European Academic Research ISSN 2286-4822
ISSN-L 2286-4822
Impact Factor: 3.4546 (UIF)
DRJI Value : 5.9 (B+)
Article Details :
Article Name :
Osteoarthritis & Glycaemic Status among Type 2 Diabetes Mellitus Patients
Author Name :
Syeda Masuma Siddque, Shayla Haque, Muhammad Rafiqul Islam, Tania Tahsin, Ferdousi Sultana, Jannatara Shefa
Publisher :
Bridge Center
Article URL :
Abstract :
Osteoarthritis is a major public health problem for both developed and developing countries. Osteoarthritis is by far the most common form of arthritis. Diabetes could be an independent risk factor for osteoarthritis. Hyperglycaemia is one of the main trigger of joint degradation in osteoarthritis. This cross-sectional study was conducted among 228 type 2 diabetes mellitus patients at the out-patient department (OPD) of National Health Care Network, Mirpur, Dhaka. Data were collected by face-to-face interview and of reviewing medical records with the help of a semi-structured questionnaires and checklist respectively. Among all patients, 172 (75.4%) were female and 56 (24.6%) were male. Mean ± (SD) age of the patients was 55.79±7.974 years and majority (32.9%) of the patients had secondary level education. Average monthly family income of the patients was Tk. 31875.00 (±18214.179) and majority (64.5%) of them were housewives. Among all patients, 77.6% were married and most (96.9%) of them were Muslim. Majority (68.4%) of the patients came from nuclear family and most (81.15%) of them had no family history of joint pain. Of all, 42.5% were suffering from early stage of osteoarthritis and the rest 15.8% were suffering from advanced stage of osteoarthritis. 69.3% by fasting blood sugar level, 71.9% by 2 hours after breakfast sugar level, 70.6% by glycosylated hemoglobin (HbA1c) level of the patients had uncontrolled diabetes mellitus. Among the patients with uncontrolled diabetes mellitus, 69.0% on the basis of FBS, 67.1% on the basis of 2HABF and 67.7% on the basis of HbA1c suffered from osteoarthritis and these findings were found statistically significant (?2, p<0.05). Female (60.5%) developed osteoarthritis more than their counter part males (51.8%) but this discrepancy was not statistically significant (?2, p>0.05). By age, most (80%) of the patients aged (70-75 yrs) suffered from osteoarthritis in comparison to the 45-59 age group (54.2%) and this differences was statistically significant (?2, p<0.05). The study found positive association of glycaemic status of type 2 diabetes mellitus and osteoarthritis. Specific measures like diet control, periodic blood sugar monitoring and regular physical exercise should be taken to maintain normoglycaemia for prevention of osteoarthritis. Large scale follow up study should be conducted to reduce the burden of osteoarthritis in diabetic population.
Keywords :
Osteoarthritis & Glycaemic Status, Type 2 Diabetes Mellitus Patients

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