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2형 당뇨병환자에서 골밀도는 다양하게 보고되고 있다. 최근의 여러 역학조사 연구에 의하면 2형 당뇨병 환자에서 골밀도 상태와 무관하게 골절 위험이 증가한다는 보고들이 많다. 본 연구에서는 전국민을 대상으로 한 표본조사로부터 얻은 질병관리본부의 국민건강영양조사 2008-2011년 자료를 이용하여 2형 당뇨병이 있는 50세 이상 남성 및 폐경후여성에서 골밀도를 확인하고자 하였다. 골다공증약물을 사용한 경우 및 당뇨병 이외에 골밀도에 영향을 미치는 질환 및 악성질환 등이 있는 대상은 제외하였다. 신체계측, 설문조사, 혈액검사 등과 함께 이중에너지흡수방사선을 이용하여 요추 및 대퇴골에서 측정한 골밀도 결과를 이용하였다. 연령, 체질량지수, 월 가구수입, 교육수준, 신체활동, 1일 칼슘섭취량, 혈중 비타민 D 농도를 포함하는 다중회귀분석을 시행한 결과 2형 당뇨병이 있는 50세 이상 남성 및 폐경후여성 모두에서 당뇨병이 없는 군과 비교하여 요추골밀도가 유의하게 높게 나타났다.

Relationship between bone mineral density (BMD) and type 2 diabetes is still inconsistent. Recently, many epidemiologic data show that fracture risk is increased in type 2 diabetic patients regardless of BMD status. In this study, we used nation-wide data from 2008 to 2011 Korea National Health and Nutrition Examination Survey (KNHANES) to analyze the BMD status in patients with type 2 diabetes compared to non-diabetics. We included subjects aged 50 years or older in men (N=2,959, 2,430 without diabetes, 529 with type 2 diabetes) and postmenopausal women (N=2,902, 2,479 without diabetes, 423 with type 2 diabetes). Subjects with history of medication for osteoporosis or with illness or malignancy affecting bone metabolism were excluded. Data of anthropometric measurements and demographic characteristics were collected by trained examiner. Serum was separated from peripheral venous blood samples obtained after 8 hours of fasting. BMD was measured at lumbar spine and femur using dual-energy X-ray absorptiometry (DXA). There was a significant positive association between lumbar spine BMD and type 2 diabetes after adjusting age, gender, body mass index, monthly house income, education level, physical activity, daily calcium intake and vitamin D concentration by multiple regression analysis in all subjects. In the subgroup analysis by gender, this association was maintained both in male and female after adjusting those confounding factors. However, femur BMD was not different between type 2 diabetic and non-diabetic subjects. In conclusion, lumbar spine BMD was significantly higher in type 2 diabetic patients aged 50 years or more in men and postmenopausal women compared to non-diabetic subjects.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Exploiting hardware events to reduce energy consumption of HPC systems Yongho Lee, Osang Kwon, Kwangeun Byeon, Yongjun Kim, Seokin Hong p. 1-11

Development of artificial intelligence literacy education program for teachers and verification of the effectiveness of interest in artificial intelligence convergence education Kwihoon Kim, In-Seong Jeon, Ki-Sang Song p. 13-21

Comparative analysis of anomaly detection models using AE and suggestion of criteria for determining outliers Gun-Ha Kang, Jung-Mo Sohn, Gun-Wu Sim p. 23-30

(A) motion classification and retrieval system in baseball sports video using convolutional neural network model Jun-Young Park, Jae-Seung Kim, Yong-Tae Woo p. 31-37

Social big data analysis for franchise stores Hyeon Gyu Kim p. 39-46

Adjusting weights of single-word and multi-word terms for keyphrase extraction from article text In-Su Kang p. 47-54

(A) method for compound noun extraction to improve accuracy of keyword analysis of social big data Hyeon Gyu Kim p. 55-63

(A) study on the difference between balanced and dominant learning styles and learning strategies by learning factors of college students Ji Sim Kim, Kyong Ah Kim, Mi Soon Park, You Jung Ahn, Suk Oh, Myung Sook Jin p. 65-73

Effects of an aquatic exercise program on body composition, blood components and physical fitness in the elderly women Soon-Hee Lee, In-Suk Yang p. 75-81

(A) study on the role of ergonomics experts in industrial safety and health Kang-Jin Han, Dong-Hyun Park, Seo-Yeon Choi p. 83-90

