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

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 frac...

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Bibliographic Details
Published in:	Journal of immigrant and minority health Vol. 16; no. 3; pp. 440 - 449
Main Authors:	Kilpadi, K. L., ElDabaje, R., Schmitz, J. E., Ehler, B., Thames, T. A., Joshi, A. P., Simmons, J. W., Michalek, J. E., Fajardo, R. J.
Format:	Journal Article
Language:	English
Published:	Boston Springer Science + Business Media 01-06-2014 Springer US Springer Nature B.V
Subjects:	Age Distribution Aged Ambulatory Care Facilities - statistics & numerical data Analysis Body Composition Body height Bone density Chi-Square Distribution Cohort Studies Comorbidity Comparative Law Confidence Intervals Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - ethnology Drug Use Ethnic Groups Ethnicity Female Fractures Fractures, Spontaneous - diagnosis Fractures, Spontaneous - epidemiology Fractures, Spontaneous - ethnology Health Sciences Hispanic Americans Hispanic Americans - statistics & numerical data Hospitals Hospitals - statistics & numerical data Humans International & Foreign Law Logistic Models Male Medicine Medicine & Public Health Middle Aged Minority & ethnic groups Minority Groups Noncitizens Odds Ratio ORIGINAL PAPER Physical Disabilities Population Prevalence Private International Law Prognosis Public Health Race Records (Forms) Registries Sample Size Science Scientific Concepts Sex Distribution Sociology Spanish Spinal Fractures - diagnosis Spinal Fractures - epidemiology Spinal Fractures - ethnology Spine Studies Texas - epidemiology White people X-rays Texas United States > US Spinal fractures Latino Type 2 diabetes mellitus
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Summary:	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.
ISSN:	1557-1912 1557-1920
DOI:	10.1007/s10903-013-9833-5