Objective  To measure the treatment means on T2DM and explore the correlation among health-related physical fitness, bone mineral density(BMD), and vascular hardness on elderly patients with T2DM of Shanghai city.

  Methods  120 patients with T2DM, age between 50~70 years old were enrolled in this study.Height, body weight, BMI, BMD were measured, analyzed correlation among health-related physical fitness, BMD and vascular stiffness.

  Results  ① Male patients with T2DM were better than female patients (P < 0.01) on vital capacity, maximum oxygen uptake, BMD, body weight, body fat percentage and grip strength.② The duration of male patients was negatively correlated with their BMD and Labi (P < 0.05).The age of female patients was negatively correlated with the left and right abi (P < 0.05).③ There was a significant positive correlation between BMD and body weight, BMI, grip strength and vital capacity; a negative correlation between vascular hardness and index of vital capacity and maximum oxygen uptake, but without significance.④ The indexes like body weight, body fat percentage, vital capacity, maximum oxygen uptake and BMD of patients whose grip strength>24N were significantly higher in those with grip strength < 24N (P < 0.01).

  Conclusions  The health fitness of most T2DM males is better than that of females.The patients of T2DM, BMD and baPWV were influenced by the growth of the age and course of the disease, and the gender was also one of the important factors.Enhancing muscle strength and cardiopulmonary function exercise can reduce body fat and the bone mineral content, improve the health-related physical fitness of patients.