Comparative analysis of news big data related to SARS-CoV, MERS-CoV, and SARS-CoV-2 (COVID-19) Jae-Hyun Woo p. 91-101

Prevalence and risk factors of gallbladder polyps among adults on Jeju island according to genders Oh-Sung Kwon, Young-Kyu Kim p. 103-112

Development of new Hanbok Jeogori prototype Su-Joung Cha, Seung-Yeun Heo, Myung-Sook An p. 113-125

(A) research on paramedic student type of perception for 119 rescue workers Jae-Min Lee p. 127-137

(A) study on the probabilistic risk analysis for safety management in construction projects Dong-Yeol Lee, Dong-Eun Kim p. 139-147

(The) effects of interpersonal relation disposition and emotional intelligence on interpersonal relation competence of allied health college students Youn-Kyoung Kwag p. 149-156

Testing the equality of two linear regression models : comparison between chow test and a permutation test Yonghwan Um p. 157-164

Meta-analysis of the effect of proprioceptive neuromuscular facilitation training on gait ability in patients with storke Young-Ju Jeun p. 165-172

(The) effect of perceived parenting style on life satisfaction among adolescents transitioning from middle to high schools : testing the mediating effect of self-esteem Kyung Ho Kim, Young Ho Choi p. 173-180

Measures for early demonstration of fine dust reduction technology : focus on the sidewalk pavement Young-Woo Lee p. 181-185

Longitudinal analysis of life satisfaction by generation of single-person households Jae-Nam Kim p. 187-196

Bone mineral density in type 2 diabetic patients aged 50 years or older in men and postmenopausal women in Korea Jeong-Ran Cho, Dong Jin Chung p. 197-207

Research on the influence of We-Chat applet on improving user experience Kai Liao, Jun-Lin Wang p. 221-227

Using motivation of short video advertising marketing in China : an exploratory study of Douyin Nai Zeng p. 229-237

(The) association between body composition and bone mineral density in subjects aged 50 years or older in men and postmenopausal women in Korea Jeong-Ran Cho p. 209-220

