Prevalence and consequences of musculoskeletal pain in the upper and lower extremities: A cross-sectional analysis of patients with type 1 and type 2 diabetes in Denmark

Behnam Liaghat*, Lars Folkestad, Søren T. Skou, Bart Koes, Jan Hartvigsen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Aims: To describe the one-week and 12-month prevalence of musculoskeletal pain in the upper and lower extremities and consequences in relation to care seeking, leisure time activity, and work life in patients with type 1 and 2 diabetes. Methods: A cross-sectional survey including adults diagnosed with type 1 and 2 diabetes from two Danish secondary care databases. Questions covered pain prevalence (shoulder, elbow, hand, hip, knee, ankle) and its consequences based on the Standardised Nordic Questionnaire. Data was presented using proportions (95 % confidence intervals). Results: The analysis included 3767 patients. The one-week prevalence was 9.3–30.8 % and 12-month prevalence 13.9–41.8 %, highest for shoulder pain (30.8–41.8 %). The prevalence was similar between type 1 and 2 diabetes for the upper extremity, but higher in type 2 for the lower extremity. Women had a higher pain prevalence for any joint for both diabetes types, while estimates did not vary between age groups (<60 or ≥60 years). More than half of the patients had reduced their activities at work or leisure time, and more than one-third had sought care during the past year because of pain. Conclusions: Musculoskeletal pain in the upper and lower extremities is common in patients with type 1 and 2 diabetes from Denmark, with considerable consequences for work and leisure activities.

Original languageEnglish
Pages (from-to)267-272
Number of pages6
JournalPrimary Care Diabetes
Volume17
Issue number3
Early online date6 Mar 2023
DOIs
Publication statusPublished - Jun 2023

Bibliographical note

Funding Information:
Dr Skou is currently funded by a grant from Region Zealand (Exercise First) and two grants from the European Union’s Horizon 2020 Research and Innovation Program , one from the European Research Council (MOBILIZE, grant agreement No 801790 ) and the other under grant agreement No 945377 ( ESCAPE ). All outside the submitted study.

Funding Information:
Dr Skou is currently funded by a grant from Region Zealand (Exercise First) and two grants from the European Union's Horizon 2020 Research and Innovation Program, one from the European Research Council (MOBILIZE, grant agreement No 801790) and the other under grant agreement No 945377 (ESCAPE). All outside the submitted study.Dr Hartvigsen has received multiple grants for research from Danish and International Grant Agencies, including the European Union, Danish Ministry of Science and Education, Danish Regions, National Institutes of Health (USA), and from charities, including the European Center for Chiropractic Research Excellence, and the IMK Foundation. All outside the submitted study.

Funding Information:
Dr Hartvigsen has received multiple grants for research from Danish and International Grant Agencies, including the European Union , Danish Ministry of Science and Education , Danish Regions , National Institutes of Health (USA), and from charities, including the European Center for Chiropractic Research Excellence , and the IMK Foundation . All outside the submitted study.

Publisher Copyright:
© 2023 The Authors

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