Prevalence of vertebral osteoporotic fractures in elderly Diabetic female patients

Abstract

Diabetes and osteoporosis are major public health problems that affect a large proportion of older people around the world. The most common problem caused by osteoporosis is vertebral fractures, occurring in about 20% of all postmenopausal women. Vertebral fractures are the most common type of osteoporotic fracture, and their identification is important not only for the diagnosis of osteoporosis, but also for future fracture risk assessment and treatment decisions. The current study aimed to detect the prevalence of osteoporotic vertebral fractures in elderly females with type 2 diabetes mellitus. A cross-sectional study was conducted and included 100 elderly females aged 60 years old or more with T2DM, who were recruited from the inpatient units and geriatric outpatient clinics in Mansoura University Hospital. All participants were subjected to history taking with special emphasis on the duration of DM, type of treatment, microvascular complications, associated comorbidities, and black pain if present. Clinical examination and geriatric assessment were done with special emphasis on TUG Test, Mini nutritional assessment, ADL, IADL, and PHQ2 were done. Fracture risk assessment was done using FRAX- Palestine and plain X-ray on thoracic and lumbar vertebrae was done to all participants.