoglobin (HbA1c), creatinine, estimated glomerular filtration rate (eGFR), use of teriparatide, presence of rheumatoid arthritis, presence of chronic obstructive pulmonary disease (COPD), Bone mineral density (BMD), Trabecular Bone Score (TBS) and Fracture Risk using the Fracture Risk Assessment Tool (FRAX) were also collected.<br />Results: There were 1188 people (mean age 66.5 ± 8.7yrs) included in this study, of which 1068 (89.9%) were female, and 120 (10.1%) were male. A total of 112 (9.4%) individuals had a fracture history. Female, use of teriparatide, TBS (partially degraded and degraded), FRAX with TBS (MOF), and FRAX with TBS (Hip fx) were identified as independent risk factors for fracture in the whole study population. Teriparatide use and FRAX with TBS (MOF) were observed as independent risk factors for fracture in the non-diabetic population, whereas age, creatinine, eGFR, teriparatide, osteopenia, osteoporosis, TBS (partially degraded, degraded), FRAX with TBS (MOF), FRAX with TBS (Hip fx) were determined as independent risk factors for fracture among patients with diabetes.<br />Conclusion: Patients with T2D were observed to have a higher risk for fractures. The findings of the study highlight the requirement for fracture prevention strategies in patients with diabetes.<br />Competing Interests: Declaration of competing interest Authors have no conflict of interest and the work was not supported or funded by any drug company.<br /> (Copyright © 2021. Published by Elsevier Ltd.)
- Subjects :
- Aged
Aged, 80 and over
Blood Glucose analysis
Diabetes Mellitus, Type 2 blood
Female
Follow-Up Studies
Fractures, Bone blood
Fractures, Bone pathology
Glycated Hemoglobin analysis
Humans
Male
Middle Aged
Osteoporosis blood
Osteoporosis pathology
Prevalence
Prognosis
Retrospective Studies
Risk Factors
Saudi Arabia epidemiology
Biomarkers blood
Bone Density
Diabetes Mellitus, Type 2 physiopathology
Fractures, Bone epidemiology
Osteoporosis epidemiology
Risk Assessment methods
Subjects
Details
- Language :
- English
- ISSN :
- 1878-0334
- Volume :
- 15
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Diabetes & metabolic syndrome
- Publication Type :
- Academic Journal
- Accession number :
- 33940428
- Full Text :
- https://doi.org/10.1016/j.dsx.2021.04.008