Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care
Aims To examine the prevalence of chronic musculoskeletal (MSK) pain and its association with diabetes self-management, glycemic control and health-related quality of life (HRQoL) in patients with diabetes mellitus (DM) in primary care. Methods 329 patients with type 2 DM were recruited at publ...
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| Format: | Article |
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Elsevier
2022
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| _version_ | 1825938769391386624 |
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| author | Sit, Regina Ws Wang, Bo Ng, Wing-Sze Abdullah, Adina Ismail, Irmi Zarina Goh, Lay-Hoon Wong, Samuel Ys |
| author_facet | Sit, Regina Ws Wang, Bo Ng, Wing-Sze Abdullah, Adina Ismail, Irmi Zarina Goh, Lay-Hoon Wong, Samuel Ys |
| author_sort | Sit, Regina Ws |
| collection | UPM |
| description | Aims
To examine the prevalence of chronic musculoskeletal (MSK) pain and its association with diabetes self-management, glycemic control and health-related quality of life (HRQoL) in patients with diabetes mellitus (DM) in primary care.
Methods
329 patients with type 2 DM were recruited at public primary care clinics in Hong Kong. Chronic MSK pain was defined as having MSK pain ≥ 3 months, and the pain severity was measured by Brief Pain Inventory (BPI). Diabetes Management Self-Efficacy Scale (DMSES), hemoglobin A1c (HbA1c) and EuroQuol-5D (EQ5D) were collected. Multivariable regression was used to examine the association between the presence of chronic MSK pain with DMSES, HbA1c and EQ5D, adjusted for baseline confounders such as age, sex, BMI, duration of DM and comorbid depression.
Results
Approximately 49.5% of respondents reported chronic MSK pain with a median BPI severity score of 3.5 (2.0–5.0). The presence of chronic MSK pain was associated with lower HRQoL (β = −0.053, 95% CI −0.087 to −0.018, P = 0.003), but was not associated with the diabetes self-management and glycemic control. Depression was associated with poorer diabetes self-management (β = −2.776, 95% CI −4.247 to −1.304, P < 0.001) and HRQoL.( β = −0.018,95% CI-0.025 to −0.012, P < 0.001).
Conclusions
Chronic MSK pain was present in nearly half of the diabetic patients in primary care; however, the degree of pain was mild and had not shown to affect diabetes self-management and glycemic control. Depression was associated with poorer diabetes self-management. Chronic MSK pain and depression were both associated with poorer HRQoL. |
| first_indexed | 2024-09-25T03:37:13Z |
| format | Article |
| id | upm.eprints-102869 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-09-25T03:37:13Z |
| publishDate | 2022 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | upm.eprints-1028692024-06-30T15:11:26Z http://psasir.upm.edu.my/id/eprint/102869/ Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care Sit, Regina Ws Wang, Bo Ng, Wing-Sze Abdullah, Adina Ismail, Irmi Zarina Goh, Lay-Hoon Wong, Samuel Ys Aims To examine the prevalence of chronic musculoskeletal (MSK) pain and its association with diabetes self-management, glycemic control and health-related quality of life (HRQoL) in patients with diabetes mellitus (DM) in primary care. Methods 329 patients with type 2 DM were recruited at public primary care clinics in Hong Kong. Chronic MSK pain was defined as having MSK pain ≥ 3 months, and the pain severity was measured by Brief Pain Inventory (BPI). Diabetes Management Self-Efficacy Scale (DMSES), hemoglobin A1c (HbA1c) and EuroQuol-5D (EQ5D) were collected. Multivariable regression was used to examine the association between the presence of chronic MSK pain with DMSES, HbA1c and EQ5D, adjusted for baseline confounders such as age, sex, BMI, duration of DM and comorbid depression. Results Approximately 49.5% of respondents reported chronic MSK pain with a median BPI severity score of 3.5 (2.0–5.0). The presence of chronic MSK pain was associated with lower HRQoL (β = −0.053, 95% CI −0.087 to −0.018, P = 0.003), but was not associated with the diabetes self-management and glycemic control. Depression was associated with poorer diabetes self-management (β = −2.776, 95% CI −4.247 to −1.304, P < 0.001) and HRQoL.( β = −0.018,95% CI-0.025 to −0.012, P < 0.001). Conclusions Chronic MSK pain was present in nearly half of the diabetic patients in primary care; however, the degree of pain was mild and had not shown to affect diabetes self-management and glycemic control. Depression was associated with poorer diabetes self-management. Chronic MSK pain and depression were both associated with poorer HRQoL. Elsevier 2022 Article PeerReviewed Sit, Regina Ws and Wang, Bo and Ng, Wing-Sze and Abdullah, Adina and Ismail, Irmi Zarina and Goh, Lay-Hoon and Wong, Samuel Ys (2022) Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care. Primary Care Diabetes, 16 (4). pp. 525-530. ISSN 1751-9918 https://linkinghub.elsevier.com/retrieve/pii/S175199182200081X 10.1016/j.pcd.2022.04.004 |
| spellingShingle | Sit, Regina Ws Wang, Bo Ng, Wing-Sze Abdullah, Adina Ismail, Irmi Zarina Goh, Lay-Hoon Wong, Samuel Ys Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care |
| title | Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care |
| title_full | Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care |
| title_fullStr | Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care |
| title_full_unstemmed | Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care |
| title_short | Prevalence and association of chronic musculoskeletal pain on self-management, glycemic control and quality of life among Chinese type 2 diabetes patients in primary care |
| title_sort | prevalence and association of chronic musculoskeletal pain on self management glycemic control and quality of life among chinese type 2 diabetes patients in primary care |
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