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Research ArticleOriginal Article
Open Access

Comparison of bone mineral density and Fracture Risk Assessment Tool in Saudi women with and without type 2 diabetes mellitus

A cross-sectional study

Eman M. Alfadhli, Ahad S. Alsharif, Razan A. Alharbi, Salma S. Alalawi, Shafigah E. Darandari, Showq A. Alsaedi and Shuruq O. Alharbi
Saudi Medical Journal July 2022, 43 (7) 700-707; DOI: https://doi.org/10.15537/smj.2022.43.7.20220144
Eman M. Alfadhli
From the Department of Internal Medicine, College of Medicine, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
Ahad S. Alsharif
From the Department of Internal Medicine, College of Medicine, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia.
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Razan A. Alharbi
From the Department of Internal Medicine, College of Medicine, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia.
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Salma S. Alalawi
From the Department of Internal Medicine, College of Medicine, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia.
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Shafigah E. Darandari
From the Department of Internal Medicine, College of Medicine, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia.
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Showq A. Alsaedi
From the Department of Internal Medicine, College of Medicine, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia.
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Shuruq O. Alharbi
From the Department of Internal Medicine, College of Medicine, Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia.
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  • Figure 1
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    Figure 1

    - The fracture risk assessment (FRAX) score for major osteoporotic fracture in type 2 diabetes (T2DM) women versus non-diabetes with and without rheumatoid arthritis (RA) adjustment. MOF: major osteoporotic fracture, non-DM: non-diabetes

  • Figure 2
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    Figure 2

    - The fracture risk assessment (FRAX) for hip fracture (HF) in type 2 diabetes (T2DM) women versus non-diabetes with and without rheumatoid arthritis (RA) adjustment. non-DM: non-diabetes

Tables

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    Table 1

    - Demographic data and the baseline characteristics of 465 women aged ≥40 years (40-83); and the differences between type 2 diabetes mellitus and non-diabetics groups.

    VariablesAll (N=465)Non-DM (n=251)T2DM (n=214)P-value
    Age (years)59.4±7.959.3±7.959.6±80.723
    40-49 years46 (9.9)26 (10.4)20 (9.3)
    50-59 years204 (43.9)115 (45.8)89 (41.6)
    60-69 years149 (32.0)77 (30.7)72 (33.6)
    70 years and above66 (14.2)33 (13.1)33 (15.4)
    Postmenopausal361 (77.6)193 (76.9)168 (78.5)0.738
    Height (cm)154.0±6.9154.4±5.7153.5±80.167
    Weight (Kg)75.3±16.375.4±15.575.1±17.10.860
    BMI (kg/cm2)31.5±6.331.5±6.131.4±6.50.976
    On calcium supplements244 (52.5)132 (52.6)112 (52.3)1.000
    On Vitamin D supplements286 (61.5)153 (61)133 (62.1)0.848
    • Data are presented as numbers and precentage (%), mean ± standard deviation (SD). DM: diabetes mellitus, T2DM: type 2 diabetes mellitus, BMI: body mass index

    • View popup
    Table 2

    - Measured values of the dual-energy X-ray absorptiometry scan and the prevalence of osteopenia and osteoporosis in 465 women aged ≥40 years and the differences between the type 2 diabetes mellitus and non-diabetics groups.

    VariablesAll (N=465)Non-DM (n=251)T2DM (n=214)P-value
    R FN BMD (g/cm2)0.7±0.10.7±0.10.7±0.10.100
    R FN T score-1±1.1-0.9±1.2-1.1±1.10.096
    R FN Z score0.2±1.00.2±10.12±10.252
    L FN BMD (g/cm2)0.7±0.10.7±0.10.7±0.10.193
    L FN T score-1±1.2-0.9±1.3-1.1±1.10.187
    L FN Z score0.1±1.20.2±1.20.07±1.30.188
    Lumbar spine BMD (g/cm2)0.8±0.10.8±0.10.8±0.10.664
    Lumbar spine T score-1.8±1.2-1.8±1.3-1.8±1.20.592
    Lumbar spine Z score-0.4±1.2-0.4±1.2-0.4±1.20.660
    Osteopenia, n(%)233 (50.1)133 (53)100 (46.7)0.193
    Osteoporosis, n (%)158 (34.0)78 (31.1)80 (37.4)0.169
    • Data are presented as mean ± standard deviation (SD). DM: diabetes mellitus, T2DM: type 2 diabetes mellitus, R: right, L: left, FN: femur neck, BMD: bone mineral density

