Bone Mineral Density among Lean Type II Diabetes Mellitus Patients-A Cross-sectional Comparative Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 3
Abstract
ABSTRACT Introduction: In case of diabetes mellitus, the pathological process behind fragility of the bone are complex. This process is found to be mediated by various factors like hyperglycaemia, oxidative stress and the accumulation of products of glycation. Aim: To study bone mineral density in lean diabetics and to compare with normal population. Materials and Methods: The present study was undertaken as a cross-sectional comparative study among 60 participants (30 cases of lean diabetics and 30 normal controls). The convenient sampling technique was done to select study participants and the study was carried out during the period from January 2015 to December 2016. Patients who were already a known case of Type 2 diabetes mellitus or newly diagnosed to have Type 2 diabetes mellitus whose BMI was <18.5 kg/m2 were considered as cases. Chi-square test was used for finding a statistically significant difference in proportions; Independent student t-test was used for finding the statistically significant difference between means; Pearson’s correlation coefficient was estimated for finding linear association between two continuous variables; a p-value <0.05 was considered to be statistically significant. Results: On comparison of cases with controls no statistically significant differences were observed between the two groups in terms of age, waist-hip ratio and BMI (p-value >0.05). Bone mineral density parameters were found to be significantly lower among lean diabetes mellitus patients. HbA1C was found to negatively correlate with that of bone mineral density. Conclusion: Osteopenia and osteoporosis, characterised by low bone mineral density values were found to be highly prevalent among lean diabetics.
Authors and Affiliations
Deepak Kumar Garg, Manoj Kumar Dutta
Sympathetic Overactivity Predicts Microalbuminuria in Pregnancy
ABSTRACT Introduction: Microalbuminuria is a frequent feature in pregnancy, as the latter is a state of haemodynamic changes and sympathetic overactivity. Both sympathetic overactivity {as measured by Heart Rate Variabil...
Comparison of Effect of Lavandula officinalis and Venlafaxine in Treating Depression: A Double Blind Clinical Trial
Introduction: Major depressive disorder is a chronic disease which may be associated with other mental illnesses. Lavandula officinalis and venlafaxine, herbal and chemical drugs respectively, are used to treat depressio...
Functional Evaluation of Barrel Vault Tibial Osteotomy for Medial Compartmental Osteoarthritis of the Knee
Introduction: Degenerative changes in articular cartilage of diarthrodial joints and subsequent new bone formation at articular margin are caused due to aging. This leads to osteoarthritis. Most commonly affected joint i...
Sclerosing Extramedullary Haematopoietic Tumour Presenting as Bilateral Gluteal Abscess in a Patient with Chronic Myelogenous Leukaemia
ABSTRACT Sclerosing Extramedullary Haematopoietic Tumours (SEMHT) are found to be associated with Chronic Myeloproliferative Neoplasms most commonly reported in the skin, lacrimal system, orbit, omentum and liver. A 26-y...
Factors Influencing Nursing Students’ Clinical Judgment: A Qualitative Directed Content Analysis in an Iranian Context
Introduction: Clinical judgment is necessary for clinical decision making and enhancing it in nursing students improves health care quality. Since clinical judgment is an interactive phenomenon and dependent on context a...