MUSCULOSKELETAL DISORDERS AMONG BANGLADESHI TYPE 2 DIABETES SUBJECTS
Musculoskeletal Disorders (MSDs) are common conditions seen in diabetic patients. It has major cause of morbidity, mortality and hospitalization. But for some unknown reasons, these problems have been under-discussed in literature. Prevalence of musculoskeletal disorders varies from population to population with their profession.
METHODS:
Under a cross-sectional study design a total number of 180 type 2 diabetic subjects were screened from BIRDEM hospital in 2013. Data was collected purposively by semi-structured questionnaire and check-list through face to face interview. Appropriate univariate, bivariate and multivariate analyses were done accordingly by SPSS software version 16.
RESULTS:
The mean (±SD) age of the respondents was 52.6(±11.7) (95%CI-50.9, 54.4) and 55% (n=99) (95%CI-14.25, 103.5) were male. The mean (±SD) duration of diabetes was 10.5(±7.1) (95%CI-9.43, 11.53). Proportion of musculoskeletal disorder of the study subjects was 77.8% (n=136) (95%CI-11.9, 72.25) whereas 68.6% (n=110) (95%CI-13.29, 90.1) subjects had experienced of muscle pain as well as referred pain, 75% (n=120) (95%CI-12.4, 78.4) subjects had abnormal sensation in various part of their body and 62.5% (n=100) (95%CI-13.86, 98.04) subjects had experienced of muscle cramp. Mean differences were significant (p<0.001) for monthly family income, systolic blood pressure, diastolic blood pressure, fasting blood sugar and random blood sugar, whereas significant difference was found for depression (p<0.001) of the study subjects, high BMI (p<0.05) and for hypertensive patients (p<0.001). Due to musculoskeletal disorder 62.8% (n=113) (95%CI-13.84, 97.7) had been modified of their lifestyle for activity of daily living.
CONCLUSIONS: Almost eight in every ten diabetic subjects are suffering from musculoskeletal disorders like pain, abnormal sensation and muscle cramp in their body. Monthly family income, blood pressure, blood sugar, depression, high body weight and hypertension are the major associated factors for MSDs.