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Factors associated with regional rheumatic pain disorders in a population of Puerto Ricans with diabetes mellitus

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Abstract

The aim of the study was to determine the prevalence and factors associated with bursitis/tendonitis disorders in Puerto Ricans with diabetes mellitus (DM). A cross-sectional study was performed in 202 adult Puerto Ricans (100 DM patients and 102 non-diabetic subjects). For each participant, a complete medical history and a musculoskeletal exam were systematically performed. Socio-demographic parameters, health-related behaviors, comorbidities, and pharmacotherapy were determined for all subjects. For DM patients, disease duration, glycemic control, and DM long-term complications were also examined. Multivariate logistic regression analyses were used to determine the factors associated with bursitis/tendonitis disorders. The mean (SD) age for DM patients and non-diabetic controls were 53.3 (12.9) and 50.0 (13.1) years; 64.0 and 64.7 % of DM patients and controls were females, respectively. Overall, the prevalence of bursitis/tendonitis was higher in DM patients than among non-diabetics (59.0 % vs. 29.4 %, p < 0.01). In multivariate analyses, DM patients had 2.47 (95 % CI 1.05, 5.84) the odds of having bursitis/tendonitis as compared to non-diabetics. Specifically, DM patients had a higher frequency of flexor tenosynovitis, De Quervain’s tenosynovitis, lateral epicondylitis, medial epicondylitis, trochanteric bursitis, and anserine bursitis than non-diabetic subjects (p < 0.05). Among DM patients, multivariate analyses showed that those with bursitis/tendonitis were more likely to be female [OR (95 % CI) 4.55 (1.42, 14.55)] and have peripheral vascular disease [OR (95 % CI) 8.48 (1.71, 41.93)]. In conclusion, bursitis/tendonitis disorders were common in this population of Hispanics with DM. Among DM patients, bursitis/tendonitis disorders were more frequent in women and those with long-term complications such as peripheral vascular disease.

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Acknowledgments

This study was supported by the National Center for Research Resources (NCRR) U54 RR 026139-01A1, the National Institute on Minority Health and Health Disparities (NIMHD) 8U54MD007587, and the National Center for Advancing Translational Sciences TL1TR000145 from the National Institutes of Health, and by unrestricted educational grant from Abbott Laboratories, Inc.

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Correspondence to Luis M. Vilá.

Appendix

Appendix

Table 5 Regional rheumatic pain disorders examined

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Font, Y.M., Castro-Santana, L.E., Nieves-Plaza, M. et al. Factors associated with regional rheumatic pain disorders in a population of Puerto Ricans with diabetes mellitus. Clin Rheumatol 33, 995–1000 (2014). https://doi.org/10.1007/s10067-013-2474-1

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  • DOI: https://doi.org/10.1007/s10067-013-2474-1

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