{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T04:53:19Z","timestamp":1794545599091,"version":"4.9.1"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01 AR45580, U01 AR45614, U01 AR45632, U01AR45647, U01 AR45654, U01 AR45583, U01 AG18197, U01, AG027810, and UL1 TR000128"],"award-info":[{"award-number":["U01 AR45580, U01 AR45614, U01 AR45632, U01AR45647, U01 AR45654, U01 AR45583, U01 AG18197, U01, AG027810, and UL1 TR000128"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000041","name":"American Diabetes Association","doi-asserted-by":"publisher","award":["1\u201004\u2010JF\u201046, ESS"],"award-info":[{"award-number":["1\u201004\u2010JF\u201046, ESS"]}],"id":[{"id":"10.13039\/100000041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2003<\/jats:title>\n                  <jats:p>Type 2 diabetes (T2DM) is associated with a significant increase in risk of nonvertebral fractures, but information on risk of vertebral fractures (VFs) in subjects with T2DM, particularly among men, is lacking. Furthermore, it is not known whether spine bone mineral density (BMD) can predict the risk of VF in T2DM. We sought to examine the effect of diabetes status on prevalent and incident vertebral fracture, and to estimate the effect of lumbar spine BMD (areal and volumetric) as a risk factor for prevalent and incident morphometric vertebral fracture in T2DM (n\u2009=\u2009875) and nondiabetic men (n\u2009=\u20094679). We used data from the Osteoporotic Fractures in Men (MrOS) Study, which enrolled men aged \u226565 years. Lumbar spine areal BMD (aBMD) was measured with dual-energy X-ray absorptiometry (DXA), and volumetric BMD (vBMD) by quantitative computed tomography (QCT). Prevalence (7.0% versus 7.7%) and incidence (4.4% versus 4.5%) of VFs were not higher in T2DM versus nondiabetic men. The risk of prevalent (OR, 1.05; 95% CI, 0.78 to 1.40) or incident vertebral-fracture (OR, 1.28; 95% CI, 0.81 to 2.00) was not higher in T2DM versus nondiabetic men in models adjusted for age, clinic site, race, BMI, and aBMD. Higher spine aBMD was associated with lower risk of prevalent VF in T2DM (OR, 0.55; 95% CI, 0.48 to 0.63) and nondiabetic men (OR, 0.66; 95% CI, 0.5 to 0.88) (p for interaction\u2009=\u20090.24) and of incident VF in T2DM (OR, 0.50; 95% CI, 0.41 to 0.60) and nondiabetic men (OR, 0.54; 95% CI, 0.33 to 0.88) (p for interaction\u2009=\u20090.77). Results were similar for vBMD. In conclusion, T2DM was not associated with higher prevalent or incident VF in older men, even after adjustment for BMI and BMD. Higher spine aBMD and vBMD are associated with lower prevalence and incidence of VF in T2DM as well as nondiabetic men. \u00a9 2017 American Society for Bone and Mineral Research.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/jbmr.3287","type":"journal-article","created":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T08:57:01Z","timestamp":1504256221000},"page":"63-69","source":"Crossref","is-referenced-by-count":74,"title":["Vertebral Fracture Risk in Diabetic Elderly Men: The MrOS Study"],"prefix":"10.1093","volume":"33","author":[{"given":"Nicola","family":"Napoli","sequence":"first","affiliation":[{"name":"Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)Istituto Ortopedico GaleazziMilanItaly"},{"name":"Unit of Endocrinology and DiabetesDepartment of MedicineUniversit\u00e0 Campus Bio-Medico di RomaRomeItaly"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann V","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoCAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne L","family":"Schafer","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Medical CenterSan FranciscoCAUSA"},{"name":"Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoCAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Vittinghoff","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoCAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peggy M","family":"Cawthon","sequence":"additional","affiliation":[{"name":"California Pacific Medical CenterResearch InstituteSan FranciscoCAUSA"},{"name":"Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoCAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeta","family":"Parimi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoCAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Orwoll","sequence":"additional","affiliation":[{"name":"Oregon Health & Science UniversityPortlandORUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa S","family":"Strotmeyer","sequence":"additional","affiliation":[{"name":"Department of EpidemiologyCenter for Aging and Population HealthGraduate School of Public HealthUniversity of PittsburghPittsburghPAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Department of MedicineStanford UniversityStanfordCAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Barrett-Connor","sequence":"additional","affiliation":[{"name":"Department of Medicine and Public HealthUniversity of CaliforniaSan DiegoLa Jolla, CAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis M","family":"Black","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoCAUSA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Osteoporotic Fractures in Men (MrOS) Study Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,9,1]]},"reference":[{"key":"2024021014402942200_jbmr3287-bib-0001","year":"2013"},{"issue":"4","key":"2024021014402942200_jbmr3287-bib-0002","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1038\/nrendo.2016.153","article-title":"Ferrari SL; IOF Bone and Diabetes Working Group. 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