Bone properties in persons with type 1 diabetes and healthy controls – A cross-sectional study
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| Titel: | Bone properties in persons with type 1 diabetes and healthy controls – A cross-sectional study |
|---|---|
| Autoren: | Brandt, Inge Agnete Gerlach, Viggers, Rikke, Harsløf, Torben, Frost, Morten, Vestergaard, Peter |
| Quelle: | Brandt, I G, Viggers, R, Harsløf, T, Frost, M & Vestergaard, P 2025, 'Bone properties in persons with type 1 diabetes and healthy controls-A cross-sectional study', Bone, vol. 190, 117306. https://doi.org/10.1016/j.bone.2024.117306 Brandt, I A G, Viggers, R, Harsløf, T, Frost, M & Vestergaard, P 2025, 'Bone properties in persons with type 1 diabetes and healthy controls-A cross-sectional study', Bone, vol. 190, 117306. https://doi.org/10.1016/j.bone.2024.117306 |
| Verlagsinformationen: | Elsevier BV, 2025. |
| Publikationsjahr: | 2025 |
| Schlagwörter: | Male, Adult, Bone quality, Trabecular bone score, Bone and Bones, Young Adult, Absorptiometry, Photon, Bone Density, Diabetes Mellitus, Humans, Absorptiometry, Tomography, Microindentation, Diabetes, Bone and Bones/diagnostic imaging, Diabetes Mellitus, Type 1/physiopathology, Type 1/physiopathology, Middle Aged, Photon, High-resolution peripheral quantitative computed tomography, X-Ray Computed, Fracture, Diabetes Mellitus, Type 1, Cross-Sectional Studies, Case-Control Studies, Female, Bone Density/physiology, Tomography, X-Ray Computed |
| Beschreibung: | The risk of fractures is increased in persons with type 1 diabetes (T1D) and assessment of bone health has been included in the 2024 updated Standards of Care by The American Diabetes Association (ADA). Previous studies have found that in T1D bone metabolism, mineral content, microstructure, and strength diverge from that of persons without diabetes. However, a clear description of a T1D bone phenotype has not yet been established. We investigated bone mechanical properties and microstructure in T1D compared with healthy controls. For the potential future introduction of additional bone measures in the clinical fracture risk assessment, we aimed to assess any potential associations between various measures related to bone indices in subjects with T1D.We studied human bone indices in a clinical cross-sectional setup including 111 persons with early-onset T1D and 37 sex- and age-matched control persons. Participants underwent hip and spine DXA scans for bone mineral density (BMD) of the femoral neck (FN), total hip (TH), and lumbar spine (LS), and TBS evaluation, microindentation of the tibial shaft for Bone Material Strength index (BMSi), and high-resolution periphery quantitative computed tomography (HRpQCT) of the distal radius and tibia for volumetric BMD (vBMD) and structural measures of trabecular and cortical bone. Results are reported as means with (standard deviation) or (95% confidence intervals (CI)), medians with [interquartile range], and differences are reported with (95% CI).The study included 148 persons aged 20 to 75 years with a median age of 43.2 years. The T1D group who had all been diagnosed with T1D before the age of 18 years demonstrated values of HbA1c ranging from 39 to 107 mmol/mol and a median HbA1c of 57 mmol/mol. The BMD did not differ between groups (the mean difference in FN-BMD was 0.026 g/cm2 (-0.026; 0.079), p = 0.319) and the median BMSi was comparable in the two groups (79.2 [73.6; 83.8] in the T1D group compared with 77.9 [70.5, 86.1] in the control group). Total and trabecular vBMD (Tb.vBMD), cortical thickness (Ct.Th), and trabecular thickness (Tb.Th) of both radius and tibia were lower in participants with T1D. The mean Tb.vBMD at the radius was 143.6 (38.5) mg/cm3 in the T1D group and 171.5 (37.7) mg/cm3 in the control group, p |
| Publikationsart: | Article |
| Sprache: | English |
| ISSN: | 8756-3282 |
| DOI: | 10.1016/j.bone.2024.117306 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/39490885 http://www.scopus.com/inward/record.url?scp=85207925839&partnerID=8YFLogxK https://vbn.aau.dk/da/publications/538dfc38-d3f5-4b8f-9020-7b5f2b4bcd14 https://doi.org/10.1016/j.bone.2024.117306 https://portal.findresearcher.sdu.dk/da/publications/8bce7835-18f8-4c79-b745-d79039a203cf https://doi.org/10.1016/j.bone.2024.117306 http://www.scopus.com/inward/record.url?scp=85207925839&partnerID=8YFLogxK https://pure.au.dk/portal/en/publications/520cfabd-b5bf-4d01-b347-8ea5cef4565b https://doi.org/10.1016/j.bone.2024.117306 |
| Rights: | Elsevier TDM |
| Dokumentencode: | edsair.doi.dedup.....28d4f1100b97a30e3b53f26bd5f10658 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | The risk of fractures is increased in persons with type 1 diabetes (T1D) and assessment of bone health has been included in the 2024 updated Standards of Care by The American Diabetes Association (ADA). Previous studies have found that in T1D bone metabolism, mineral content, microstructure, and strength diverge from that of persons without diabetes. However, a clear description of a T1D bone phenotype has not yet been established. We investigated bone mechanical properties and microstructure in T1D compared with healthy controls. For the potential future introduction of additional bone measures in the clinical fracture risk assessment, we aimed to assess any potential associations between various measures related to bone indices in subjects with T1D.We studied human bone indices in a clinical cross-sectional setup including 111 persons with early-onset T1D and 37 sex- and age-matched control persons. Participants underwent hip and spine DXA scans for bone mineral density (BMD) of the femoral neck (FN), total hip (TH), and lumbar spine (LS), and TBS evaluation, microindentation of the tibial shaft for Bone Material Strength index (BMSi), and high-resolution periphery quantitative computed tomography (HRpQCT) of the distal radius and tibia for volumetric BMD (vBMD) and structural measures of trabecular and cortical bone. Results are reported as means with (standard deviation) or (95% confidence intervals (CI)), medians with [interquartile range], and differences are reported with (95% CI).The study included 148 persons aged 20 to 75 years with a median age of 43.2 years. The T1D group who had all been diagnosed with T1D before the age of 18 years demonstrated values of HbA1c ranging from 39 to 107 mmol/mol and a median HbA1c of 57 mmol/mol. The BMD did not differ between groups (the mean difference in FN-BMD was 0.026 g/cm2 (-0.026; 0.079), p = 0.319) and the median BMSi was comparable in the two groups (79.2 [73.6; 83.8] in the T1D group compared with 77.9 [70.5, 86.1] in the control group). Total and trabecular vBMD (Tb.vBMD), cortical thickness (Ct.Th), and trabecular thickness (Tb.Th) of both radius and tibia were lower in participants with T1D. The mean Tb.vBMD at the radius was 143.6 (38.5) mg/cm3 in the T1D group and 171.5 (37.7) mg/cm3 in the control group, p |
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| ISSN: | 87563282 |
| DOI: | 10.1016/j.bone.2024.117306 |