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

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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.

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Acknowledgments

We would like to acknowledge the support of the Department of Orthopaedics at UTHSCSA and in particular, Dr. Daniel Carlisle. Toni Hensley and Norma Nami provided additional administrative support for the diabetes research program in the Department of Orthopaedics.

Conflict of interest

Ajeya Joshi is a member of the speaker’s bureau for Eli Lilly. There are no other potential conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Orthopaedics MSC-7774, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., San Antonio, TX, 78229, USA

    K. L. Kilpadi, J. E. Schmitz, A. P. Joshi, J. W. Simmons III & R. J. Fajardo

  2. School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

    R. ElDabaje

  3. Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

    B. Ehler & J. E. Michalek

  4. Center for Ethics and Humanities, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

    T. A. Thames

  5. Family Medicine Residency Program, Christus Santa Rosa Hospital, San Antonio, TX, USA

    T. A. Thames

  6. South Texas Spinal Clinic, San Antonio, TX, USA

    A. P. Joshi & J. W. Simmons III

Authors
  1. K. L. Kilpadi
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  2. R. ElDabaje
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  3. J. E. Schmitz
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  4. B. Ehler
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  5. T. A. Thames
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  6. A. P. Joshi
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  7. J. W. Simmons III
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  8. J. E. Michalek
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  9. R. J. Fajardo
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Corresponding author

Correspondence to R. J. Fajardo.

Additional information

K. L. Kilpadi and R. ElDabaje contributed equally to this work.

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Kilpadi, K.L., ElDabaje, R., Schmitz, J.E. et al. Type 2 Diabetes is Associated with Vertebral Fractures in a Sample of Clinic- and Hospital-Based Latinos. J Immigrant Minority Health 16, 440–449 (2014). https://doi.org/10.1007/s10903-013-9833-5

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  • DOI: https://doi.org/10.1007/s10903-013-9833-5

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