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Table 7 Comparisons of studies evaluating the association between predictor and outcome variable

From: The impact of diabetes, anemia, and renal function in the relationship between osteoporosis and fasting blood glucose among Taiwanese women: a cross-sectional study

Predictor

Outcome variable

Association

Study population

Definition of outcome variable

Reference

Diabetes

bone quality

−

  

[1]

Diabetes

fracture

+

  

[3,4,5, 22]

Diabetes

bone mineral density

+

review, 26 articles

comprehensive review of 47 studies

[20]

Diabetes

bone mineral density

NS

review, 8 articles

 

Diabetes

bone mineral density

−

review, 13 articles

 

Diabetes

body mass index

+

  

[21]

Diabetes

osteoporosis

+

n = 3331, Taiwan retrospective cohort study, ≥ 40 years from the 2002 TwSHHH linked to the NHIRD, over a median follow-up duration of 13.6 years

incident osteoporosis based on ICD9-CM codes or the use of anti-osteoporotic agents

[10]

Diabetes

osteoporosis

−

n = 96,626, Korean cohort study, over 55 years received health check-up in 2009 linked to NHIS, average follow-up period 4.14 person-years

incident osteoporosis basis of ICD-code with newly registered

[26]

Diabetes

anemia

+

  

[12]

Diabetes (older males)

osteoporosis

−

n = 553, Iran cross-sectional study, ≥ 60 years from Amirkola health and ageing project in 2011–2012

osteoporosis based on T-score ≤ − 2.5 at either lumbar spine or femoral neck, bone mineral density by DXA

[68]

anemia

−

 

Iron deficiency anemia

osteoporosis

+

Iron deficiency anemia (n = 35,751) and no iron deficiency anemia (n = 178,755) sampled individuals from the 1998–2012 Taiwan NHIRD, cross-sectional study

osteoporosis based on ICD-9-CM code T score < 2.5 by DXA

[43]

Hemoglobin

osteoporosis

−

n = 139,520, osteoporosis and control 1:1 matched, Korean cross-sectional study, ≥ 40 years from NHIS Health Screening Cohort data, 2002–2013

osteoporosis based on ICD-10 codes

[14]

Hemoglobin & diabetes

osteoporosis (older men)

−

n = 573, China cross-sectional study, ≥ 60 years from Xuanwu Hospital, 2016/07–2018/05

osteoporosis based on T-score ≤ − 2.5 at any of lumbar spine, femoral neck and hip sites, bone mineral density by DXA

[72]

Fasting blood glucose + non-diabetes (women)

bone mineral density

+

n = 2367, China cross-sectional study, > 65 years, three medical examination centers, 2019/01–2020/12,

osteoporosis based on T-score ≤ − 2.5 at any of lumbar spine, femoral neck and hip sites, bone mineral density by DXA

[78]

osteoporosis

−

 

Fasting blood glucose

osteoporosis

+

n = 101, Vietnam type-2 diabetic patients, cross-sectional study, ≥ 30 years, admitted to 175 Military Hospital for treatment, 2018/04–2019/03

DXA

[24]

Fasting blood glucose or diabetes

bone mineral density

+

T2DM n = 1719, non-diabetes n = 6401, Taiwan cross-sectional study, 50–90 years from Health Examination Database of a hospital, 2010/01–2015/12

osteoporosis based on T-score ≤ − 2.5 at lumbar spine or femoral neck, bone mineral density by DXA

[21]

osteoporosis

−

 

Fasting blood glucose

osteoporosis, diabetes with high-increasing fasting blood glucose in men

+

n = 18,313, China, cohort study, physical examinations at a center during 2008–2018, more than 4-year follow-up period

incidence of osteoporosis based on T-score ≤ − 2.5 at lumbar spine, bone mineral density by DXA

[25]

osteoporosis, non-diabetes with elevated-increasing fasting blood glucose in women

−

 

Fasting blood glucose

vBMD

NS

n = 10,309, China health check-up cohort, 2018–2019

vBMD, lumbar spine by QCT

[88]

aBMD (men)

+

aBMD, lumbar spine, by DXA

 

Insulin resistance (HOMA-IR)

+ diabetes

osteoporosis (women)

+

n = 234, China, cross-sectional study, department of Endocrinology and Metabolism at a hospital, 2016/02–2018/08

osteoporosis based on T-score ≤ − 2.5 at lumbar spine, bone mineral density by DXA

[31]

Insulin resistance (HOMA-IR)

+ non-diabetes, postmenopausal women

aBMD

NS

n = 146, Study of Women’s Health Across the Nation, cross-sectional study

aBMD at lumbar spine and total hip by DXA

[89]

vBMD and trabecular and cortical thickness

+

vBMD and bone microarchitecture by HR-pQCT, 2008/09–2011/04

 
  1. +: positive correlation; −: negative (inverse) correlation; NS: no significant correlation
  2. aBMD: areal bone mineral density; DXA: Dual-energy X-ray Absorptiometry; HOMA-IR: Homeostatic Model Assessment of Insulin Resistance; HR-pQCT: High-Resolution Peripheral Quantitative Computed Tomography; ICD9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification; NHIRD: National Health Insurance Research Database; TwSHHH: Taiwanese Survey on Prevalence of Hypertension, Hyperglycemia, and Hyperlipidemia; vBMD: volumetric bone mineral density