July - September 2021, Volume 17, Issue 3

Li Q, Zhao Y, Wang YP, Yang Y, He SM, Zhang X, Wang Z, Luo LY

Correlation between Serum 25(OH)D and Abdominal Visceral Fat Area in Patients with Type 2 Diabetes Mellitus in the Context of Different Bone Mass

Acta Endo (Buc) 2021, 17 (3): 351-357
doi: 10.4183/aeb.2021.351

Objective. To investigate the correlation between serum levels of 25-hydroxy vitamin D [25(OH)D] and the visceral fat area of patients with type 2 diabetes mellitus (T2DM) in the context of different bone mass. Materials and Methods. A total of 180 patients with T2DM were randomly selected for bone mineral density (BMD) examination. According to the results, they were divided into three groups: T2DM normal bone group (group A); T2DM bone mass reduction group (group B); T2DM osteoporosis group (group C). Result. Serum 25(OH)D levels in NC group, A group, B group and C group decreased in turn, and Visceral fat area (VFA) in group B and group C were significantly higher than those in group A and NC [(29.41±4.87) vs. (22.76±4.23) vs. (17.78±3.61) vs. (9.70±3.01), P<0.05], [(117.76±38.79), (125.08±37.90) vs. (89.79±26.51), (97.53±28.61), P<0.05]. Pearson correlation analysis showed that L1-L4 lumbar vertebrae bone density was positively correlated with 25(OH)D and VFA; left femoral neck bone density was positively correlated with 25(OH)D, and negatively correlated with VFA. Conclusion. Serum 25(OH)D and VFA may be associated with the development of T2DM combined with OP.

Keywords: bone density, type 2 diabetes mellitus, 25-hydroxyvitamin D, abdominal visceral adipose area.

Correspondence: Yan Yang MD, First Affiliated Hospital of Zunyi Medical College, Department of Endocrinology, Zunyi, 563099, China, E-mail: cnyanyang@126.com