Reduction of visceral fat could be related to the improvement of TBS in diabetes mellitus
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ORIGINAL ARTICLE
Reduction of visceral fat could be related to the improvement of TBS in diabetes mellitus Hyun Uk Moon1 · Nami Lee1 · Yoon‑Sok Chung1 · Yong Jun Choi1 Received: 17 December 2019 / Accepted: 1 April 2020 © The Japanese Society Bone and Mineral Research and Springer Japan KK, part of Springer Nature 2020
Abstract Introduction Diabetes has been proposed as a risk factor for increased skeletal fragility. Visceral fat is known to yield adverse effects on bone metabolism in people with diabetes. We investigated the relationship between the change in visceral fat mass over time and TBS or BMD. Materials and methods This retrospective study enrolled 690 (male: 367; female: 323) subjects with type 2 diabetes mellitus. Visceral fat mass, lumbar and femoral neck BMD, and lumbar spine TBS were measured via dual-energy X-ray absorptiometry (DXA), including the follow-up data within a 3-year period. Results TBS significantly increased as visceral fat mass decreased in both sexes (p
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