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    Table 3

    - Prevalence of fracture risk factors of 465 women aged ≥40 years and the differences between the type 2 diabetes mellitus and non-diabetics groups.

    VariablesAll (N=465)Non-DM (n=251)T2DM (n=214)P-value
    Secondary osteoporosis22 (4.0)10 (4.0)12 (5.6)0.512
    On glucocorticoids44 (9.5)25 (10)19 (8.9)0.752
    Malabsorption12 (2.6)4 (1.6)8 (3.7)0.240
    Cushing syndrome0 (0.0)0 (0.0)0 (0.0)NA
    Hyperparathyroidism3 (0.6)3 (1.2)0 (0.0)0.253
    Thyrotoxicosis7 (1.5)3 (1.2)4 (1.9)0.708
    Liver failure0 (0.0)0 (0.0)0 (0.0)NA
    Current smoking7 (1.5)6 (2.4)1 (0.5)0.130
    Parent fractured hip27 (5.8)12 (4.8)15 (7)0.326
    On osteoporosis medications90 (19.4)48 (19.1)42 (19.6)0.907
    • Data are presented as numbers and precentage (%). DM: diabetes mellitus, T2DM: type 2 diabetes mellitus, NA: not applicable

    • View popup
    Table 4

    - The rate of prior fragility fracture and associated risks of 465 women aged ≥40 years and the differences between the T2DM and non-diabetics groups.

    VariablesAll (N=465)Non-DM (n=251)T2DM (n=214)P-value
    Low trauma fracture61 (13.1)32 (12.7)29 (13.6)0.891
    Hip fracture26 (5.6)12 (4.7)14 (6.5)0.445
    Spine fracture8 (1.7)6 (2.4)2 (0.9)0.260
    Arm fracture29 (6.2)14 (5.6)15 (7.0)0.612
    Tendency to fall252 (54.2)132 (52.6)120 (56.1)0.457
    Balance problem32 (12.7)13 (9.8)19 (15.8)0.186
    Limping or difficulty walking64 (25.4)40 (30.3)24 (20)0.082
    Weak legs84 (33.3)46 (34.8)38 (31.7)0.688
    Feeling dizzy69 (27.4)34 (25.8)35 (29.2)0.574
    Feeling tired and fatigue89 (35.3)44 (33.3)45 (37.5)0.512
    • Data are presented as numbers and precentage (%). DM: diabetes mellitus, T2DM: type 2 diabetes mellitus

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Saudi Medical Journal: 43 (7)
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Comparison of bone mineral density and Fracture Risk Assessment Tool in Saudi women with and without type 2 diabetes mellitus
Eman M. Alfadhli, Ahad S. Alsharif, Razan A. Alharbi, Salma S. Alalawi, Shafigah E. Darandari, Showq A. Alsaedi, Shuruq O. Alharbi
Saudi Medical Journal Jul 2022, 43 (7) 700-707; DOI: 10.15537/smj.2022.43.7.20220144

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Comparison of bone mineral density and Fracture Risk Assessment Tool in Saudi women with and without type 2 diabetes mellitus
Eman M. Alfadhli, Ahad S. Alsharif, Razan A. Alharbi, Salma S. Alalawi, Shafigah E. Darandari, Showq A. Alsaedi, Shuruq O. Alharbi
Saudi Medical Journal Jul 2022, 43 (7) 700-707; DOI: 10.15537/smj.2022.43.7.20220144
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Keywords

  • diabetes mellitus
  • type 2 diabetes mellitus
  • bone density
  • osteoporosis
  • FRAX

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