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

Type 2 Diabetes is Associated with Vertebral Fractures in a Sample of Clinic- and Hospital-Based Latinos
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DOI:
10.1007/s10903-013-9833-5
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发表时间:
2014-06-01
影响因子:
1.9
通讯作者:
Fajardo, R. J.
Fajardo, R. J.
中科院分区:
医学4区
文献类型:
--
作者:
Kilpadi, K. L.;ElDabaje, R.;Fajardo, R. J.

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拉丁美洲人是美国增长最快的种族人口,2型糖尿病是这一人群的主要健康负担,但很少有人研究拉丁美洲人糖尿病椎体脆性的患病率。我们进行了一项横断面研究,以确定南德克萨斯州居民(N = 296)中以医院为基础的人群中椎骨骨折的患病率。我们将X线片中的骨折定义为椎体高度减少> 20%。记录了许多变量,包括年龄、体重指数、糖尿病管理指标等。71%的样本(N = 296)为拉丁裔。与非糖尿病受试者相比,糖尿病受试者的椎骨骨折患病率增加(糖尿病受试者27.9%,非糖尿病受试者13.8%),无论性别和糖尿病状态如何,拉丁美洲人的椎骨骨折患病率相对于非拉丁美洲人降低(拉丁美洲人16.7%,非拉丁美洲人26.4%)。这些数据表明,脊椎骨折可能是一个越来越多的关注糖尿病拉丁美洲人以及任何种族/民族背景的糖尿病患者。
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.