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糖尿病,骨质疏松症和肉症之间的矛盾关系:PARADOS研究
Tülay Tiftik1, Murat Kara2, Cevriye Mülkoğlu1
1Department of Physical and Rehabilitation Medicine, Ankara Education and Research Hospital, Ankara, Turkey.
2型糖尿病 (DM) 与较低的骨质疏松症风险有关,但更高的肉症风险在绝经后的妇女. 这表明DM,骨和肌肉健康之间存在复杂的相互作用.
科学领域:
- 老年学是指老年学的学科.
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 2型糖尿病 (DM),骨质疏松症 (OP) 和肉症是重要的公共卫生问题.
- 这些情况增加了跌倒,骨折,发病率和死亡率的风险.
- 缺乏将OP,肉症和DM联系在一起的全面分析.
研究的目的:
- 调查DM和OP与绝经后妇女的肉症之间的关系.
- 探索DM与骨和肌肉健康的矛盾关联.
主要方法:
- 对444名绝经后妇女进行横截面研究.
- 数据收集包括人口统计,营养,认知和脆弱性得分.
- Sarcopenia 评估涉及肌肉厚度,握力,椅子站立测试,步行速度和使用 ISarcoPRM 算法的一腿站立测试 (OLST).
主要成果:
- 患有DM的患者有较高的肉症 (23.4%对12.9%),但OP频率较低 (33.5%对50.7%).
- 糖尿病与OP负相关 (OR:0.477),与萨尔科佩尼亚 (OR:1.887) 有正相关.
- DM与OLST值也存在负相关性 (β: -0.209).
结论:
- 在绝经后的妇女中,DM与骨和肌肉健康有矛盾的关联.
- 糖尿病与OP的几率大约低2倍.
- 肌痛性肌痛症与萨尔科佩尼亚的几率大约高出两倍.
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