- 期刊
- OpenAccess
血中鈣值濃度與第二型糖尿病男性股骨骨質密度相關性
The Relationship between Serum Calcium Level and Bone Mineral Density of Femur in type 2 Diabetic Mellitus Male Patients
摘要
Type 2 diabetes is a common chronic disease. In addition to vascular complications, there are a variety of bone-related complications such as osteoporosis. Medical nutritional therapy (MNT) mainly focuses on diet guidelines for blood sugar control, but recommendations for preventing osteoporosis are overlooked. Correlations between type 2 diabetes and osteoporosis are quite complex. In the past, osteoporosis was misconceived as a ”female” disease, and osteoporosis in men was grossly underestimated. The purpose of this study was to investigate the bone mineral density (BMD) status of male patients with type 2 diabetes and related parameters. This was a cross-sectional study, and subjects were male patients with type 2 diabetes who were older than 40 years old. BMD, anthropometric measurements and fasting blood samples for biochemical tests were collected. Results showed that in 52 type 2 diabetes male patients, the average age was 62 ± 8.08 years, the diabetes duration was 10.41 ± 8.72 years, and the average glycosylated hemoglobin was 7.43 ± 0.96%. Osteoporosis was diagnosed in 4 (7.7%), osteopenia in 21 (40.4%), and a normal BMD in 27 (51.9%). One-way ANOVA analysis of variables of the femur bone density showed a statistically significant difference (p ＜ 0.05) between the femur bone density and serum calcium concentrations. Tukey's honest significant difference multiple comparisons showed that blood calcium concentrations were highest in patients with a normal bone density, and serum calcium concentrations statistically significantly differed (p ＜ 0.05) between patients with a normal bone density and those with osteopenia. Increasing dietary calcium intake can contribute to maintaining the BMD and reducing the occurrence of osteoporosis. Regardless of gender, type 2 diabetes patients should actively prevent and treat osteoporosis. In addition to MNT for diabetes health education, knowledge about adequate calcium intake should also be provided to correct and prevent the development of osteoporosis and its complications.
並列摘要
Type 2 diabetes is a common chronic disease. In addition to vascular complications, there are a variety of bone-related complications such as osteoporosis. Medical nutritional therapy (MNT) mainly focuses on diet guidelines for blood sugar control, but recommendations for preventing osteoporosis are overlooked. Correlations between type 2 diabetes and osteoporosis are quite complex. In the past, osteoporosis was misconceived as a ”female” disease, and osteoporosis in men was grossly underestimated. The purpose of this study was to investigate the bone mineral density (BMD) status of male patients with type 2 diabetes and related parameters. This was a cross-sectional study, and subjects were male patients with type 2 diabetes who were older than 40 years old. BMD, anthropometric measurements and fasting blood samples for biochemical tests were collected. Results showed that in 52 type 2 diabetes male patients, the average age was 62 ± 8.08 years, the diabetes duration was 10.41 ± 8.72 years, and the average glycosylated hemoglobin was 7.43 ± 0.96%. Osteoporosis was diagnosed in 4 (7.7%), osteopenia in 21 (40.4%), and a normal BMD in 27 (51.9%). One-way ANOVA analysis of variables of the femur bone density showed a statistically significant difference (p ＜ 0.05) between the femur bone density and serum calcium concentrations. Tukey's honest significant difference multiple comparisons showed that blood calcium concentrations were highest in patients with a normal bone density, and serum calcium concentrations statistically significantly differed (p ＜ 0.05) between patients with a normal bone density and those with osteopenia. Increasing dietary calcium intake can contribute to maintaining the BMD and reducing the occurrence of osteoporosis. Regardless of gender, type 2 diabetes patients should actively prevent and treat osteoporosis. In addition to MNT for diabetes health education, knowledge about adequate calcium intake should also be provided to correct and prevent the development of osteoporosis and its complications.