title: Type 2 diabetes is associated with vertebral fractures in a sample of clinic- and hospital-based Latinos.
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.
authors: Department of Orthopaedics MSC-7774, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., San Antonio, TX, 78229, USA.
authors: K L
authors: KL
authors: Kilpadi
authors: R
authors: R
authors: Eldabaje
authors: J E
authors: JE
authors: Schmitz
authors: B
authors: B
authors: Ehler
authors: T A
authors: TA
authors: Thames
authors: A P
authors: AP
authors: Joshi
authors: J W
authors: JW
authors: Simmons
authors: J E
authors: JE
authors: Michalek
authors: R J
authors: RJ
authors: Fajardo
mesh_terms: D017677:Age Distribution; D000368:Aged; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D015331:Cohort Studies; D015897:Comorbidity; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D005260:Female; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D011379:Prognosis; D012042:Registries; D017678:Sex Distribution; D016103:Spinal Fractures / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D013781:Texas / Q000453:epidemiology
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