참고문헌 (60건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
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2 L. C. Hofbauer, C. C. Brueck, S. K. Singh, H. Dobnig. "Osteoporosis in patients with diabetes mellitus", J Bone Miner Res, Vol. 22, No. 9. pp. 1317-1328, Sep 2007. DOI:10.1359/jbmr.070510. 미소장
3 L. J. Melton, 3rd, C. L. Leibson, S. J. Achenbach, T. M. Therneau, S. Khosla. "Fracture risk in type 2 diabetes: update of a population-based study", J Bone Miner Res, Vol. 23, No. 8. pp. 1334-1342, Aug 2008. DOI: 10.1359/jbmr.080323. 미소장
4 A. V. Schwartz. "Diabetes Mellitus: Does it Affect Bone?", Calcif Tissue Int, Vol. 73. pp. 515-519, 2003. 미소장
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11 S. R. Singh, F. Ahmad, A. Lal, C. Yu, Z. Bai, H. Bennett. "Efficacy and safety of insulin analogues for the management of diabetes mellitus: a meta-analysis", Cmaj, Vol. 180, No. 4. pp. 385-397, Feb 17 2009. 미소장
12 L. Forsen, H. E. Meyer, K. Midthjell, T. H. Edna. "Diabetes mellitus and the incidence of hip fracture: results from the Nord-Trondelag Health Survey", Diabetologia, Vol. 42, No. 8. pp. 920-925, Aug 1999. 미소장
13 M. Janghorbani, D. Feskanich, W. C. Willett, F. Hu. "Prospective study of diabetes and risk of hip fracture: the Nurses' Health Study", Diabetes Care, Vol. 29, No. 7. pp. 1573-1578, Jul 2006. 미소장
14 K. K. Nicodemus, A. R. Folsom, S. Iowa Women's Health. "Type 1 and type 2 diabetes and incident hip fractures in postmenopausal women", Diabetes Care, Vol. 24, No. 7. pp. 1192-1197, Jul 2001. DOI: 10.2337/diacare.24.7.1192. 미소장
15 A. M. Inzerillo, S. Epstein. "Osteoporosis and diabetes mellitus", Rev Endocr Metab Disord, Vol. 5, No. 3. pp. 261-268, Aug 2004. 미소장
16 G. Leidig-Bruckner, R. Ziegler. "Diabetes mellitus a risk for osteoporosis?", Exp Clin Endocrinol Diabetes, Vol. 109 Suppl 2. pp. S493-514, 2001. DOI: 10.1055/s-2001-18605. 미소장
17 S. Brown, L. Julie. "Osteoporosis: An Under-appreciated Complication of Diabetes", Cinical Diabetes, Vol. 22. pp. 10-20, 2004. 미소장
18 D. L. Chau, S. V. Edelman, M. Chandran. "Osteoporosis and diabetes", Curr Diab Rep, Vol. 3, No. 1. pp. 37-42, Feb 2003. 미소장
19 D. E. Bonds, J. C. Larson, A. V. Schwartz, E. S. Strotmeyer, J. Robbins, B. L. Rodriguez, K. C. Johnson, K. L. Margolis. "Risk of fracture in women with type 2 diabetes: the Women's Health Initiative Observational Study", J Clin Endocrinol Metab, Vol. 91, No. 9. pp. 3404-3410, Sep 2006. 미소장
20 N. Napoli, R. A. Incalzi, G. De Gennaro, C. Marcocci, R. Marfella, R. Papalia, F. Purrello, C. Ruggiero, U. Tarantino, F. Tramontana, C. Conte. "Bone fragility in patients with diabetes mellitus: A consensus statement from the working group of the Italian Diabetes Society (SID), Italian Society of Endocrinology (SIE), Italian Society of Gerontology and Geriatrics (SIGG), Italian Society of Orthopaedics and Traumatology (SIOT)", Nutr Metab Cardiovasc Dis, Vol. 31, No. 5. pp. 1375-1390, May 62021. DOI: 10.1016/j.numecd.2021.01.019. 미소장
21 "The guideline of 4th (2007-2009) Korea National Health and Nutrition Survey (KNHANES IV)", Korea Centers for Disease Control and Prevention. pp. 1-227, 2008. 미소장
22 "The guideline of 5th (2010-2012) Korea National Health and Nutrition Survey (KNHANES V)", Korea Centers for Disease Control and Prevention. pp. 1-291, 2012. 미소장
23 X. Yao, X. Xu, F. Jin, Z. Zhu. "The Correlation of Type 2Diabetes Status with Bone Mineral Density in Middle-Aged Adults", Diabetes Metab Syndr Obes, Vol. 13. pp. 3269-3276, 2020. DOI: 10.2147/DMSO.S268592. 미소장
24 L. de, II, M. van der Klift, C. E. de Laet, P. L. van Daele, A. Hofman, H. A. Pols. "Bone mineral density and fracture risk in type-2 diabetes mellitus: the Rotterdam Study", Osteoporos Int, Vol. 16, No. 12. pp. 1713-1720, Dec 2005. 미소장
