Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus

PurposeThis study aimed to investigate whether low albumin levels are a risk factor for osteoporosis (OP) in patients with type 2 diabetes mellitus (T2DM).Patients and methodsThis study included adult patients with T2DM hospitalized at the Hebei General Hospital in China between 2019 and 2020. Patie...

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Main Authors: Hang Zhao, Cuijuan Qi, Yunjia Zhang, Liqun Yang, Luping Ren, Shuchun Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1449557/full
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author Hang Zhao
Cuijuan Qi
Yunjia Zhang
Liqun Yang
Luping Ren
Shuchun Chen
author_facet Hang Zhao
Cuijuan Qi
Yunjia Zhang
Liqun Yang
Luping Ren
Shuchun Chen
author_sort Hang Zhao
collection DOAJ
description PurposeThis study aimed to investigate whether low albumin levels are a risk factor for osteoporosis (OP) in patients with type 2 diabetes mellitus (T2DM).Patients and methodsThis study included adult patients with T2DM hospitalized at the Hebei General Hospital in China between 2019 and 2020. Patients were divided into groups based on OP to explore the differences between the two groups and stratified by sex. Confounding factors were screened based on the statistical results and clinical practice, and regression analysis was used to explore the relationship between albumin levels and OP.ResultsIn total, 125 patients (68 men and 57 women) with T2DM were included in this study. Triglyceride and high-density lipoprotein cholesterol levels significantly differed between groups. In the low-albumin group, after adjusting for all confounding factors, the P value was 0.041 and the odds ratio (OR) was 4.608 [95% confidence interval (CI): 1.063, 19.063] compared with that in the normal-albumin group. Among male patients, considering all confounding factors, the OR was 12.936 (95% CI: 1.130, 148.125) and P = 0.040 in the low-albumin group compared with that for the normal-albumin group. No such relationship was found in female patients.ConclusionA low albumin level is a risk factor for OP in the total population and in male patients but not in female patients. Therefore, albumin levels should be considered when controlling glucose levels in patients with T2DM.
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spelling doaj-art-56b75dc6ba0a42f7951d3e1f23548c692025-08-20T02:11:58ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-04-011610.3389/fendo.2025.14495571449557Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitusHang ZhaoCuijuan QiYunjia ZhangLiqun YangLuping RenShuchun ChenPurposeThis study aimed to investigate whether low albumin levels are a risk factor for osteoporosis (OP) in patients with type 2 diabetes mellitus (T2DM).Patients and methodsThis study included adult patients with T2DM hospitalized at the Hebei General Hospital in China between 2019 and 2020. Patients were divided into groups based on OP to explore the differences between the two groups and stratified by sex. Confounding factors were screened based on the statistical results and clinical practice, and regression analysis was used to explore the relationship between albumin levels and OP.ResultsIn total, 125 patients (68 men and 57 women) with T2DM were included in this study. Triglyceride and high-density lipoprotein cholesterol levels significantly differed between groups. In the low-albumin group, after adjusting for all confounding factors, the P value was 0.041 and the odds ratio (OR) was 4.608 [95% confidence interval (CI): 1.063, 19.063] compared with that in the normal-albumin group. Among male patients, considering all confounding factors, the OR was 12.936 (95% CI: 1.130, 148.125) and P = 0.040 in the low-albumin group compared with that for the normal-albumin group. No such relationship was found in female patients.ConclusionA low albumin level is a risk factor for OP in the total population and in male patients but not in female patients. Therefore, albumin levels should be considered when controlling glucose levels in patients with T2DM.https://www.frontiersin.org/articles/10.3389/fendo.2025.1449557/fullalbuminosteoporosisbone mineral densitytype 2 diabetes mellitus albumintype 2 diabetes mellitus
spellingShingle Hang Zhao
Cuijuan Qi
Yunjia Zhang
Liqun Yang
Luping Ren
Shuchun Chen
Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus
Frontiers in Endocrinology
albumin
osteoporosis
bone mineral density
type 2 diabetes mellitus albumin
type 2 diabetes mellitus
title Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus
title_full Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus
title_fullStr Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus
title_full_unstemmed Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus
title_short Relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus
title_sort relationship between albumin and osteoporosis in patients with type 2 diabetes mellitus
topic albumin
osteoporosis
bone mineral density
type 2 diabetes mellitus albumin
type 2 diabetes mellitus
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1449557/full
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AT liqunyang relationshipbetweenalbuminandosteoporosisinpatientswithtype2diabetesmellitus
AT lupingren relationshipbetweenalbuminandosteoporosisinpatientswithtype2diabetesmellitus
AT shuchunchen relationshipbetweenalbuminandosteoporosisinpatientswithtype2diabetesmellitus