Type 2 diabetes is associated with vertebral fractures in a sample of clinic- and hospital-based Latinos

J Immigr Minor Health. 2014 Jun;16(3):440-9. doi: 10.1007/s10903-013-9833-5.

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Distribution
  • Aged
  • Ambulatory Care Facilities / statistics & numerical data
  • Chi-Square Distribution
  • Cohort Studies
  • Comorbidity
  • Confidence Intervals
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / ethnology
  • Female
  • Fractures, Spontaneous / diagnosis
  • Fractures, Spontaneous / epidemiology*
  • Fractures, Spontaneous / ethnology
  • Hispanic or Latino / statistics & numerical data*
  • Hospitals / statistics & numerical data
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Odds Ratio
  • Prevalence
  • Prognosis
  • Registries
  • Sex Distribution
  • Spinal Fractures / diagnosis
  • Spinal Fractures / epidemiology*
  • Spinal Fractures / ethnology
  • Texas / epidemiology