Evidence mapPaperPMID 42453127Full record

ArticleFrontiers in cell and developmental biology2026

Association of triglyceride glucose index and volumetric bone mineral density in T2DM: fat distribution as a potential indirect link.

Bei Huang, Feng Xu, Jun-Jie Yang, Peng-Xin Wang, Zi-Fei Liu, Feng-Rong Liu, Hai-Yang Li, Ling-Qing Yuan, Jun Liu, Xiao Lin

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Article in Frontiers in cell and developmental biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Bei Huang *Department of Radiology, The Second Xiangya Hospital of Central South University, Changsha, China.
Feng Xu *Department of Metabolism and Endocrinology, National Clinical Research Center for Metabolic Diseases, The Second Xiangya Hospital of Central South University, Changsha, China.
Jun-Jie YangDepartment of Radiology, The Second Affiliated Hospital of Xinjiang Medical University, Ürümqi, China.
Peng-Xin WangDepartment of Radiology, The Second Xiangya Hospital of Central South University, Changsha, China.
Zi-Fei LiuDepartment of Radiology, The Second Xiangya Hospital of Central South University, Changsha, China.
Feng-Rong LiuDepartment of Anesthesiology, The Xiangya Hospital of Central South University, Changsha, China.
Hai-Yang LiDepartment of Radiology, The Second Xiangya Hospital of Central South University, Changsha, China.
Ling-Qing YuanDepartment of Metabolism and Endocrinology, National Clinical Research Center for Metabolic Diseases, The Second Xiangya Hospital of Central South University, Changsha, China.
Jun LiuDepartment of Radiology, The Second Xiangya Hospital of Central South University, Changsha, China.
Xiao LinDepartment of Radiology, The Second Xiangya Hospital of Central South University, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with type 2 diabetes mellitus (T2DM) generally present with insulin resistance, central obesity, and increased risk of fragility fracture. But the factors contributing to impaired bone health in T2DM are still unclear. This study investigated the association between the triglyceride glucose index (TyG), a surrogate marker of insulin resistance, and volumetric bone mineral density (vBMD) in T2DM, with a particular focus on the potential role of fat distribution. Methods: In this cross-sectional study, 189 patients with T2DM underwent quantitative computed tomography to assess lumbar vBMD and abdominal fat distribution, including visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), and the visceral-to-subcutaneous fat ratio (VSR). Participants were stratified by TyG tertiles. Spearman correlation analyses, multiple linear regression analyses, and mediation analyses were conducted to examine the associations among TyG, vBMD and fat distribution parameters. Results: Higher TyG correlated with a worse fat distribution pattern and lower vBMD. In the fully adjusted model, each unit increase in TyG was associated with a 10.420 mg/cm Conclusion: Elevated TyG is associated with lower vBMD in patients with T2DM, and this association is consistent with a possible indirect link through fat distribution, especially VSR. TyG may serve as a simple and cost-effective marker to identify impaired bone health in T2DM, while targeting unhealthy fat distribution may have potential value in preventing diabetic osteoporosis.

Indexed as

bone mineral densityfat distributionthe triglyceride glucose indexthe visceral-to-subcutaneous fat ratiotype 2 diabetes mellitus

Identifiers

PMID42453127
PMCPMC13364863

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.