Diabetes and Back Pain: Markers of Diabetes Disease Progression Are Associated With Chronic Back Pain

Rinaldo, Lorenzo; McCutcheon, Brandon A.; Gilder, Hannah; Kerezoudis, Panagiotis; Murphy, Meghan; Maloney, Patrick R.; Hassoon, Ahmed; Bydon, Mohamad

doi:10.2337/cd16-0011

Cited by 32 publications

(31 citation statements)

References 18 publications

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“…However, chronic diseases in this study were assessed by asking employees about their current diabetes and hypertension condition, not by asking the duration of the diseases. A study showed that diabetes progression is positively associated with the presence of back pain [37]. However, we found a similar result of no association between physical activity and low back pain [38].…”

Section: Discussionsupporting

confidence: 59%

Road traffic delays and musculoskeletal health complaints among full-time bank employees: A cross-sectional study in Dhaka city

Ali

Ahsan

Uddin

et al. 2019

Preprint

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Zakir Uddin: uddinz2@mcmaster.ca Ahmed Hossain: ahmed.hosain@utoronto.ca Road traffic delays and musculoskeletal health complaints among the fulltime bank employees: A cross-sectional study in Dhaka city Abstract BackgroundThe factors of road traffic delays (RTDs) have significant consequences for both commuters' health and the country's economy as a whole. Addressing the musculoskeletal health complaints (MHCs) among full-time employees has not been fully explored. The current study investigates the association between RTDs-related factors and MHCs among bank employees. MethodsWe conducted a cross-sectional study among full-time employees from 32 banks in Dhaka city. Descriptive statistics summarized the gaps in the socio-demographic and RTDsrelated factors on the one-month prevalence of MHCs. Random intercept logistic regression models were used to identify the associate factors of the MHCs. ResultsOut of 628 full-time bank employees, the one-month prevalence of MHCs was 57.7%. The MHCs are more prevalent among adults of age group 40-60 years (68%) than the age group 20-40 years (54%). The one-month prevalence of lower back pain (LBP) was highest (36.6%), followed by neck pain (22.9%) and upper back pain (21.2%). Multilevel logistic regression analysis of employees showed that the odds of MHCs were lower among male employees (AOR=0.42, 95% CI= 0.27, 0.64), car commuters (AOR = 0.38, 95% CI=0.19-0.76, reference: bus commuters) and rickshaw commuters (AOR=. = 0.39, 95% CI=0.22-0.69, reference: bus commuters). The MHCs were significantly higher among employees with following factors: obesity (AOR= 1.50, 95% CI= 1.02-2.21), prolonged commute time to the office (AOR = 7.48, 95% CI =3.64-15.38) and working extended-time in a day (AOR= 1.50, 95% CI= 1.02-2.21). ConclusionsThe study indicates a high burden of musculoskeletal health complaints among the employees in Dhaka city, and the most prevalent complaint was low back pain. Our study suggests that factors related to road traffic delays might act synergistically on developing musculoskeletal problems in full-time employees.

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Section: Discussionsupporting

confidence: 59%

Road traffic delays and musculoskeletal health complaints among full-time bank employees: A cross-sectional study in Dhaka city

Ali

Ahsan

Uddin

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Nevertheless, compelling evidence suggests that people who suffer from type 2 diabetes and back pain usually present with greater signs of poor general health (e.g. hypertension and dyslipidemia) and progress to worse outcomes such as increased pain severity [6, 34, 36, 37]. In agreement with previous studies, we found that type 2 diabetes was more strongly associated with severe cases of chronic spinal pain (adjusted OR 3.33, 95% CI 1.47 to 7.53), NP (adjusted OR 2.28, 95% CI 1.24 to 4.21), and LBP (adjusted OR 1.63, 95% CI 1.00 to 2.64).…”

