Research Article

Association between Uric Acid and Bone Mineral Density in Postmenopausal Women with Type 2 Diabetes Mellitus in China: A Cross-Sectional Inpatient Study

Table 1

Comparison of general characteristics, diabetic complication, biochemical indices, BMD, and bone metabolism markers among the three groups.

IndexNormal group ()Osteopenia group ()Osteoporosis group ()

Age (year)aa,b9.93<0.05
BMI (kg/m2)aa,b3.26<0.05
Diabetes duration (year)a,b3.18<0.05
Menopausal year (year)aa,b2.87<0.05
SBP (mmHg)1.860.16
DBP (mmHg)0.750.47
PMOF (%)2.5 (2.0-2.7)3.6 (3.2-4.3)a7.2 (5.8-9.7)a,b2.96<0.05
PHF (%)0.3 (0.2-0.5)1.0 (0.6-1.4)a3.8 (1.8-5.3)a,b2.45<0.05
HbA1c (%)2.380.10
FBG (mmol/l)0.200.82
TC (mmol/l)0.420.66
TG (mmol/l)0.980.38
LDL-C (mmol/l)1.210.30
HDL-C (mmol/l)1.130.32
UA (μmol/l)aa,b3.26<0.05
eGFR (ml/min/1.732)aa,b4.23<0.05
Ca (mmol/l)1.340.27
PTH (pmol/l)1.160.32
Lumbar BMD (g/cm2)aa,b100.71<0.05
Hip BMD (g/cm2)aa,b194.02<0.05
OC (ng/ml)aa,b2.79<0.05
β-CTX (ng/ml)2.240.11
P1NP (ng/ml)2.070.13
25(OH)D (ng/ml)aa,b2.99<0.05
Complications
 Nephropathy (%)7 (17.07%)25 (20.49%)17 (17.17%)0.480.79
 Neuropathy (%)5 (12.20%)13 (10.66%)13 (13.13%)0.330.85
 Retinopathy (%)6 (14.63%)15 (12.30%)10 (10.10%)0.620.73
Types of antidiabetic drugs
 Metformin (%)33 (80.49%)89 (72.95%)66 (66.67%)2.890.24
 SU (%)10 (24.39%)24 (19.67%)22 (22.22%)0.470.79
α-Glycosidase inhibitors (%)10 (24.39%)44 (36.07%)37 (37.37%)2.330.31
 SGLT-2 inhibitor (%)1 (2.44%)2 (1.64%)1 (1.01%)0.410.81
 TZD (%)000
 GLP-1 receptor agonist (%)2 (4.88%)4 (3.28%)3 (3.03%)0.320.85
 DDP-4 inhibitor (%)31 (75.61%)78 (63.93%)65 (65.66%)1.920.38
 Insulin (%)12 (29.27%)33 (27.05%)19 (19.19%)2.440.29

Note: a compared with the normal group; b compared with the osteopenia group. SBP: systolic blood pressure; DBP: diastolic blood pressure; BMI: body mass index; FBG: fasting blood glucose; HbA1c: glycosylated hemoglobin; UA: uric acid; Ca: calcium; TC: total cholesterol; TG: triglyceride; LDL-C: low-density lipoprotein cholesterol; HDL-C: high-density lipoprotein cholesterol; PTH: parathyroid hormone; eGFR: glomerular filtration rate; BMD: bone mineral density; PMOF: probability of a major osteoporotic fracture; PHF: probability of hip fracture; SU: sulfonylurea; SGLT-2: sodium-glucose cotransporter 2; TZD: thiazolidinedione; GLP-1: glucagon-like peptide 1; DDP-4; dipeptidyl peptidase 4.