Diabetes and Musculoskeletal Disorders

Prevalence of musculoskeletal disorders among patients with Diabetes mellitus: A systematic literature review with meta-analysis.Background: The life expectancy of Diabetes patients and incidence of diabetic have increased resulting in an increased prevalence of musculoskeletal disorders. The development of musculoskeletal disorders is dependent on age and the duration of diabetic mellitus. Musculoskeletal disorders of diabetes mellitus are the most common endocrine disorders. These have been generally under-recognized and poorly treated compared with other complications, such as neuropathy, retinopathy, and nephropathy. These manifestations, which are some of the causes of chronic disability had been poorly reported. The musculoskeletal disorder causes considerable morbidity and the reduction in the quality of life of patients, these can have improved if these disorders are diagnosed early. There is a paucity of data on musculoskeletal complications in diabetic mellitus. Studies have reported a higher prevalence of musculoskeletal disorders in diabetic patients. However, no systematic review of literature that described the prevalence of musculoskeletal disorders among patients with diabetes.Objective To determine the prevalence of musculoskeletal disorders among patients with diabetes mellitus and establish the most common body area affected by musculoskeletal disorders.Methods: We conducted a literature search of an electronic database of CINAH, Pubmed, Web of Science and Google Scholar using the following keywords as the search term Musculoskeletal disorders and Diabetes mellitus. The screening was also performed and a duplicate of records was also removed. Assessment of methodological quality for prevalence and incidences studies for each included study was also performed. Pooled estimates of prevalence with 95% confidence intervals were calculated using a meta-analysis of proportion for overall musculoskeletal disorders prevalence and the most common body area of musculoskeletal disorders reported.Results: Five thousand and eighty-eight records were identified from the database; twenty-one studies fulfilled the inclusion criteria and were incorporated into the review. The methodological quality scores range from 2 to 8 points the studies were classified as high with the point of > 6 and moderate > 4 points and low