| Article Details : |
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| | | Article Name : | | | Osteoarthritis & Glycaemic Status among Type 2
Diabetes Mellitus Patients | | Author Name : | | | Dr SYEDA MASUMA SIDDQUE, SHAYLA HAQUE, MPH, Dr. MUHAMMAD RAFIQUL ISLAM, Dr. TANIA TAHSIN, Dr. FERDOUSI SULTANA, JANNATARA SHEFA, PhD, MPH, MBBS (c)1 | | 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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