糖尿病前期和骨矿物质密度之间的关联:一个元分析
Runzhou Pan1, Hong Ji1, Yao Xu1
1Department of Endocrinology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China.
Diabetes/metabolism research and reviews
|July 7, 2023
概括
糖尿病前期与脊柱和股骨中较高的骨矿物质密度 (BMD) 有关. 这种关联在男性,亚洲人和老年人中更为明显.
科学领域:
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
- 骨健康 骨健康 骨健康
背景情况:
- 糖尿病前期代表的是正常葡萄糖水平和2型糖尿病之间的代谢状态.
- 它是由快食葡萄糖受损,葡萄糖耐受性受损或HbA1c升高 (5.7%-6.4%) 定义的.
- 糖尿病前期对骨矿物质密度 (BMD) 的影响尚不清楚.
研究的目的:
- 进行一项元分析,评估糖尿病前期和BMD之间的关联.
- 综合现有关于糖尿病前期及其对骨健康影响的证据.
主要方法:
- 在PubMed,Web of Science和Embase数据库 (1990年1月至2022年12月) 中进行了系统的文献搜索.
- 数据使用随机效应模型进行分析,以I2统计学来评估异质性.
- 在基于预定义变量的子组分析中使用了元回归.
主要成果:
- 分析包括了17项研究,其中有45788名参与者.
- 糖尿病前期与脊柱,大腿和全大腿骨的骨质量增加显著相关.
- 亚组分析显示,男性,亚洲人和60岁以上的个体的关联更强烈.
结论:
- 糖尿病前期与脊椎,大腿和全大腿骨的BMD升高密切相关.
- 这种关联在特定的人口群体中更为明显:男性,亚洲人和老年人 (>60岁).
- 进一步的研究可能会探索这些发现的临床影响.
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