糖尿病患者的特发性肩周炎:与1型或2型糖尿病成人的代谢控制、肥胖、抗糖尿病治疗和人口统计学特征的关联

IF 1.6 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM
Alexander J Eckert, Maike Plaumann, Sigrid Pehlke, Christof Beck, Steffen Mühldorfer, Uwe Weickert, Markus Laimer, Martin Pfeifer, Lars Stechemesser, ReinhardW Holl
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引用次数: 3

摘要

目的:研究年龄≥30岁的1型(T1D)或2型(T2D)糖尿病患者冻疮(FS)与人口学和糖尿病相关结局的关系。材料和方法:采用经人口统计学调整的多变量logistic回归模型计算FS与年龄、性别、糖尿病病程、体重指数(BMI)、血红蛋白A1C (HbA1c)和糖尿病治疗相关的比例。结果:T1D的未调整FS百分比高于T2D(0.22%比0.06%)。在T1D中,调整后的回归模型显示女性FS患病率高于男性(0.26 [0.20-0.34]% vs. 0.15 [0.11-0.21] %, p=0.010)。在两种糖尿病类型中,年龄和BMI与FS均无显著关系。糖尿病病程越长,T1D中FS的比例越高(pp=0.004)。在T1D中,与HbA1c≤7%相比,HbA1c >7%与更高的FS比例相关(0.25 [0.19-0.32]vs. 0.12 [0.08-0.20] %, p=0.007),而在T2D中,HbA1c≤7%:0.08 [0.07-0.10]vs. HbA1c >7%: 0.05 [0.04-0.06] %, p=0.001)。结论:T1D和T2D患者FS与性别和HbA1c存在不同的相关性;然而,与糖尿病类型无关,较长的糖尿病病程会增加FS的风险。肌肉骨骼疾病在糖尿病患者中仍然被低估,应该提高对FS作为一种特定糖尿病并发症的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Idiopathic Frozen Shoulder in Individuals with Diabetes: Association with Metabolic Control, Obesity, Antidiabetic Treatment and Demographic Characteristics in Adults with Type 1 or 2 Diabetes from the DPV Registry.

Aims: To examine the association of frozen shoulder (FS) with demographic and diabetes-related outcomes in individuals with type 1 (T1D) or type 2 (T2D) diabetes aged ≥30 years.

Materials and methods: Multivariable logistic regression models, adjusted for demographics were used to calculate the proportion of FS in association with age, gender, diabetes duration, body mass index (BMI), haemoglobin A1C (HbA1c) and diabetes treatment.

Results: The unadjusted percentage of FS was higher in T1D compared to T2D (0.22% vs. 0.06%). In T1D, adjusted regression models revealed higher prevalence of FS in women than men (0.26 [0.20-0.34] % vs. 0.15 [0.11-0.21] %, p=0.010). No significant relationship of age and BMI with FS was found in both diabetes types. Longer diabetes duration was associated with a higher proportion of FS in T1D (p<0.001) and T2D (p=0.004). In T1D, HbA1c >7% was related to a higher proportion of FS compared to HbA1c ≤7% (0.25 [0.19-0.32] vs. 0.12 [0.08-0.20] %, p=0.007), while an inverse relationship was found in T2D (HbA1c ≤7%: 0.08 [0.07-0.10] vs. HbA1c >7%: 0.05 [0.04-0.06] %, p=0.001).

Conclusions: Different associations of FS with gender and HbA1c were observed for T1D and T2D; however, longer diabetes duration increases the risk for FS independent of diabetes type. Musculoskeletal diseases are still underreported in individuals with diabetes and awareness should be raised for FS as a specific diabetes complication.

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来源期刊
CiteScore
4.10
自引率
5.60%
发文量
72
审稿时长
3 months
期刊介绍: Publishing outstanding articles from all fields of endocrinology and diabetology, from molecular biology to clinical research, this journal is a brilliant resource. Since being published in English in 1983, the popularity of this journal has grown steadily, reflecting the importance of this publication within its field. Original contributions and short communications appear in each issue along with reviews addressing current topics. In addition, supplementary issues are published each year presenting abstracts or proceedings of national and international scientific meetings. The journal was initially published in German and is still the oldest endocrinological periodical in the German-language market!
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