The association between diabetes mellitus and musculoskeletal disorders: a systematic review and meta-analysis
Mobin Azami1, Asra Moradkhani1, Maryam Afraie2
1Student of the Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Background:
Despite the fact that DM patients are living longer, research on the prevalence of MSDs and other related illnesses is still lacking compared to that of other comorbidities. This study systematically reviewed and meta-analyzed cohort studies to determine the association between diabetes mellitus (DM) and musculoskeletal disorders (MSDs).
Methods:
A comprehensive search of international databases, including Medline (PubMed), Web of Science, Scopus, and Embase, was conducted up to June 2023 to identify relevant studies investigating the association between MSDs and DM.
Results:
The meta-analysis included ten cohort studies with a total of 308,445 participants. The pooled risk ratio (RR) estimate for the association between MSDs and DM was 1.03 (95% CI 1.00-1.06). Based on subgroup analysis, the association between longer duration (more than 7), European, below the age of 70, and female patients was higher than the others.
Conclusion:
In conclusion, the results of this meta-analysis suggest that there may be an association between MSDs and diabetes in people with diabetes. These findings add to the existing knowledge on this topic and highlight the importance of recognition and management of MSDs in people with DM. There is a need for further research to investigate the underlying mechanisms and to develop targeted interventions for the prevention and management of MSDs in this population.
Systematic Review Registration:
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=381787, identifier CRD42022381787.
Insights
This meta-analysis found a slight association between diabetes mellitus (DM) and musculoskeletal disorders (MSDs). Further research is needed to understand the mechanisms and develop interventions for managing MSDs in diabetic patients.
Area of Science:
- Endocrinology
- Rheumatology
- Public Health
Background:
- Diabetes Mellitus (DM) is a growing global health concern with increasing patient longevity.
- Musculoskeletal Disorders (MSDs) are common but under-researched comorbidities in diabetic populations.
- Existing research lacks comprehensive data on the prevalence and association of MSDs in individuals with DM.
Approach:
- Systematic review and meta-analysis of cohort studies.
- Comprehensive search of major scientific databases (PubMed, Web of Science, Scopus, Embase) up to June 2023.
- Inclusion of ten cohort studies with 308,445 participants.
Key Points:
- A pooled risk ratio (RR) of 1.03 (95% CI 1.00-1.06) suggests a potential association between MSDs and DM.
- Subgroup analysis indicated a higher association in patients with longer diabetes duration (>7 years), European ethnicity, age <70, and females.
- Findings highlight the importance of recognizing and managing MSDs in the diabetic population.
Conclusions:
- The meta-analysis indicates a possible link between diabetes mellitus and musculoskeletal disorders.
- These results underscore the need for increased awareness and proactive management of MSDs in individuals with diabetes.
- Further investigation into underlying mechanisms and targeted interventions is crucial for prevention and treatment.
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