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Musculoskeletal Disorders in Patients with Diabetes Mellitus: A Cross-Sectional Study
A Majjad1, Y Errahali2, H Toufik1
1Rheumatology Department, Mohammed V Military Academic Hospital, Faculty of Medicine and Pharmacy, Mohammed V-Souissi University, Rabat, Morocco.
International Journal of Rheumatology
|July 19, 2018
Summary
Musculoskeletal disorders are common in Moroccan diabetic patients, affecting over a third. Factors like diabetes duration, dyslipidemia, age, gender, overweight, and nephropathy are linked to specific MS conditions.
Area of Science:
- Endocrinology
- Rheumatology
- Public Health
Background:
- Diabetes mellitus (DM) is frequently associated with various musculoskeletal (MS) disorders.
- Understanding the prevalence and risk factors of MS disorders in diabetic populations is crucial for comprehensive patient care.
Purpose of the Study:
- To determine the prevalence of musculoskeletal disorders in Moroccan patients with diabetes mellitus.
- To identify factors associated with the occurrence of these musculoskeletal disorders.
Main Methods:
- A cross-sectional study involving consecutive diabetic patients.
- Data collection included patient demographics, diabetes characteristics, clinical assessments for MS disorders and vascular complications.
- Statistical analyses (univariate and multivariate) were used to identify associated factors.
Main Results:
- 376 diabetic patients were included; 84.6% had type 2 DM.
- 34.4% of participants had at least one MS disorder, including osteoarthritis (19.4%), hand disorders (14.4%), and shoulder capsulitis (12.5%).
- Long diabetes duration and dyslipidemia were linked to hand abnormalities; age and dyslipidemia to shoulder capsulitis; female gender, overweight, and nephropathy to osteoarthritis.
Conclusions:
- Musculoskeletal disorders are prevalent in Moroccan diabetic patients.
- Specific factors such as diabetes duration, dyslipidemia, age, gender, overweight, and nephropathy are associated with increased risk of MS disorders.
- Glycemic control (HbA1c) was not found to be associated with the development of MS disorders in this cohort.
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