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

Clin Rheumatol. 2014 Jul;33(7):995-1000. doi: 10.1007/s10067-013-2474-1. Epub 2014 Feb 13.

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.

MeSH terms

  • Adult
  • Aged
  • Bursitis / complications*
  • Bursitis / epidemiology
  • Bursitis / therapy
  • Comorbidity
  • Cross-Sectional Studies
  • Diabetes Complications / epidemiology
  • Diabetes Complications / therapy
  • Diabetes Mellitus / epidemiology
  • Diabetes Mellitus / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Musculoskeletal Pain / complications*
  • Musculoskeletal Pain / epidemiology
  • Odds Ratio
  • Pain Management / methods
  • Prevalence
  • Puerto Rico / epidemiology
  • Quality of Life
  • Sex Factors
  • Social Class
  • Treatment Outcome