The effects of chronic back pain on self-management, clinical and psychological outcomes among patients with type 2 diabetes.

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM
Minerva endocrinology Pub Date : 2024-12-01 Epub Date: 2021-04-21 DOI:10.23736/S2724-6507.21.03408-4
Joana Nicolau, Keyla Dotres, Irene Rodríguez, Pilar Sanchís, María I Tamayo, Ana G Soler, Regina Fortuny, Lluís Masmiquel
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Abstract

Background: Chronic back pain (CBP) in patients with type 2 diabetes (T2DM) is twice as high among age-and-gender-matched controls. The presence of both conditions impacts negatively on both quality of life and physical function, which might negatively affect mood.

Methods: We aimed to determine the prevalence of CBP among patients with T2DM by using the Lattinen Index (LI) and to assess whether the presence of CBP had any influence on clinical or psychological outcomes.

Results: 13.5% out of 299 patients had significant CBP. The percentage of patients with less than 150 minutes per week of exercise was higher in the group of patients with significant CBP (70% vs. 51.4%; P=0.04). The proportion of patients who met criteria for food addiction was greater among subjects with CBP (47.5% vs. 26.6%; P=0.009). The percentage of patients with criteria for depression was higher among the CBP group (82.5% vs. 29.7%; P<0.0001), as well as the prescription of antidepressants (45% vs. 17.4%; P<0.0001). However, no significant differences were seen regarding glycemic control, or the frequency of complications related to T2DM.

Conclusions: CBP is prevalent among subjects with T2DM, and it constitutes an important limiting factor of both self-care behaviors and psychological well-being.

慢性背痛对 2 型糖尿病患者自我管理、临床和心理结果的影响。
背景:在年龄和性别匹配的对照组中,2 型糖尿病(T2DM)患者的慢性背痛(CBP)是对照组的两倍。这两种疾病的存在对生活质量和身体功能都有负面影响,可能会对情绪产生负面影响:我们的目的是通过拉蒂宁指数(LI)确定 CBP 在 T2DM 患者中的患病率,并评估 CBP 的存在是否会对临床或心理结果产生影响:299名患者中有13.5%患有明显的CBP。在有明显 CBP 的患者组中,每周运动时间少于 150 分钟的患者比例更高(70% 对 51.4%;P= 0.04)。CBP 患者中符合食物成瘾标准的比例更高(47.5% 对 26.6%;P=0.009)。CBP 组中符合抑郁症标准的患者比例更高(82.5% 对 29.7%;P=0.04):CBP 在 T2DM 患者中很普遍,是限制自我护理行为和心理健康的一个重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
146
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