Musculoskeletal Disorders in Patients with Diabetes Mellitus: A Cross-Sectional Study.

IF 2.3 Q2 RHEUMATOLOGY International Journal of Rheumatology Pub Date : 2018-06-19 eCollection Date: 2018-01-01 DOI:10.1155/2018/3839872
A Majjad, Y Errahali, H Toufik, J H Djossou, M A Ghassem, J Kasouati, A El Maghraoui
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引用次数: 31

Abstract

Introduction: A variety of musculoskeletal disorders (MS) have been associated with diabetes mellitus (DM). This study aimed at assessing the prevalence and associated factors of MS disorders in Moroccan diabetic patients.

Methods: A cross-sectional study enrolled consecutive patients with DM. We recorded demographic features of patients and characteristics of DM. MS disorders and vascular complications were assessed by clinical examinations and investigations. Associated factors of MS disorders were assessed by univariate and multivariate analyses.

Result: 376 subjects were included; 84.6% had type 2 DM. The participants' median age was 54 years [45-62]; 41% had one or more vascular complications. 34.4% had one or more MS disorders. Osteoarthritis was present in 19.4% of patients. Hand disorders were seen in 14.4%. Shoulder capsulitis was present in 12.5%. Long duration of diabetes and dyslipidemia were associated with increased prevalence of hand abnormalities (P = 0.017; P = 0.019, respectively). Age and dyslipidemia were associated with shoulder capsulitis (P = 0.019; P = 0.047, respectively). Female gender, overweight, and nephropathy were associated with increased odds of osteoarthritis (P = 0.009, P = 0.004, and P = 0.032, respectively).

Conclusion: MS disorders are frequent in this population and associated with various factors. HbA1c level does not appear to be associated with development of MS disorders.

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糖尿病患者的肌肉骨骼疾病:一项横断面研究。
多种肌肉骨骼疾病(MS)与糖尿病(DM)相关。本研究旨在评估摩洛哥糖尿病患者多发性硬化症的患病率及相关因素。方法:一项横断面研究纳入了连续的糖尿病患者。我们记录了患者的人口学特征和糖尿病的特征。通过临床检查和调查来评估MS疾病和血管并发症。通过单因素和多因素分析评估多发性硬化症的相关因素。结果:共纳入376例受试者;84.6%为2型糖尿病。参与者的中位年龄为54岁[45-62];41%有一种或多种血管并发症。34.4%患有一种或多种多发性硬化症。19.4%的患者存在骨关节炎。手部障碍占14.4%。12.5%的患者出现肩包膜炎。糖尿病和血脂异常持续时间长与手部异常患病率增加相关(P = 0.017;P = 0.019)。年龄和血脂异常与肩囊炎相关(P = 0.019;P = 0.047)。女性、超重和肾病与骨关节炎发病率增加相关(分别为P = 0.009、P = 0.004和P = 0.032)。结论:多发性硬化症在该人群中较为常见,且与多种因素有关。HbA1c水平似乎与多发性硬化症的发展无关。
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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
9
审稿时长
24 weeks
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