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The association between diabetes mellitus, glucose, and chronic musculoskeletal complaints. Results from the Nord-Trondelag Health Study

Hoff, Ole Martin; Midthjell, Kristian; Zwart, John-Anker; Hagen, Knut
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/2366622
Date
2008
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  • Institutt for nevromedisin og bevegelsesvitenskap [1657]
  • Publikasjoner fra CRIStin - NTNU [19951]
Original version
BMC Musculoskeletal Disorders 2008, 9:160   10.1186/1471-2474-9-160
Abstract
Background: The relationship between diabetes mellitus (DM) and chronic musculoskeletal

complaints (MSCs) is unclear. The aim of this study was to investigate the association between DM,

non-fasting glucose and chronic MSCs defined as pain and/or stiffness ≥ 3 months during the past

year in the general adult population.

Methods: The results were based on cross-sectional data from 64,785 men and women (aged ≥

20 years) who participated in the Nord-Trøndelag Health Survey, which included 1,940 individuals

with known DM. Associations were assessed using multiple logistic regression, estimating

prevalence odds ratio (OR) with 95% confidence intervals (CIs).

Results: High non-fasting glucose was associated with a lower prevalence of chronic MSCs

compared to a low glucose level. DM was associated with higher prevalence of chronic MSCs, in

particular chronic widespread MSCs. In the multivariate analysis, adjusting for glucose level, BMI,

age, gender and physical activity, chronic widespread MSCs was 1.6 times more likely (OR = 1.6,

95% CI 1.2–2.2) among individuals < 60 years of age with DM than among those without DM. The

association between chronic widespread MSCs and DM was most evident among the group of

individuals aged < 60 years with either type 2 DM or unclassified DM (OR = 1.8, 95% CI 1.3–2.5).

Conclusion: In this cross-sectional study a high non-fasting glucose was associated with lower

prevalence of chronic MSCs. Among individuals with known DM chronic widespread MSCs were

more likely.
Publisher
BioMed Central
Journal
BMC Musculoskeletal Disorders

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