25 G. Leidig-Bruckner, S. Grobholz, T. Bruckner, C. Scheidt-Nave, P. Nawroth, J. G. Schneider. "Prevalence and determinants of osteoporosis in patients with type 1 and type 2 diabetes mellitus", BMC Endocr Disord, Vol. 14. pp. 33, Apr 11 2014. DOI:10.1186/1472-6823-14-33. 미소장
26 K. H. Li, Y. T. Liu, Y. W. Yang, Y. L. Lin, M. L. Hung, I. C. Lin. "A positive correlation between blood glucose level and bone mineral density in Taiwan", Arch Osteoporos, Vol. 13, No.1. pp. 78, Jul 16 2018. DOI: 10.1007/s11657-018-0494-9. 미소장
27 M. Jang, H. Kim, S. Lea, S. Oh, J. S. Kim, B. Oh. "Effect of duration of diabetes on bone mineral density: a population study on East Asian males", BMC Endocr Disord, Vol. 18, No. 1. pp. 61, Sep 5 2018. DOI: 10.1186/s12902-018-0290-y. 미소장
28 M. Munoz-Torres, E. Jodar, F. Escobar-Jimenez, P. J. Lopez-Ibarra, J. D. Luna. "Bone mineral density measured by dual X-ray absorptiometry in Spanish patients with insulin-dependent diabetes mellitus", Calcif Tissue Int, Vol. 58, No. 5. pp. 316-319, May 1996. 미소장
29 J. T. Tuominen, O. Impivaara, P. Puukka, T. Ronnemaa. "Bone mineral density in patients with type 1 and type 2 diabetes", Diabetes Care, Vol. 22, No. 7. pp. 1196-1200, Jul 1999. 미소장
30 L. A. Ahmed, R. M. Joakimsen, G. K. Berntsen, V. Fonnebo, H. Schirmer. "Diabetes mellitus and the risk of non-vertebral fractures: the Tromso study", Osteoporos Int, Vol. 17, No. 4. pp. 495-500, 2006. 미소장
31 J. Miao, K. Brismar, O. Nyren, A. Ugarph-Morawski, W. Ye. "Elevated hip fracture risk in type 1 diabetic patients: a population-based cohort study in Sweden", Diabetes Care, Vol. 28, No. 12. pp. 2850-2855, Dec 2005. DOI: 10.2337/diacare. 28.12.2850. 미소장
32 K. K. Nicodemus, A. R. Folsom. "Type 1 and type 2 diabetes and incident hip fractures in postmenopausal women", Diabetes Care, Vol. 24, No. 7. pp. 1192-1197, Jul 2001. 미소장
33 R. S. Weinstock, R. S. Goland, E. Shane, T. L. Clemens, R. Lindsay, J. P. Bilezikian. "Bone mineral density in women with type II diabetes mellitus", J Bone Miner Res, Vol. 4, No. 1. pp. 97-101, Feb 1989. 미소장
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35 E. Barrett-Connor, T. L. Holbrook. "Sex differences in osteoporosis in older adults with non-insulin-dependent diabetes mellitus", Jama, Vol. 268, No. 23. pp. 3333-3337, Dec 16 1992. 미소장
36 M. Wakasugi, R. Wakao, M. Tawata, N. Gan, K. Koizumi, T. Onaya. "Bone mineral density measured by dual energy x-ray absorptiometry in patients with non-insulin-dependent diabetes mellitus", Bone, Vol. 14, No. 1. pp. 29-33, 1993. 미소장
37 P. L. van Daele, R. P. Stolk, H. Burger, D. Algra, D. E. Grobbee, A. Hofman, J. C. Birkenhager, H. A. Pols. "Bone density in non-insulin-dependent diabetes mellitus. The Rotterdam Study", Ann Intern Med, Vol. 122, No. 6. pp. 409-414, Mar 15 1995. 미소장
38 W. D. Leslie, L. M. Lix, H. J. Prior, S. Derksen, C. Metge, J. O'Neil. "Biphasic fracture risk in diabetes: a population-based study", Bone, Vol. 40, No. 6. pp. 1595-1601, Jun 2007. 미소장
39 L. Oei, M. C. Zillikens, A. Dehghan, G. H. Buitendijk, M. C. Castano-Betancourt, K. Estrada, L. Stolk, E. H. Oei, J. B. van Meurs, J. A. Janssen, A. Hofman, J. P. van Leeuwen, J. C. Witteman, H. A. Pols, A. G. Uitterlinden, C. C. Klaver, O. H. Franco, F. Rivadeneira. "High bone mineral density and fracture risk in type 2 diabetes as skeletal complications of inadequate glucose control: the Rotterdam Study", Diabetes Care, Vol. 36, No. 6. pp. 1619-1628, Jun 2013. DOI: 10.2337/dc12-1188. 미소장
40 A. V. Schwartz, D. E. Sellmeyer, K. E. Ensrud, J. A. Cauley, H. K. Tabor, P. J. Schreiner, S. A. Jamal, D. M. Black, S. R. Cummings. "Older women with diabetes have an increased risk of fracture: a prospective study", J Clin Endocrinol Metab, Vol. 86, No. 1. pp. 32-38, Jan 2001. 미소장
41 C. S. Shin, M. J. Kim, S. M. Shim, J. T. Kim, S. H. Yu, B. K. Koo, H. Y. Cho, H. J. Choi, S. W. Cho, S. W. Kim, S. Y. Kim, S. O. Yang, N. H. Cho. "The prevalence and risk factors of vertebral fractures in Korea", J Bone Miner Metab, Vol. 30, No. 2. pp. 183-192, Mar 2012. DOI: 10.1007/s00774-011-0300-x. 미소장
