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Diabetes mellitus (DM) cases are increasing worldwide, especially in Saudi Arabia. Previous studies suggested a positive relationship between body mass index (BMI) and bone mineral density (BMD) levels. Generally, patients with low BMI (<18.5 kg/m 2 ) have reduced BMD levels and, thus, low  T -scores; hence, they are categorized as osteopenic or osteoporotic. In this study, we aimed to determine whether a relationship between BMI and BMD  T -scores in the hip and spine regions of patients with diabetes exists. This retrospective record review investigated older adult patients with diabetes in King Abdulaziz University Hospital ( n =198; age 50–90 years) who underwent BMD scan between January 1, 2016, and June 25, 2018, regardless of their sex but limited to type 2 DM. The height and weight of all subjects were recorded, and BMI was calculated and categorized. We used SPSS version 21 for data analysis; measures of central tendencies, Pearson's correlations, chi-square tests, and independent  t -tests were employed. We found positive relationships between BMI and BMD  T -scores in the hip and spine regions (right femoral neck:  R =+0.214,  P  ≤ 0.002; total right hip:  R =+0.912,  P  ≤ 0.001; left femoral neck:  R =+0.939,  P  ≤ 0.001; total left hip:  R =+0.885,  P  ≤ 0.001; and total lumbar region:  R =+0.607,  P  ≤ 0.001). Low BMI (<18.5 kg/m 2 ) could be a risk factor for osteoporosis, whereas normal/high BMI could be protective against osteoporosis among adults with diabetes.

journal of obesity

Relationship between Body Mass Index and <i>T</i>-Scores of Bone Mineral Density in the Hip and Spine Regions among Older Adults with Diabetes: A Retrospective Review

Relationship between Body Mass Index and T-Scores of Bone Mineral Density in the Hip and Spine Regions among Older Adults with Diabetes: A Retrospective Review