Sun. Jul 21st, 2019

Race and Ethnicity Contribute to Fracture Threat in Diabetics

Diabetic Caucasians and Hispanics are at a larger risk of fracture relative to those not diabetic, whereas African Americans having diabetes have almost no further risk of a fracture, according to a study.

“Diabetes has been associated with additional risk of fracture, but it had not been well studied in African Americans or Hispanics, the two racial-ethnic groups with the highest rates of diabetes in the United States,” lead researcher Rajesh Jain, M.D. stated, He is from the Lewis Katz School of Medicine at Temple University in Philadelphia, Pa.

He observed that keeping in view the increased fracture risk linked with diabetes, some medical teams have advised added osteoporosis screening or therapy to aid in preventing fractures in diabetic patients.  “This research could mean that African Americans with diabetes may not require the additional screening or treatment for osteoporosis that Caucasians or Hispanics with diabetes may require,” stated Jain.

The researchers examined the data from about 19,000 diabetics (7,618 of them were Caucasian, 7,456 African American, and 4,079 Hispanic) and nearly 26,000 people with hypertension (15,138 were Caucasian, 8,301 African American, and 2,778 Hispanic). All of them were at least 40 years of age. While controlling for other significant factors, the fracture risk in whites and Hispanics with diabetes was 23 percent greater than those not having diabetes. But the danger of fracture in African Americans with diabetes was not significantly dissimilar to those not having diabetes.

“This is a novel finding and has not been previously reported,” Jain states.

African Americans, irrespective of whether they suffered from diabetes or not, had greater than 10 times the risk of a fracture provided that they had had a fracture in the past, versus to nearly a two times increase in risk for white and Hispanic people.

“This suggests risk factors for fracture may differ in African Americans,” Jain told.