Affiliation:
1. Department of Endocrinology & Metabolism, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, 301 Middle Yanchang Road, Shanghai 200072, China
Abstract
Aim. To investigate bone metabolic characteristics in Chinese adults with nonalcoholic fatty liver disease (NAFLD).Methods. A total of 224 patients (99 males and 125 postmenopausal females) were recruited and divided into 4 groups: males without NAFLD, males with NAFLD, females without NAFLD, and females with NAFLD. Bone mineral density (BMD) was evaluated according to body mass index (BMI), waist circumference (WC), and serum biomarkers.βcell function was evaluated by HOMA2%B, HOMA2%S, and HOMA2IR.Results. Males in the NAFLD group had lower BMD of the right hip and the femoral neck (0.852±0.117versus0.930±0.123,P=0.002;0.736±0.119versus0.812±0.132,P=0.004), and females had lower BMD of the right hip (0.725±0.141versus0.805±0.145,P=0.002) even after adjusted for weight, BMI, waist, HDL, and ALT. There was no significant difference in bone metabolic markers between patients with and without NAFLD. NAFLD was an important factor that affected the bone; moreover, the effect attenuated when HOMA2IR entered into the model (R2=0.160,β=−0.172, andP=0.008).Conclusions. NAFLD exerts a detrimental effect on BMD in both males and females. Insulin resistance may play an important role in this pathophysiological process.
Funder
National Natural Science Foundation of China
Subject
Endocrine and Autonomic Systems,Endocrinology,Endocrinology, Diabetes and Metabolism
Cited by
46 articles.
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