Font Yvonne M, Castro-Santana Lesliane E, Nieves-Plaza Mariely, Maldonado Mirna, Mayor Angel M, Vilá Luis M
Division of Rheumatology, Department of Medicine, University of Puerto Rico Medical Sciences Campus, PO Box 365067, San Juan, PR, 00936-5067, USA.
Clin Rheumatol. 2014 Jul;33(7):995-1000. doi: 10.1007/s10067-013-2474-1. Epub 2014 Feb 13.
The aim of the study was to determine the prevalence and factors associated with bursitis/tendonitis disorders in Puerto Ricans with diabetes mellitus (DM). A cross-sectional study was performed in 202 adult Puerto Ricans (100 DM patients and 102 non-diabetic subjects). For each participant, a complete medical history and a musculoskeletal exam were systematically performed. Socio-demographic parameters, health-related behaviors, comorbidities, and pharmacotherapy were determined for all subjects. For DM patients, disease duration, glycemic control, and DM long-term complications were also examined. Multivariate logistic regression analyses were used to determine the factors associated with bursitis/tendonitis disorders. The mean (SD) age for DM patients and non-diabetic controls were 53.3 (12.9) and 50.0 (13.1) years; 64.0 and 64.7 % of DM patients and controls were females, respectively. Overall, the prevalence of bursitis/tendonitis was higher in DM patients than among non-diabetics (59.0 % vs. 29.4 %, p < 0.01). In multivariate analyses, DM patients had 2.47 (95 % CI 1.05, 5.84) the odds of having bursitis/tendonitis as compared to non-diabetics. Specifically, DM patients had a higher frequency of flexor tenosynovitis, De Quervain's tenosynovitis, lateral epicondylitis, medial epicondylitis, trochanteric bursitis, and anserine bursitis than non-diabetic subjects (p < 0.05). Among DM patients, multivariate analyses showed that those with bursitis/tendonitis were more likely to be female [OR (95 % CI) 4.55 (1.42, 14.55)] and have peripheral vascular disease [OR (95 % CI) 8.48 (1.71, 41.93)]. In conclusion, bursitis/tendonitis disorders were common in this population of Hispanics with DM. Among DM patients, bursitis/tendonitis disorders were more frequent in women and those with long-term complications such as peripheral vascular disease.
本研究的目的是确定波多黎各糖尿病患者滑囊炎/肌腱炎疾病的患病率及相关因素。对202名成年波多黎各人（100名糖尿病患者和102名非糖尿病受试者）进行了一项横断面研究。为每位参与者系统地进行了完整的病史采集和肌肉骨骼检查。确定了所有受试者的社会人口统计学参数、健康相关行为、合并症和药物治疗情况。对于糖尿病患者，还检查了疾病持续时间、血糖控制情况和糖尿病长期并发症。采用多因素logistic回归分析来确定与滑囊炎/肌腱炎疾病相关的因素。糖尿病患者和非糖尿病对照组的平均（标准差）年龄分别为53.3（12.9）岁和50.0（13.1）岁；糖尿病患者和对照组的女性比例分别为64.0%和64.7%。总体而言，糖尿病患者滑囊炎/肌腱炎的患病率高于非糖尿病患者（59.0%对29.4%，p<0.01）。在多因素分析中，与非糖尿病患者相比，糖尿病患者患滑囊炎/肌腱炎的几率为2.47（95%可信区间1.05，5.84）。具体而言，糖尿病患者屈指肌腱腱鞘炎、桡骨茎突狭窄性腱鞘炎、外侧上髁炎、内侧上髁炎、转子滑囊炎和鹅足滑囊炎的发生率高于非糖尿病受试者（p<0.05）。在糖尿病患者中，多因素分析显示，患有滑囊炎/肌腱炎的患者更可能为女性[比值比（95%可信区间）4.55（1.42，14.55）]且患有外周血管疾病[比值比（95%可信区间）8.48（1.71，41.93）]。总之，滑囊炎/肌腱炎疾病在这群患有糖尿病的西班牙裔人群中很常见。在糖尿病患者中，滑囊炎/肌腱炎疾病在女性和患有外周血管疾病等长期并发症的患者中更为常见。
