SMU Medical Journal

Shanjida Rahman Sultana ¹, Manisha Das ², Mithila Faruque ³, Rajib Mondal ¹, Rokaiatun Nura Nurani ¹, Manir Hossain ¹, Palash Chandra Banik ³

Affiliations
1 Department of Physiotherapy, State College of Health Sciences, Dhaka, BD
2 Department of Physiology and Molecular Biology, Bangladesh University of Health Sciences (BUHS), Dhaka, BD
3 Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, BD

Abstract

Musculoskeletal Disorders (MSDs) are common conditions seen in diabetic patients and major cause of morbidity, mortality and hospitalization. But these problems have been remained as very much neglected epidemic in our country and under-noticed by the health care professionals. Prevalence of musculoskeletal disorders varies from population to population in relation to their professional hazards. The aim of this study was determining the prevalence of musculoskeletal disorders and its associated factors among the type 2 diabetic subjects. In a cross-sectional study design a total of 1800 type 2 diabetic patients were screened from BIRDEM and BIHS Hospital. Data was collected purposively by a semistructured questionnaire and a check-list through face-to-face interview. Appropriate univariate, bivariate and multivariate analyses were done accordingly by SPSS software version 16. The mean(±SD) age of the subjects was 52.6(±11.7) years (95% CI-52.1, 53.2) and 55%(n=990) were male. The mean(±SD) duration of diabetes was 10.5(±7.1) years (95% CI-10.15, 10.8). The prevalence of musculoskeletal disorders of the study subjects (for both sex) was 77.8% (n=1400) (95% CI-75.88, 79.72). Significant mean differences (p<0.001) have been found for monthly family income, systolic blood pressure, diastolic blood pressure, fasting blood sugar and random blood sugar. Due to musculoskeletal disorders 62.8% (n=1130) (95% CI-4.37, 9.77) respondents changed their lifestyle for activity of daily living. 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, raised blood pressure, elevated blood sugar, increased depression and high body weight are the major associated factors for MSDs.

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