Evaluation of the effect of type II diabetes mellitus on Bone Mineral Density of Upper and Lower Limbs by Dual-Energy X-Ray Absorptiometry

N. S. Dawood, Numan S. Dawood, Maan H. Al-khalisy
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Abstract

Background: Bone mineral density has been assessed using Dual-Energy X-Ray Absorptiometry. Bone mineral density is measured according to the results of the Dual-Energy X-Ray Absorptiometry examination of the vertebral column and pelvis. Although diabetes mellitus type II (DM) is known to affect bone mineral density, at the present time this particular relationship is not clear.  Objective: The aim of current study was to evaluate the effects of type II diabetes mellitus on bone mineral density of the upper and lower limbs as well as gender differences.   Patients and Methods: This study involved 165 patients complaining of bone pain (85 males and 80 females), 85 patients of who suffered from diabetes, involving both genders. In addition, 90 apparently healthy volunteers had been studied and were considered to constitute the control group. All individuals (255) were studied regarding their bone mineral density via Dual-Energy X-Ray Absorptiometry for all parts of the body. Results: The Dual-Energy X-Ray Absorptiometry exam revealed highly statistically significant differences between the sides of the body in the same person. In addition, there were significant differences in bone mineral density between females and males, as well as between the control and patient groups with type II diabetes mellitus.  Conclusion: Our results indicated that the bone mineral density of women was less than that in men in all cases (normal, osteoporosis, and diabetes mellitus type II (DM) with osteoporosis). Other results obtained from this research revealed that diabetes mellitus type II (DM) can be considered to be one of the major causes of osteoporosis in the general population
双能X射线吸收法评价Ⅱ型糖尿病对上下肢骨密度的影响
背景:骨密度已经用双能X射线吸收法进行了评估。骨密度是根据脊柱和骨盆的双能X射线吸收测量检查结果测量的。尽管已知II型糖尿病会影响骨密度,但目前这种特殊关系尚不清楚。目的:本研究旨在评估II型糖尿病对上下肢骨密度的影响以及性别差异。患者和方法:本研究涉及165名主诉骨痛的患者(85名男性和80名女性),85名糖尿病患者,涉及两性。此外,对90名明显健康的志愿者进行了研究,并将其视为对照组。通过身体所有部位的双能X射线吸收法对所有个体(255)的骨密度进行了研究。结果:双能X射线吸收率检查显示,同一个人身体两侧的差异具有高度统计学意义。此外,女性和男性之间以及对照组和II型糖尿病患者组之间的骨密度存在显著差异。结论:我们的研究结果表明,在所有情况下(正常、骨质疏松和II型糖尿病合并骨质疏松),女性的骨密度都低于男性。这项研究的其他结果表明,II型糖尿病(DM)可被认为是普通人群骨质疏松症的主要原因之一
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