摘要
目的:探讨不同人群中2型糖尿病患者体脂含量百分比及体质指数与骨密度的关系。方法:对2型糖尿病259例患者测量身高、体重、腰围,用DEXA测量骨密度、体脂含量百分比,并检测生化指标。按不同肥胖评价标准进行分组,分析体脂含量百分比、体质指数与骨密度关系,并对影响骨密度因素作相关分析。结果:(1)按体质指数分组:肥胖组体脂含量百分比和体质指数高于超重组及正常组(P<0.05)。(2)按腰围分组:男肥胖组体脂含量百分比及骨密度高于男正常组(P<0.05);而女性肥胖组与女正常组骨密度比较差异无统计学意义(P>0.05);男肥胖骨密度高于女肥胖组(P<0.05)。(3)性别、体质指数、病程是影响骨密度的重要因素,男性的骨密度高于女性,体质指数和骨密度呈正相关,病程和骨密度呈负相关。结论:体脂含量百分比、BMI与骨密度有密切关系;老年2型糖尿病患者保持适当体重可能有利于预防骨质疏松症;老年2型糖尿病女性骨密度下降比老年男性明显。
Objective：To investigate fat percent and BMI＇s relationship with BMD in type 2 diabetic. Methods：A total of 259 subjects were involved in this study. Their height.weight and waist circumference （WC） were measured. BMD and fat percent were measured with dual energy X-ray absorptiometry （DEXA）. They were divided according to different evaluation of obesity. Fat percent and BMI＇s relationship with BMD were analyzed. Results： （1）BMI-related obesity： The obesity group had a higher BMD and fat percent than other groups （P〈0.05）; （2）WC-related obesity： The obesity group had a higher BMD and fat percent than normal in male （P〈0.05）; In the female groups, there is no significant difference in BMD; Obesity in males had a higher BMD than in female; （3） Gender, BMI, and the duration of diabetes were important influencing factors of BMD. Male＇s BMD was higher than female＇s, BMI had a positive correlation with BMD, and the duration of diabetes showed a negative correlation with BMD.Conclusion：Fat percent and BMI had a close relationship with BMD; In the elderly T2DM, bone mass loss may be prevented if they keep proper weight. In elder T2DM,female＇s BMD declined more dramatically than male＇s.
出处
《交通医学》
2013年第2期166-169,共4页
Medical Journal of Communications
