{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T01:35:43Z","timestamp":1792373743090,"version":"4.4.0"},"reference-count":50,"publisher":"The Endocrine Society","issue":"1","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["FI22\/00329"],"award-info":[{"award-number":["FI22\/00329"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Type 1 diabetes in youth increases the risk of compromised bone health due to glycemic dysregulation. Muscular fitness may play a role in improving bone health during growth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate the association between muscular fitness and bone health in youth with type 1 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 83 young individuals with type 1 diabetes (aged 6-18 years; 44.6% girls) from the Diactive-1 cohort study were followed for 2 years. Dual-energy x-ray absorptiometry whole-body scans were used to assess bone mineral content (BMC) and areal bone mineral density (aBMD) of the total body less head (TBLH), arms, legs, pelvis, and spine. Muscular fitness (handgrip strength, 1 repetition maximum, and muscle power) was assessed with a dynamometer and eGYM devices. Handgrip strength and TBLH bone parameters were age- and sex-standardized using the FitBack Project and BMD Childhood Study, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Linear mixed models showed longitudinal associations of handgrip strength with TBLH-BMC (unstandardized beta coefficient [B] = 17.18, 95%\u202fconfidence interval [CI] 12.47-21.90) and TBLH-aBMD (B = 0.004, 95%\u202fCI 0.002-0.006); RM with TBLH-BMC (B = 20.09, 95%\u202fCI 10.88-29.31) and TBLH-aBMD (B = 0.007, 95%\u202fCI 0.004-0.011); and power with TBLH-BMC (B = 26.80, 95%\u202fCI: 17.31-36.28) and TBLH-aBMD (B = 0.009, 95%\u202fCI 0.005-0.012). Comparable results were observed across the other regions (P &amp;lt; .05). Additionally, analyses with standardized data confirmed the relationships of handgrip z-scores with TBLH-BMC z-scores (B = 0.19, 95%\u202fCI 0.08-0.30) and TBLH-aBMD z-scores (B = 0.350, 95%\u202fCI: 0.210-0.490).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In pediatric patients with type 1 diabetes, higher muscular fitness could serve as a complementary therapeutic strategy to preserve or enhance bone health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1210\/clinem\/dgaf328","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T07:48:10Z","timestamp":1749023290000},"page":"e106-e115","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Muscular Fitness on Bone Mineral Content and Areal Bone Mineral Density in Youth With Type 1 Diabetes"],"prefix":"10.1210","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0210-2866","authenticated-orcid":false,"given":"Jacinto","family":"Mu\u00f1oz-Pardeza","sequence":"first","affiliation":[{"name":"Navarrabiomed, Hospital Universitario de Navarra, Universidad P\u00fablica de Navarra (UPNA), IdiSNA , Pamplona 31008 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4020-0256","authenticated-orcid":false,"given":"Luis","family":"Gracia-Marco","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS) , Granada 18007 ,","place":["Spain"]},{"name":"CIBER for Physiopathology of Obesity and Nutrition (CIBEROBN), Carlos III Health Institute , Madrid 28029 ,","place":["Spain"]},{"name":"Instituto de Investigaci\u00f3n Biosanitaria, ibs. Granada , Granada 18012 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7412-7624","authenticated-orcid":false,"given":"Jos\u00e9 Francisco","family":"L\u00f3pez-Gil","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad Esp\u00edritu Santo , Samborond\u00f3n 0901952 ,","place":["Ecuador"]},{"name":"Department of Communication and Education, Universidad Loyola Andaluc\u00eda , Sevilla 41704 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7221-1731","authenticated-orcid":false,"given":"Ignacio","family":"Hormaz\u00e1bal-Aguayo","sequence":"additional","affiliation":[{"name":"Navarrabiomed, Hospital Universitario de Navarra, Universidad P\u00fablica de Navarra (UPNA), IdiSNA , Pamplona 31008 ,","place":["Spain"]},{"name":"Vicerrector\u00eda de Investigaci\u00f3n y Postgrado, Universidad de La Serena , La Serena 1700000 ,","place":["Chile"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5443-5788","authenticated-orcid":false,"given":"Nidia","family":"Huerta-Uribe","sequence":"additional","affiliation":[{"name":"Navarrabiomed, Hospital Universitario de Navarra, Universidad P\u00fablica de Navarra (UPNA), IdiSNA , Pamplona 31008 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1828-4614","authenticated-orcid":false,"given":"Andres","family":"Marmol-Perez","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS) , Granada 18007 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9691-5998","authenticated-orcid":false,"given":"Yasmin","family":"Ezzatvar","sequence":"additional","affiliation":[{"name":"Lifestyle Factors with Impact on Ageing and Overall Health (LAH) Research Group, Department of Nursing, University of Val\u00e8ncia , Valencia 46010 ,","place":["Spain"]},{"name":"Vicerrector\u00eda de Investigaci\u00f3n y Postgrado, Universidad de Los Lagos , Osorno 5290000 ,","place":["Chile"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1506-4272","authenticated-orcid":false,"given":"Mikel","family":"Izquierdo","sequence":"additional","affiliation":[{"name":"Navarrabiomed, Hospital Universitario de Navarra, Universidad P\u00fablica de Navarra (UPNA), IdiSNA , Pamplona 31008 ,","place":["Spain"]},{"name":"CIBER of Frailty and Healthy Aging (CIBERFES), Carlos III Health Institute , Madrid 28029 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1397-7182","authenticated-orcid":false,"given":"Antonio","family":"Garc\u00eda-Hermoso","sequence":"additional","affiliation":[{"name":"Navarrabiomed, Hospital Universitario de Navarra, Universidad P\u00fablica de Navarra (UPNA), IdiSNA , Pamplona 31008 ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"issue":"8","key":"2025121807430319900_dgaf328-B1","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1111\/pedi.13454","article-title":"Clinical practice consensus guidelines 2022: definition, epidemiology, and classification of diabetes in children and adolescents","volume":"23","author":"Libman","year":"2022","journal-title":"Pediatr Diabetes"},{"key":"2025121807430319900_dgaf328-B2","doi-asserted-by":"crossref","first-page":"109083","DOI":"10.1016\/j.diabres.2021.109083","article-title":"Global estimates of incidence of type 1 diabetes in children and adolescents: results from the International Diabetes Federation Atlas, 10th edition","volume":"183","author":"Ogle","year":"2022","journal-title":"Diabetes Res Clin Pract"},{"issue":"3","key":"2025121807430319900_dgaf328-B3","doi-asserted-by":"crossref","first-page":"e3749","DOI":"10.1002\/dmrr.3749","article-title":"Incidence of type 1 diabetes mellitus in children and adolescents under 20 years of age across 55 countries from 2000 to 2022: a systematic review with meta-analysis","volume":"40","author":"Hormaz\u00e1bal-Aguayo","year":"2024","journal-title":"Diabetes Metabolism Res"},{"issue":"12","key":"2025121807430319900_dgaf328-B4","doi-asserted-by":"crossref","first-page":"2371","DOI":"10.1002\/jbmr.4451","article-title":"Bone fractures in children and young adults with type 1 diabetes: age distribution, fracture location, and the role of glycemic control","volume":"36","author":"Eckert","year":"2020","journal-title":"J Bone Miner Res"},{"issue":"Supplement_1","key":"2025121807430319900_dgaf328-B5","doi-asserted-by":"crossref","first-page":"S59","DOI":"10.2337\/dc25-S004","article-title":"4. 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