Section: Discussionmentioning

confidence: 99%

Mapping the association between back pain and type 2 diabetes: A cross-sectional and longitudinal study of adult Spanish twins

et al. 2017

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BackgroundBack pain and type 2 diabetes often co-occur, resulting in greater impact on people’s health and complexity in their care. Plausible causal mechanisms for this association have been proposed, yet the nature of the link remains unclear. We therefore explored the direction of the association between type 2 diabetes and chronic back pain in twins, controlling for genetics and early environmental confounding.Methods2,096 and 1,098 twins were included in the cross-sectional and longitudinal analyses, respectively. Any or severe (≥ 9) low back pain (LBP), neck pain (NP), and spinal pain (concurrent LBP and NP) and type 2 diabetes were investigated. Sequential analyses were performed using logistic regression. Firstly, twins were analysed unpaired (adjusted age and gender): total sample analyses. Then, to control for genetic and shared environmental factors, a co-twin case-control analysis was performed including monozygotic and dizygotic twin pairs discordant for back pain (cross-sectional only).ResultsIn the cross-sectional total sample analyses, type 2 diabetes was associated with chronic spinal pain (OR 1.61; 95%CI 1.12 to 2.31), severe chronic spinal pain (OR 3.33; 95%CI 1.47 to 7.53), chronic NP (OR 1.37; 95%CI 1.01 to 1.85), severe chronic NP (OR 2.28; 95%CI 1.24 to 4.21), and severe chronic LBP (OR 1.63; 95%CI 1.00 to 2.64). After further adjustment for genetic and shared environmental factors, none of the associations remained significant. The longitudinal analyses indicated that the presence of type 2 diabetes did not increase the risk of future back pain, or vice-versa, after two to four years.ConclusionsChronic back pain (spinal pain, NP, or LBP) was associated with the prevalence of type 2 diabetes. Associations are stronger for severe cases of pain. Future research should investigate the temporal relationships between these conditions with longer follow up in twins.

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“… 5 In a patient material, markers of diabetes progression were associated with the presence of back pain. 28 A Finnish cross-sectional study showed an association between chronic widespread pain including back pain and both diabetes and prediabetes. 29 …”

Section: Discussionmentioning

confidence: 99%

Is chronic low back pain a risk factor for diabetes? The Nord-Trøndelag Health Study

Heuch

Hagen

et al. 2018

BMJ Open Diab Res Care

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ObjectiveThe purpose of this study was to examine the risk of diabetes associated with the presence or absence of chronic low back pain, considering both cross-sectional and cohort data.Research design and methodsAnalyses were based on the Norwegian HUNT2 and HUNT3 surveys of Nord-Trøndelag County. The prevalence of diabetes was compared in groups with and without chronic low back pain among 45 157 participants aged 30–69 years. Associations between low back pain at baseline and risk of diabetes were examined in an 11-year follow-up of 30 380 individuals with no baseline diagnosis of diabetes. The comorbidity between diabetes and low back pain was assessed at the end of follow-up. All analyses were carried out considering generalized linear models incorporating adjustment for other relevant risk factors.ResultsCross-sectional analyses did not reveal any association between low back pain and diabetes. With adjustment for age, body mass index, physical activity and smoking, the cohort study of women showed a significant association between low back pain at baseline and risk of diabetes (RR 1.30; 95% CI 1.09 to 1.54, p=0.003). The association differed between age groups (p=0.015), with a stronger association in relatively young women. In men, no association was found in the whole age range (RR 1.02; 95% CI 0.86 to 1.21, p=0.82). No association was observed between diabetes and chronic low back pain at the end of follow-up.ConclusionAmong younger women, those with chronic low back pain may have an increased risk of diabetes.

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Diabetes and Back Pain: Markers of Diabetes Disease Progression Are Associated With Chronic Back Pain

Cited by 32 publications

References 18 publications

Road traffic delays and musculoskeletal health complaints among full-time bank employees: A cross-sectional study in Dhaka city

Road traffic delays and musculoskeletal health complaints among full-time bank employees: A cross-sectional study in Dhaka city

Mapping the association between back pain and type 2 diabetes: A cross-sectional and longitudinal study of adult Spanish twins

Is chronic low back pain a risk factor for diabetes? The Nord-Trøndelag Health Study

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