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Osteoporosis International

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01-06-2020 | Insulins | Original Article

Insulin resistance negatively affects bone quality not quantity: the relationship between bone and adipose tissue

Authors: I.M. de Araújo, L.T. Parreiras-e-Silva, A.L. Carvalho, J. Elias Jr, C.E.G. Salmon, F.J.A. de Paula

Published in: Osteoporosis International | Issue 6/2020

Abstract

Summary

The present study suggests that insulin resistance has no association with bone quantity, but quality.

Introduction

The literature has contradictory results concerning the influence of insulin resistance on bone. The present study sought to evaluate the association of insulin resistance and adipose tissue with either bone mineral density or the trabecular bone score.

Methods

The study included 56 individuals (36 women and 20 men): age = 46.6 ± 14.2 years, weight = 67.8 ± 10.9 kg, height = 1.65 ± 0.10 m and BMI = 24.8 ± 3.9 kg/m². The investigational protocol included biochemical determinations and bone assessment by dual X-ray absorptiometry for evaluation of bone mineral density and trabecular bone score. Magnetic resonance was employed to estimate visceral, subcutaneous and bone marrow adipose tissues, as well as intrahepatic lipids.

Results

The bone mineral density of the lumbar spine, femoral neck and total hip were not associated with insulin resistance-related parameters [visceral adipose tissue, intrahepatic lipids and homeostatic model assessment of insulin resistance (HOMA-IR)]. In contrast, there was a negative relationship between the trabecular bone score and all these components. The association between the trabecular bone score and HOMA-IR was reinforced after adjustment for age and BMI. Marrow adipose tissue was negatively associated with both bone mineral density and trabecular bone score.

Conclusions

The present study shows that the trabecular bone score is negatively associated with marrow adipose tissue, insulin resistance, visceral adipose tissue and intrahepatic lipid measurements. Additionally, there was a negative relationship between saturated lipids in marrow adipose tissue and the trabecular bone score. These results encourage further studies to investigate the role of the trabecular bone score exam in the clinical evaluation of osteoporosis in conditions of insulin resistance.

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Title: Insulin resistance negatively affects bone quality not quantity: the relationship between bone and adipose tissue
Authors: I.M. de Araújo
L.T. Parreiras-e-Silva
A.L. Carvalho
J. Elias Jr
C.E.G. Salmon
F.J.A. de Paula
Publication date: 01-06-2020
Publisher: Springer London
Keywords: Insulins
Osteoporosis
Osteoporosis
Insulins
Published in: Osteoporosis International / Issue 6/2020
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-020-05365-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Insulin resistance negatively affects bone quality not quantity: the relationship between bone and adipose tissue

Abstract

Summary

Introduction

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Summary

Introduction

Methods

Results

Conclusions

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