Limited Joint Mobility Progression in Type 1 Diabetes: A 15-Year Follow-Up Study
Joint Authors
Labad, Javier
Rozadilla, Antoni
Garcia-Sancho, Paula
Nolla, Joan M.
Montanya, Eduard
Source
International Journal of Endocrinology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
To assess the evolution of joint mobility over a period of 15 years in type 1 diabetic patients and healthy controls and to determine whether microalbuminuria is associated with a different evolution of joint mobility.
Methods.
Joint mobility of hand and wrist was determined in 63 patients with type 1 diabetes and 63 healthy subjects.
Fifteen years later, 37 (58.7%) diabetic patients and 16 (25.4%) healthy subjects were studied again.
Joint mobility was assessed with the Prayer sign and by measuring the angle of maximal flexion of the fifth and third metacarpophalangeal (MCP) joints and wrist.
Patients with diabetes were visited 2–4 times every year with regular assessment of glycated hemoglobin (HbA1c), urinary albumin excretion (UAE), and ophthalmoscopy.
Results.
Fifteen years after the initial exam, diabetic patients showed reduced flexion of the fifth MCP joint (82.6 ± 5.8 versus 76.0 ± 6.4 degrees, p<0.001) and wrist (75.9 ± 8.1 versus 73.2 ± 7.4 degrees, p=0.015) compared to baseline examination.
Joint mobility did not change significantly in healthy subjects.
Patients with microalbuminuria showed greater reduction in hand joint mobility than diabetic patients with normal UAE or than healthy subjects (p<0.001).
Conclusions.
In type 1 diabetic patients, the severity of LJM progresses with time, and the progression is enhanced in patients with microalbuminuria.
American Psychological Association (APA)
Labad, Javier& Rozadilla, Antoni& Garcia-Sancho, Paula& Nolla, Joan M.& Montanya, Eduard. 2018. Limited Joint Mobility Progression in Type 1 Diabetes: A 15-Year Follow-Up Study. International Journal of Endocrinology،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1171088
Modern Language Association (MLA)
Labad, Javier…[et al.]. Limited Joint Mobility Progression in Type 1 Diabetes: A 15-Year Follow-Up Study. International Journal of Endocrinology No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1171088
American Medical Association (AMA)
Labad, Javier& Rozadilla, Antoni& Garcia-Sancho, Paula& Nolla, Joan M.& Montanya, Eduard. Limited Joint Mobility Progression in Type 1 Diabetes: A 15-Year Follow-Up Study. International Journal of Endocrinology. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1171088
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1171088