Original Paper

Journal of Immigrant and Minority Health

, Volume 16, Issue 3, pp 440-449

Type 2 Diabetes is Associated with Vertebral Fractures in a Sample of Clinic- and Hospital-Based Latinos

  • K. L. KilpadiAffiliated withDepartment of Orthopaedics MSC-7774, University of Texas Health Science Center at San Antonio
  • , R. ElDabajeAffiliated withSchool of Medicine, University of Texas Health Science Center at San Antonio
  • , J. E. SchmitzAffiliated withDepartment of Orthopaedics MSC-7774, University of Texas Health Science Center at San Antonio
  • , B. EhlerAffiliated withDepartment of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio
  • , T. A. ThamesAffiliated withCenter for Ethics and Humanities, University of Texas Health Science Center at San AntonioFamily Medicine Residency Program, Christus Santa Rosa Hospital
  • , A. P. JoshiAffiliated withDepartment of Orthopaedics MSC-7774, University of Texas Health Science Center at San AntonioSouth Texas Spinal Clinic
  • , J. W. Simmons IIIAffiliated withDepartment of Orthopaedics MSC-7774, University of Texas Health Science Center at San AntonioSouth Texas Spinal Clinic
  • , J. E. MichalekAffiliated withDepartment of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio
  • , R. J. FajardoAffiliated withDepartment of Orthopaedics MSC-7774, University of Texas Health Science Center at San Antonio Email author 

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Abstract

Latinos are the fastest growing ethnic population in the United States and type 2 diabetes is a major health burden in this population, but little effort has been made to study the prevalence of diabetic vertebral fragility in Latinos. We performed a cross-sectional study to determine vertebral fracture prevalence in a hospital-based population of South Texas residents (N = 296). We defined fractures in X-rays as a >20 % reduction in vertebral body height. Numerous variables were recorded, including age, body mass index, indicators of diabetes management and others. 71 % of the sample (N = 296) was Latino. The prevalence of vertebral fracture was increased in diabetic subjects relative to non-diabetic subjects (diabetic 27.9 %, non-diabetic 13.8 %) and, regardless of sex and diabetics status, decreased in Latinos relative to non-Latinos (Latino 16.7 %, non-Latino 26.4 %). These data suggest that vertebral fractures may be a growing concern for diabetic Latinos as well as diabetics of any racial/ethnic background.

Keywords

Latino Spinal fractures Type 2 diabetes mellitus