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Rheumatic‐musculoskeletal manifestations in type 2 diabetes mellitus patients in south India
Author(s) -
MATHEW Ashish J.,
NAIR Jayakumar B.,
PILLAI Saran S.
Publication year - 2011
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/j.1756-185x.2010.01587.x
Subject(s) - medicine , logistic regression , diabetes mellitus , osteoarthritis , type 2 diabetes mellitus , physical therapy , population , pathology , alternative medicine , environmental health , endocrinology
Aim: To determine the prevalence of rheumatic musculoskeletal disorders (RMSD) in type 2 diabetes mellitus (T2DM) and study their risk factors. Methods: Diagnosed patients of T2DM attending the diabetic clinic in a premier teaching institution in south India were interviewed and requested to mark their RMS pain sites on a mannequin and intensity of pain on a visual analogue scale (VAS). A complete RMS examination was done and diagnoses were noted. These RMSDs were compared with those in age‐ and sex‐matched, non‐diabetic individuals from the general population. Association of RMSD with variables was determined using Chi‐square test and multiple logistic regression models for risk factors were created using SPSS 17.0 software. Results: Prevalence of RMSD in 310 cases and controls was 42.58%; 95% CI: 37.08–48.08 and 31.61%; 95% CI: 26.43–36.79, respectively. RMS pain was marked by 194 individuals. Knee was the most common site of pain (33.4%). Prevalence of common RMSD was osteoarthritis knee (20.64%; 95% CI 16.14–25.16), frozen shoulder (16.45%; 95% CI: 12.32–20.58), diffuse idiopathic skeletal hyperostosis (14.52%; 95% CI: 10.6–18.44) and limited joint mobility (8.06%; 95% CI: 5.03–11.09). Age ( P = 0.046), duration of T2DM ( P < 0.001) and glycosylated hemoglobin ( P < 0.001) were found to have significant associations with RMSD. In logistic regression analysis, duration (OR: 1.467; 95% CI: 1.210–1.779) and severity (OR: 1.354; 95% CI: 1.169–1.569) of T2DM were identified as the risk factors. Conclusion: Thorough RMS examination should be included as an integral part of care in T2DM patients.