Abstract
To investigate the prevalence, activity limitations and potential risk factors of upper extremity impairments in type 1 diabetes in comparison to controls. In a cross-sectional population-based study in the southeast of Sweden, patients with type 1 diabetes <35 years at onset, duration ≥20 years, <67 years old and matched controls were invited to answer a questionnaire on upper extremity impairments and activity limitations and to take blood samples. Seven hundred and seventy-three patients (ages 50 ± 10 years, diabetes duration 35 ± 10 years) and 708 controls (ages 54 ± 9 years) were included. Shoulder pain and stiffness, hand paraesthesia and finger impairments were common in patients with a prevalence of 28-48%, which was 2-4-folds higher than in controls. Compared to controls, the patients had more bilateral impairments, often had coexistence of several upper extremity impairments, and in the presence of impairments, reported more pronounced activity limitations. Female gender (1.72 (1.066-2.272), p = 0.014), longer duration (1.046 (1.015-1.077), p = 0.003), higher body mass index (1.08 (1.017-1.147), p = 0.013) and HbA1c (1.029 (1.008-1.05), p = 0.007) were associated with upper extremity impairments. Compared to controls,...Continue Reading
References
Jan 1, 1987·Acta Medica Scandinavica·I Morén-HybbinetteB Scherstén
Jan 1, 1988·Scandinavian Journal of Rheumatology·C EkdahlB Svensson
Jan 1, 1972·Annals of the Rheumatic Diseases·J F Bridgman
Aug 1, 1993·Journal of Internal Medicine·A GamstedtM Sundström
Jan 1, 1996·Annals of Internal Medicine·D M Nathan
Dec 1, 1996·Annals of the Rheumatic Diseases·P E ArkkilaT Rönnemaa
Apr 2, 1999·Diabetes·V M MonnierS Genuth
Apr 18, 2002·The American Journal of Medicine·Enrico CaglieroDavid M Nathan
Jul 2, 2003·Health and Quality of Life Outcomes·Bonnie Bruce, James F Fries
May 28, 2004·Scandinavian Journal of Rheumatology·J J LuimeJ A N Verhaar
Feb 5, 2005·Diabetologia·M T SchramUNKNOWN EURODIAB Prospective Complications Study Group
Dec 13, 2005·Arthritis and Rheumatism·Ingrid ThybergThomas Skogh
Dec 9, 2008·Journal of the Neurological Sciences·Eleftherios StamboulisGeorgios Tsivgoulis
Feb 17, 2009·Journal of Diabetes and Its Complications·Nikolaos Papanas, Efstratios Maltezos
May 6, 2009·Annals of Internal Medicine·Andrew S LeveyUNKNOWN CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration)
Oct 13, 2009·European Journal of Internal Medicine·Navdha RamchurnClive Kelly
Nov 4, 2009·The Journal of Rheumatology·Christine L RedmondJulian D McNeil
May 24, 2012·The Journal of Bone and Joint Surgery. American Volume·Edward H YianJeffrey F Sodl
Aug 2, 2012·Diabetes·Rachel G MillerTrevor J Orchard
May 7, 2013·Occupational and Environmental Medicine·Carisa Harris-AdamsonDavid Rempel
May 22, 2013·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Michele AbateIsabel Andia
Feb 6, 2014·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Ashit SyngleVijaita Syngle
Apr 12, 2014·Diabetes Care·Mary E LarkinUNKNOWN Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group
Dec 17, 2014·Diabetes Care·Maria NordwallHans J Arnqvist
May 12, 2015·JAMA Neurology·Sujata P ThawaniJonas F Ludvigsson
Jun 24, 2015·BMJ : British Medical Journal·Isabelle SteineckUNKNOWN Swedish National Diabetes Register
Jul 16, 2015·Diabetic Medicine : a Journal of the British Diabetic Association·M H Pourmemari, R Shiri
Sep 24, 2015·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·R ShiriE Viikari-Juntura
Citations
Jul 11, 2018·Clinical Endocrinology·Kerstin GutefeldtHans J Arnqvist
Feb 20, 2019·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Kirsten Nørgaard, Urd Kielgast
Apr 8, 2020·Journal of Diabetes Research·Kerstin GutefeldtAnna Spångeus
Feb 4, 2019·Clinical Rheumatology·Neslihan GokcenTunay Sarpel
May 24, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·A K MolvaerT J Berg
Sep 25, 2020·Plastic and Reconstructive Surgery·Osaid H AlserDominic Furniss