Prevalence of limited joint mobility in elderly diabetics at the Townsville Hospital

Srivastava, Divya, Gilhotra, Rakesh, Malabu, Usman H., Santoso, Riri, RadhKrishnan, Rajeswari, Otaiku, Olayiwola, and Sangla, Kunwarjit S. (2013) Prevalence of limited joint mobility in elderly diabetics at the Townsville Hospital. Annals of the Australasian College of Tropical Medicine, 14 (1). p. 26.

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Background/Aims: Limited joint mobility is a form of musculoskeletal complication affecting system well described in young diabetics (DM). Its prevalence in the elderly DM is not extensively investigated. Identifying LJM by simple clinical examination is likely to help as a screening tool for further assessment of other complications of DM in the geriatric population who are at a higher risk of co-morbidities. The aim of the study was to evaluate whether presence of diabetes increase the risk of LJM in the elderly subjects.

Methods: A total of 88 subjects aged >70 years were prospectively assessed at the Townsville Hospital diabetes and gerontology departments. Of this number 47 were diabetics while 42 non-DM subjects served as control group. Clinical prayer sign examination and quantitative goniometric assessment of DM and non-DM controls were done.

Results: Prevalence of LJM among DM patients was higher 19/47 (40.4%) compared to 7/41 (17%) in non-DM controls X²=5.72, P<0.05. Mean age for DM was lower 76 + 0.8 (SE) vs 81 + 1 years; P = 0.027. Duration of DM was higher 23.8 + 3.4 years compared with 12 + 2 in non-DM, p<0.05. Retinopathy was commoner in DM with LJM 42% vs 11% in DM without LJM X² = 6.2, P<0.05.

Conclusion: We report high prevalence of LJM in the elderly. The musculoskeletal complication correlates with occurrence of DM eye disease. Further prospective studies are required to confirm our findings.

Item ID: 29853
Item Type: Article (Abstract)
ISSN: 1448-4706
Date Deposited: 30 Oct 2013 00:42
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110306 Endocrinology @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920104 Diabetes @ 100%
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