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Table 1 General information and features of the included 22 studies

From: Prevalence of osteoporosis in patients with diabetes mellitus: a systematic review and meta-analysis of observational studies

Study

Country

Study design

Skeletal site

DC for OP

N

n

Percent (%)

Participants and sources

Kanazawa,2019 [26]

Japan

cross-sectional study

The thoracic and LS

T score

309

166

53.70

T2DM, 196 male, 113 female; age 65.3 years; BMI 25.2 kg/m2, from hospital;

Maíra Viégas,2011 [20]

Maceió

cross-sectional study

LS and FN

T score

148

45

30.40

T2DM, postmenopausal women, age 61.87 ± 7.85 (41–80 years); from outpatient clinic, Hospital

Abdulameer,2018 [25]

Malaysia

cross-sectional study

The heel bone

T score and QUS

450

100

22.20

T2DM, 231(51.3%)male, 219(48.7%)female; age 62.67 ± 9.24 years; BMI 26.36 ± 4.39 kg/m2, from the outpatient diabetes clinic, hospital;

Maryam Ghodsi,2021 [31]

Iran

cross-sectional study

LS (L2–L4), hip, and FN

T score or Z score

165

23

13.92

T2DM, 63 male,102 female; age, total 50.86 (11.17), male 51.02 (12.85), female 50.76(10.07); BMI 29.40 (4.32) kg/m2, from community.

AL-Homood,2017 [23]

Arabia

cross-sectional study

LS (L2–L4) and FN

T score

170

50

29.41

T2DM, females patients; age 56.3 ± 8.5 years; BMI 32.2 ± 6.2 kg/m2; from hospital.

Yan Guo,2020 [27]

China

cross-sectional study

The heel bone

T score

1073

434

40.45

T2DM, male 382, female 691(64.4%); age 69.09 ± 6.53; BMI 25.29 ± 3.31; from communities.

Afshinnia, 2007 [18]

USA

cross-sectional study

LS (L2–L4), TH

T score

159

54

33.96

T2DM, 26 male, 133 female; age 72.3 ± 10.4 years; BMI 28.5 ± 5.4 kg/m2; from hospital

Yaturu, 2009 [19]

USA

cross-sectional study

LS and FN

T score

550

97

17.63

T2DM, 550 male,age 67.5 ± 0.38 (50 to 76) years; BMI 30.08 ± 0.2; from hospital

Schwartz, 2005 [14]

USA

cohort study

FN and TH

T score

480

66

13.75

T2DM, 222 (46.25%) female; age 70-90 years; from university

Roma’n, 2004 [17]

Spain

cross-sectional study

The calcaneal

T score

92

20

21.70

T2DM, 56 females and 36 males; age 63.3 ± 9.1 years; BMI 29.6 ± 6.1 kg/m2; from a tertiary care hospital.

Lingna Fang, 2021 [30]

China

cross-sectional study

LS and hip

T score

187

58

31.02

T2DM, 82 male, 105 female; age male 65.23 ± 9.34, female 65.08 ± 8.28 years; BMI male 24.9 ± 3.99, female 25.61 ± 3.62 kg/m2; from hospital.

Jianbo Li, 2014 [22]

China

cross-sectional study

LS (L1–L4) and FN

T or Z score

258

133

51.55

T2DM, postmenopausal women; age non-OP 59.6 (48.7, 65.3), OP 63.3 (50.2, 67.7); BMI non-OP 23.7 (2.2), OP 22.4 (2.7); from hospital.

Karimifar, 2012 [21]

Iran

cross sectional study

FN and LS (L2-L4)

T score

200

78

39

T2DM; postmenopausal women; age 66.91 ± 5.78 years; BMI 31.65 ± 4.42 kg/m2; from hospital.

Bruckner, 2014 [35]

Germany

cross-sectional study

Self-reported

T score

398

T1, 14 T2, 43

T1, 9.03 T2, 17.7

155 T1DM, 243 T2DM; T1DM, 139 (71 male, 68 female), T2DM, 243 (115 male, 128 female) age T2DM male, 62.7 ± 8.5 female, 62.9 ± 8.5 BMI T1D male 25.2 ± 3.3, female 24.6 ± 2.9, T2D male 28.9 ± 4.5,female 29.7 ± 5.3 kg/m2; from hospital.

Yufeng Li, 2020 [28]

USA

cross-sectional study

LS (L2-4)

QCT

629

106

16.85

T2DM, male 342, female 287(46%); age 55.12 ± 9.75 years; BMI 27.55 ± 3.87 kg/m2; from communities.

Junyan Li, 2021 [32]

China

cross-sectional study

LS (L1–L4) and left hip

T score

164

65

39.63

T2DM, postmenopausal women; age 45-84 years, NBG 55.17 ± 6.59, OAG 62.17 ± 7.71, OPG 65.78 ± 8.1 years; from hospital.

Min Qiu, 2020 [29]

China

cross sectional study

LS (L1–L4) and FN

T score

147

26

17.69

T2DM, 84 male, 63 female; age NBG 53.4 ± 3.2, OAG 55.7 ± 4.1 OPG 57.6 ± 5.0 years; BMI NBG 25.3 ± 2.1,OAG 25.0 ± 1.7, OPG 24.9 ± 1.7 kg/m2; from hospital.

Shuangling Xiu, 2019 [5]

China

cross-sectional study

LS (2–4), FN, and the hip

T score

370

121

32.70

T2DM, male 176, female 194; age 67.6 ± 5.78 years; BMI 25.81 ± 3.66; from hospital.

Xiaojuan Xu,2021 [34]

China

cross-sectional study

LS (L1–L4), FN, and the hip

T score

933

220

23.58

T2DM, 535 male> = 50 years and 398 postmenopausal women); age male 63.0 (59.0, 67.0), female 64.0 (59.0, 70.0); BMI male 24.58 ± 3.29, female 24.58 (22.03, 27.30); from hospital.

Yang Wu, 2021 [33]

China

cross-sectional study

LV, FN, TH

T score

631

374

59.27A

T2DM, male; age 57.3 ± 12.0 years; BMI 24.9 ± 3.6 kg/m2; from hospital.

L. Zhou, 2017 [24]

China

cross-sectional study

LS (L1–L4), proximal femur

T score

99

27

27.30

T2DM, postmenopausal women; age 62 ± 8 years; BMI 27.6 ± 4.2 kg/m2; from hospital.

Xueyu Li, 2021 [15]

China

cross-sectional study

Existing database

T score

4777

348

7.30

T2DM, male 52% (2482); age 64.2 ± 14.2 years, from hospital

  1. Study: the first author‘s name or first name, published year
  2. Continuous variables are expressed as means ± standard deviation or medians with interquartile range
  3. Categorical variables are expressed as numbers with percentages
  4. T1, type 1 diabetes mellitus; T2, type 2 diabetes mellitus; LS, lumbar spine; FN, femoral neck; LV, lumbar vertebra, FN, femoral neck; TH, total hip;
  5. QUS, Quantitative Ultrasound Scan
  6. NBG, normal BMD group; OAG, osteopenia group; OPG, osteoporosis group;
  7. OP, osteoporosis; N, sample size of diabetic patients; n, the number of OP in diabetes; DC, diagnostic criteria; BMI, body mass index
  8. A, the prevalence of osteopenia or osteoporosis