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Correlation between Serum Uric acid Level and Osteoporosis in Newly Diagnosed Elderly Male Patients with Type 2 Diabetes |
ZHONG Ru-yi, CHEN Sheng, HU Fang-lin |
Department of Endocrionogoly,the People's Hospital of Liuyang,Liuyang Hunan 410300 |
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Abstract 【Objective】 To investigate the correlation between serum uric acid level and osteoporosis in newly diagnosed elderly male type 2 diabetes patients. 【Methods】 A total of 200 elderly male patients with type 2 diabetes who were newly diagnosed in our hospital from March 2020 to July 2022 were selected. The bone mineral density (BMD) values of all patients were measured by dual energy X-ray absorptiometry. According to the BMD values of patients, they were divided into non osteoporosis group (n=144) and osteoporosis group (n=56). The age, body mass index (BMI), blood uric acid and other indicators of patients were collected, and the correlation between each indicator and BMD value was analyzed. 【Results】 Compared with the non osteoporosis group, the patients in the osteoporosis group had lower BMI, blood uric acid, limb skeletal muscle mass index (ASM), limb skeletal muscle mass index (ASMI), and BMD values of each part (P<0.05). BMI, blood uric acid, ASM, and ASMI were positively correlated with BMD of each site (P<0.05). Multiple logistic regression analysis showed that low BMI and low ASMI were independent risk factors for osteoporosis in newly diagnosed elderly male patients with type 2 diabetes, and serum uric acid was a protective factor (P=0.0171).【Conclusion】 The newly diagnosed elderly male type 2 diabetes patients with normal or slightly higher levels of blood uric acid can effectively prevent osteoporosis, and blood uric acid can be used as an important indicator for screening osteoporosis patients.
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Received: 26 November 2022
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[1] 相爱霞,宋勇刚,于婷婷,等.2型糖尿病血清尿酸与高密度脂蛋白比值和骨代谢、骨密度和骨质疏松的相关研究[J].糖尿病新世界,2022,25(12):26-30. [2] 辛则霏,张晓妍.不同性别2型糖尿病患者血尿酸与骨代谢标志物关系研究[J].陕西医学杂志,2022,51(6):725-728. [3] 温娟娟,孟涛,卜佳,等.男性2型糖尿病患者骨密度的影响因素[J].中国医药导报,2022,19(10):107-110. [4] 井源,孙健斌,张晓梅.老年2型糖尿病患者血尿酸水平与骨代谢、骨密度及骨质疏松的关系[J].中国骨质疏松杂志,2021,27(1):114-118. [5] American Diabetes Association.Classiffication and diabetes of diabetes:standards of medical care in diabetes-2020[J].Diabetes Care,2020,43(Suppl 1):S14-S31. [6] 中国老年学学会骨质疏松委员会骨质疏松诊断标准学科组.中国人骨质疏松症建议诊断标准(第二稿)[J].中国骨质疏松杂志,2000,6(1):1-3. [7] 袁家楠,曹欢,杨慧慧,等.2型糖尿病合并骨质疏松患者血清sFRP5和Apelin-13水平与骨代谢标志物的关系[J].中华实用诊断与治疗杂志,2020,34(10):1000-1003. [8] ZENG Q,LI N,WANG Q,et al.The prevalence of osteoporosis in China,a nationwide,multicenter DXA survey [J].J Bone Miner Res,2019,34(10):1789-1797. [9] 魏婷,董旋,高飞.2型糖尿病患者血尿酸水平与骨密度及骨转换标志物的相关性分析[J].中国骨质疏松杂志,2020,26(1):99-104. [10] 刘桑燕,涂振兴,李烨,等.老年男性2型糖尿病患者血尿酸与骨密度的相关性分析[J].齐齐哈尔医学院学报,2018,39(2):134-136. [11] 李静怡,刘志民,葛军,等.代谢综合征对老年男性2型糖尿病患者骨密度的影响[J].实用医学杂志,2016,32(3):399-401. [12] BROTTO M,BONEWALD L.Bone and muscle:interactions beyond mechanical[J].Bone,2015,80:109-114. |
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. [J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(1): 127-129. |
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