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Relationship between bone mineral density and body mass index among patients with diabetes mellitus in Bahrain

2022; Elsevier BV; Volume: 37; Linguagem: Inglês

10.1016/j.obmed.2022.100472

2451-8476

Manar Sayed Naser, Adla B Hassan, Weqar Sayed Naser, Amer Almarabheh, Heba Ahmed Abdalla, Sara Jaafar Mohamed, Salman khalid Hasan, Ahsan Javaid Butt,

Bone Metabolism and Diseases

To study the prevalence of osteoporosis, BMD T-score, in relation to Body Mass Index (BMI) in patients with diabetes mellitus type 2 (DMT2) in Bahrain. We conducted a retrospective hospital-based study, over the period 2016-2018 of patients with DMT2, who presented to KHUH center in Bahrain for DEXA scan. The demographic data, BMI, and BMD-T scores were collected and analyzed using SPSS version 28. The prevalence of low BMD was found to be 62.7% (18.8% osteoporosis, 43.9% osteopenia), and normal BMD 37.3%. Moreover, the BMD showed positive association with BMI (p=0.015), but negative association with age (p=0.002). Segregation of BMD into femur and lumber spine maintained the significant positive association with BMI, and the negative association with age at both sites. The obese patients had higher mean levels of BMD-T-scores compared to patients with normal BMI (p<0.001). Prevalence of osteoporosis in DMT2 patients in Bahrain is 18.8%. The BMD associated positively with the BMI, but negatively with the age. Thus, in DMT2 patients, the higher the BMI, the higher the BMD, and the lesser risk for developing osteoporosis. Future studies investigating the risk factors for osteoporosis and fracture prediction in DMT2 in Bahrain are warranted.