42 D. J. Chung, H. J. Choi, Y. S. Chung, S. K. Lim, S. O. Yang, C. S. Shin. "The prevalence and risk factors of vertebral fractures in Korean patients with type 2 diabetes", J Bone Miner Metab, Vol. 31, No. 2. pp. 161-168, Mar 2013. DOI: 10.1007/s00774-012-0398-5. 미소장
43 E. S. Strotmeyer, J. A. Cauley, A. V. Schwartz, M. C. Nevitt, H. E. Resnick, D. C. Bauer, F. A. Tylavsky, N. de Rekeneire, T. B. Harris, A. B. Newman. "Nontraumatic fracture risk with diabetes mellitus and impaired fasting glucose in older white and black adults: the health, aging, and body composition study", Arch Intern Med, Vol. 165, No. 14. pp. 1612-1617, Jul 25 2005. 미소장
44 A. V. Schwartz, E. Vittinghoff, D. E. Sellmeyer, K. R. Feingold, N. de Rekeneire, E. S. Strotmeyer, R. I. Shorr, A. I. Vinik, M. C. Odden, S. W. Park, K. A. Faulkner, T. B. Harris, A. Health, S. Body Composition. "Diabetes-related complications, glycemic control, and falls in older adults", Diabetes Care, Vol. 31, No.3. pp. 391-396, Mar 2008. DOI: 10.2337/dc07-1152. 미소장
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48 P. Vestergaard, L. Rejnmark, L. Mosekilde. "Relative fracture risk in patients with diabetes mellitus, and the impact of insulin and oral antidiabetic medication on relative fracture risk", Diabetologia, Vol. 48, No. 7. pp. 1292-1299, Jul 2005. 미소장
49 A. V. Schwartz, T. A. Hillier, D. E. Sellmeyer, H. E. Resnick, E. Gregg, K. E. Ensrud, P. J. Schreiner, K. L. Margolis, J. A. Cauley, M. C. Nevitt, D. M. Black, S. R. Cummings. "Older women with diabetes have a higher risk of falls: a prospective study", Diabetes Care, Vol. 25, No. 10. pp. 1749-1754, Oct 2002. DOI: 10.2337/diacare.25.10.1749. 미소장
50 M. R. Rubin. "Bone cells and bone turnover in diabetes mellitus", Curr Osteoporos Rep, Vol. 13, No. 3. pp. 186-191, Jun 2015. DOI: 10.1007/s11914-015-0265-0. 미소장
51 M. Yamamoto, T. Yamaguchi, M. Yamauchi, H. Kaji, T. Sugimoto. "Diabetic patients have an increased risk of vertebral fractures independent of BMD or diabetic complications", J Bone Miner Res, Vol. 24, No. 4. pp. 702-709, Apr 2009. 미소장
52 C. Conte, S. Epstein, N. Napoli. "Insulin resistance and bone:a biological partnership", Acta Diabetol, Vol. 55, No. 4. pp. 305-314, Apr 2018. DOI: 10.1007/s00592-018-1101-7. 미소장
53 L. J. Dominguez, M. Barbagallo, L. Moro. "Collagen overglycosylation: a biochemical feature that may contribute to bone quality", Biochem Biophys Res Commun, Vol. 330, No.1. pp. 1-4, Apr 29 2005. 미소장
54 S. Kume, S. Kato, S. Yamagishi, Y. Inagaki, S. Ueda, N. Arima, T. Okawa, M. Kojiro, K. Nagata. "Advanced glycation end-products attenuate human mesenchymal stem cells and prevent cognate differentiation into adipose tissue, cartilage, and bone", J Bone Miner Res, Vol. 20, No. 9. pp. 1647-1658, Sep 2005. 미소장
55 F. Gregorio, S. Cristallini, F. Santeusanio, P. Filipponi, P. Fumelli. "Osteopenia associated with non-insulin-dependent diabetes mellitus: what are the causes?", Diabetes Res Clin Pract, Vol. 23, No. 1. pp. 43-54, Feb 1994. 미소장
56 G. Valerio, A. del Puente, A. Esposito-del Puente, P. Buono, E. Mozzillo, A. Franzese. "The lumbar bone mineral density is affected by long-term poor metabolic control in adolescents with type 1 diabetes mellitus", Horm Res, Vol. 58, No. 6. pp. 266-272, 2002. 미소장
57 W. D. Leslie, S. N. Morin, L. M. Lix, S. R. Majumdar. "Does diabetes modify the effect of FRAX risk factors for predicting major osteoporotic and hip fracture?", Osteoporos Int, Vol. 25, No. 12. pp. 2817-2824, Dec 2014. DOI: 10.1007/s00198-014-2822-2. 미소장
58 L. M. Giangregorio, W. D. Leslie, L. M. Lix, H. Johansson, A. Oden, E. McCloskey, J. A. Kanis. "FRAX underestimates fracture risk in patients with diabetes", J Bone Miner Res, Vol. 27, No.2. pp. 301-308, Feb 2012. DOI: 10.1002/jbmr.556. 미소장
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