Musculoskeletal manifestations in type 2 diabetes mellitus
Keywords:Adhesive capsulitis, Complications, Musculoskeletal, Type 2 diabetes mellitus
Background: Musculoskeletal complications of diabetes have been generally ignored and poorly treated as compared to other complications. Hence we carried out this study to find the prevalence of musculoskeletal manifestations in type II diabetes mellitus and its correlation with age, BMI, duration of diabetes, and control of diabetes.
Methods: 100 consecutive patients of type II diabetes were studied. Duration of diabetes, control of diabetes, and any musculoskeletal complaints were noted. Complete examination with special reference to BMI, waist circumference and waist hip ratio was done. Fasting and postprandial blood sugar and HbA1c was estimated. Correlation of musculoskeletal manifestations with age, BMI, duration of diabetes, and control of diabetes was evaluated and statistical analysis was done.
Results: Study shows that the prevalence of musculoskeletal manifestations was 42%. Difficulty with stairs (73 cases) and joint pain (87cases) were the commonest difficulties patients experienced. Most common affected joint was shoulder joint (56%). Adhesive capsulitis (28 cases), tendonitis (15 cases), limited joint mobility (3 cases) were commonest musculoskeletal manifestations. There was a statistically significant positive correlation between musculoskeletal manifestations and age (odds ratio: 4.4), BMI (odds ratio: 9.6), and control of diabetes (odds ratio: 2.61). There was a positive correlation between duration of diabetes and the presence of musculoskeletal manifestations; however it was not statistically significant.
Conclusions: Musculoskeletal manifestations are frequent in Type 2 diabetics and have a positive correlation with age, duration of diabetes, control of diabetes, and BMI.
Crispin JC, Alcocer VJ. Rheumatic manifestations of diabetes mellitus. Am J Med. 2003;14:753-7.
Lebiedz-Odrobina D, Kay J. Rheumatic manifestations of diabetes mellitus. Rheum Dis Clin N Am. 2010;36:681-99.
Kidwai SS, Wahid L, Siddiqi SA, Khan RM, Ghaun I, Sheikh I. Upper limb musculoskeletal abnormalities in type 2 diabetic patients in low socioeconomic strata in Pakistan. BMC Research Notes. 2013;6:16.
Aydeniz A, Gursoy S, Guney E. Which Musculoskeletal Complications Are Most Frequently Seen in Type 2 Diabetes Mellitus? J Inter Med Res. 2008;36:505-11.
Agrawal RP, Gothwal S, Tantia P, Agrawal R, Rijhwani P, Sirohi P, et al. Prevalence of Rheumatological Manifestations in Diabetic Population from North-West India. JAPI. 2014;62:788-91.
Powers CA. Diabetes Mellitus. In. Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J, eds. Harrison's Principles of Internal Medicine. 18th ed. New York, NY: McGraw-Hill. 2012:2980.
Kamath SU, Ranranatha YP. Musculoskeletal and Joint Manifestations in Type II Diabetes Mellitus. Ame J Adv Drug Del. 2015;3:59-63.
Bhat TA, Dhar SA, Dar TA, Naikoo MA, Naqqash MA, Bhat A et al. The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population. Inter J Health Scie. 2016;10(1):58-68.