Osteoporosis, bone & mineral

Prevalence and risk factors for osteoporosis in type 1 diabetes—results from an observational study

Osteoporos IntPublished Cross-sectional study

Authors' conclusion

The present study finds that a high proportion of individuals with type 1 diabetes have osteoporosis, and an even higher proportion meet the treatment criteria proposed by the ADA

Study context

Population
Active attenders of the T1D clinic at Steno Diabetes Center Aarhus, Aarhus University Hospital, offered osteoporosis screening by DXA of lumbar spine and hip, 2020–2022had a DXA
Participants
764 participants
Outcome
Prevalence of osteoporosis (WHO criteria: vertebral fracture or T-score ≤ - 2.5) and of ADA-treatment criteria (vertebral fracture or T-score ≤ - 2.0)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Osteoporosis (vertebral fracture or T-score ≤ - 2.5)

25.5%

Met ADA-treatment criteria (vertebral fracture or T-score ≤ - 2.0)

36%

Observational data: associations, not effects.

Further findings

Risk factors for osteoporosis (multivariate analysis)

OR (95% CI)
Increasing ageIncreased risk · multivariate analysis1.3 (1.0–1.7)
Family history of osteoporosisIncreased risk · multivariate analysis1.9 (1.2–3.0)
Increase in BMIDecreased risk · multivariate analysis0.87 (0.82–0.92)

Original publication

Prevalence and risk factors for osteoporosis in type 1 diabetes—results from an observational study. Osteoporos Int. Published 18 March 2025. doi:10.1007/s00198-025-07443-y

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