Journal of Immigrant and Minority Health

, Volume 16, Issue 3, pp 440–449 | Cite as

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

  • K. L. Kilpadi
  • R. ElDabaje
  • J. E. Schmitz
  • B. Ehler
  • T. A. Thames
  • A. P. Joshi
  • J. W. Simmons III
  • J. E. Michalek
  • R. J. Fajardo
Original Paper


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.


Latino Spinal fractures Type 2 diabetes mellitus 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • K. L. Kilpadi
    • 1
  • R. ElDabaje
    • 2
  • J. E. Schmitz
    • 1
  • B. Ehler
    • 3
  • T. A. Thames
    • 4
    • 5
  • A. P. Joshi
    • 1
    • 6
  • J. W. Simmons III
    • 1
    • 6
  • J. E. Michalek
    • 3
  • R. J. Fajardo
    • 1
  1. 1.Department of Orthopaedics MSC-7774University of Texas Health Science Center at San AntonioSan AntonioUSA
  2. 2.School of MedicineUniversity of Texas Health Science Center at San AntonioSan AntonioUSA
  3. 3.Department of Epidemiology and BiostatisticsUniversity of Texas Health Science Center at San AntonioSan AntonioUSA
  4. 4.Center for Ethics and HumanitiesUniversity of Texas Health Science Center at San AntonioSan AntonioUSA
  5. 5.Family Medicine Residency ProgramChristus Santa Rosa HospitalSan AntonioUSA
  6. 6.South Texas Spinal ClinicSan AntonioUSA

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