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DEXA Reveals Diabetic Boys Have Lower Bone Density

By MedImaging International staff writers
Posted on 04 Aug 2021

A new radiographic study suggests that gender may be a risk factor for osteoporosis in children and adolescents with type 1 diabetes (T1DM).

Researchers at Mahidol University (Bangkok, Thailand) conducted a study to compare bone mineral density (BMD) in 100 youths (44 boys and 56 girls; mean age 14.5 years) with T1DM, as well as in 100 healthy controls. BMD was assessed in the lumbar (L2–L4) area, the femoral neck, total hip, and total body using dual-energy x-ray absorptiometry (DEXA) scans. Metabolites in blood, including hemoglobin A1c (HbA1c), 25-hydroxyvitamin D, and inflammatory cytokines were also measured.

The results showed that total body, lumbar, and femoral neck BMD scores were lower in diabetic children than in the healthy controls. T1DM boys also had significantly lower lumbar and femoral neck BMD scores than boys in the control group, but no such differences were found between diabetic and control girls. IL-13 was positively correlated with BMD in the total cohort and among girls. In boys, IL-2 and 25-hydroxyvitamin D were positively associated with BMD, and duration of diabetes was found to negatively affect BMD. The study was published on July 10, 2021, in Bone.

“Our findings revealed BMD deficit in our diabetic cohort to be gender specific. Only boys had decreased BMD at almost all sites, while no bone deficit was found in diabetic girls,” concluded lead author pediatric endocrinologist Jeerunda Santiprabhob, MD, and colleagues. “The deleterious effect of T1DM on BMD is gender specific. The longer the duration of T1DM, the greater the deficit in BMD found among boys with T1DM.”

T1DM, also known as insulin dependent diabetes, is characterized by a loss of β-cells in the islets of Langerhans of the pancreas. The primary function of a β-cell is release insulin in response to spikes in blood glucose concentrations, while simultaneously producing more. T1DM is believed to be caused by an autoimmune response where the body destroys 70-80% of β-cells, leaving only 20–30% of them as functioning cells. This can cause the patient to experience hyperglycemia, which leads to other adverse short-term and long-term conditions.

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68 (!!!!! 2148.1513977051): select jos_twitters.link from jos_twitters where cat=10

69 (80.82389831543): select jos_facebook.link from jos_facebook where cat=10

70 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

71 (26.226043701172): select jos_linkedin.link from jos_linkedin where cat=10

72 (39.815902709961): SELECT fid FROM jos_deeppockets WHERE id=294789154 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294789154 AND published='1' LIMIT 1

73 (42.915344238281): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

74 (294.92378234863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (240.80276489258): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (51.021575927734): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

77 (241.04118347168): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (94.890594482422): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (125.88500976562): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 2657.8903198242): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (70.095062255859): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (37.908554077148): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

94 (254.15420532227): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (69.141387939453): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (101.80473327637): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (45.7763671875): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (373.12507629395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

109 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

110 (57.93571472168): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789154 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (44.822692871094): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789154 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (148.77319335938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

113 (91.791152954102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

114 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294789154 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (442.9817199707): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294789154 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (591.99333190918): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (316.85829162598): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

119 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

120 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

121 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

122 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

123 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

124 (344.99168395996): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 55546.998977661): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (283.00285339355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

127 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

128 (!!!!! 4833.9366912842): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789154 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789154 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 722064.01824951): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (74.863433837891): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (49.829483032227): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (488.0428314209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (445.12748718262): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=211

140 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

141 (529.05082702637): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (355.95893859863): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

144 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

145 (!!!!! 9028.1963348389): TRUNCATE TABLE jos_trademed_module

146 (77.962875366211): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789154 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789154 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (825.88195800781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

151 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

152 (!!!!! 1118.1831359863): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

154 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

155 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789154 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789154 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (29.087066650391): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

157 (28.133392333984): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

158 (27.894973754883): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

160 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789154 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789154 AND published='1' LIMIT 1

161 (35.04753112793): select jos_twitters.link from jos_twitters where cat=10

162 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

163 (66.995620727539): select jos_google_plus.link from jos_google_plus where cat=10

164 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

165 (229.1202545166): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1080.0361633301): insert into jos_banners_delta values (14615,'2025-05-01 18:49:54','3.22.63.154','view'),(14202,'2025-05-01 18:49:54','3.22.63.154','view'),(14203,'2025-05-01 18:49:54','3.22.63.154','view')

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