Sarcopenia and Diabetes Mellitus

Study Overview
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Brief Summary
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The association of diabetes mellitus type 2 (T2DM) with sarcopenia has not been adequately investigated. Sarcopenia is characterized by progressive and generalized loss of skeletal muscle mass which may affect performance.

Detailed Description
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The relationship between DM and sarcopenia has not been extensively investigated. Skeletal muscle is the primary site of glucose deposition, and decreased muscle mass plays a role in impaired glucose metabolism in patients with insulin resistance and type 2 diabetes. Skeletal muscle resistance to insulin action appears to be the link between type 2 diabetes (T2DM) and sarcopenia. Hyperglycemia is a metabolic dysfunction which can potentially damage muscle cells. Insulin deficiency leads to marked muscle catabolism that can be reversed by exogenous insulin administration. The metabolic disorder in diabetics may be reversible.Thus, it may be possible to restore physical ability by restoring the musculoskeletal system.Therefore, the diagnosis of sarcopenia if made can lead to interventions which may prevent the deterioration of body composition and the subsequent deterioration of quality of life. According to the results of the aforementioned studies it is still inconclusive if the metabolic disorder in diabetes may be related to sarcopenia, or sarcopenia may be a consequence of diabetes.

Official Title
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Sarcopenia and Diabetes Mellitus

Conditions
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Sarcopenia

Intervention / Treatment
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* Radiation: WHOLE BODY DXA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: T2DM participants were on treatment with oral hypoglycemic agents confirmation criteria of a T2DM diagnosis were glycosylated hemoglobin A1c levels ≥ 6.5% and fasting plasma glucose ≥ 126 mg/dl (7 mmol/l). Exclusion Criteria: history of a cerebrovascular event, a heart stent, an artificial cardiac pacemaker or other metallic implant, a malignant tumor, liver disease, end stage chronic kidney disease, a thyroid disorder, carpal tunnel syndrome, subjects who received special dietary supplements such as protein powder, during the last three months were excluded from the study.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| diabetes mellitus type 2<br>36 patients with diabetes mellitus type 2, aged 20-80 years, attending endocrinology outpatient clinics were studied for the assessment of muscle mass and function compared to controls. | Radiation: WHOLE BODY DXA<br>* Muscle mass was estimated by using the whole body DXA (Hologic Horizon W)<br>|
| CONTROLS<br>14 community people who visited the endocrinology outpatient hospital clinic for a routine checkup, or with a non-related to diabetes disease. | Radiation: WHOLE BODY DXA<br>* Muscle mass was estimated by using the whole body DXA (Hologic Horizon W)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Skeletal Muscle Index | Appendicular Muscle Mass/Height2 | Up to 12 weeks | 
| prevalence of sarcopenia in patients with T2D and in the control group | percents in different groups | Up to 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| fat mass | percent of fat mass, Total Fat index | Up to 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sarcopenia, diabetes mellitus, skeletal muscle index