2018
DOI: 10.1111/cob.12240
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Complex interplay among adiposity, insulin resistance and bone health

Abstract: Obesity and osteoporosis are common public health problems. Paradoxically, while obesity is associated with higher bone density, type 2 diabetic obese individuals have an increased fracture risk. Although obesity and insulin resistance co-exist, some obese individuals remain insulin-sensitive. We suggest that the apparent paradox relating obesity, bone density and fracture risk in type 2 diabetes may be at least partly influenced by differences in bone strength and quality between insulin-resistant and insulin… Show more

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Cited by 27 publications
(23 citation statements)
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“…Patho-physiologically, T2DM is associated with insulin resistance. Therefore, cells from patients living with diabetes mellitus are less likely to accumulate lipids [159]. Increased bone marrow adiposity is known to correlate with altered levels of growth hormones, increased visceral adiposity, increased circulating lipids, and hypoleptinemia [28].…”
Section: Effect Of Diabetes On Progenitor Cellsmentioning
confidence: 99%
“…Patho-physiologically, T2DM is associated with insulin resistance. Therefore, cells from patients living with diabetes mellitus are less likely to accumulate lipids [159]. Increased bone marrow adiposity is known to correlate with altered levels of growth hormones, increased visceral adiposity, increased circulating lipids, and hypoleptinemia [28].…”
Section: Effect Of Diabetes On Progenitor Cellsmentioning
confidence: 99%
“…22 Obesity is associated with adverse changes in bone health via several mechanisms, including alteration of bone-regulating hormones, increased oxidative stress and inflammation, and altered bone cell metabolism. 23 Obesity may negatively affect bone quality. A greater risk of bone fracture for a given BMD value has been observed in the obese population.…”
Section: Introductionmentioning
confidence: 99%
“…The overexpression of c-Fos in mice BMMs also induces the formation of osteoclasts via activation of NF-κB, JNK, p38 and ERK (Kim et al, 2009). Moreover, IL-1 causes bone loss by promoting osteoclast precursor fusion and enhancing the differentiation of osteoclasts into mature osteoclasts (Ma et al, 2018).…”
Section: Phosphorylation Of Ampk Inhibits Osteoclast Differentiation mentioning
confidence: 99%