Upper-Extremity Impairments in Type 1 Diabetes: Results From a Controlled Nationwide Study

Sabina Wagner; Kirsten Nørgaard; Ingrid Willaing; Kasper Olesen; Henrik U Andersen

doi:10.2337/dc23-0063

Upper-Extremity Impairments in Type 1 Diabetes: Results From a Controlled Nationwide Study

Sabina Wagner, Kirsten Nørgaard, Ingrid Willaing, Kasper Olesen, Henrik U Andersen

Steno Diabetes Center Copenhagen

8 Citations (Scopus)

Abstract

OBJECTIVE: This study aimed to identify current and lifetime prevalence of upper-extremity impairments (UEIs) among individuals with type 1 diabetes and explore factors associated with UEIs.

RESEARCH DESIGN AND METHODS: In a Danish cross-sectional nationwide case-control study, data on UEIs and health behavior were paired with data on sociodemographics and clinical factors from national registers. Participants included individuals with type 1 diabetes (n = 2,245) and a control group (n = 841). Differences between groups were assessed using binomial proportions and multivariable logistic regression.

RESULTS: Compared with controls, individuals with type 1 diabetes were significantly (P < 0.05) more likely to experience frozen shoulder (odds ratio [OR] 3.5), carpal tunnel syndrome (OR 3.5), trigger finger (OR 5.0), and Dupuytren contracture (OR 4.3). They were also more likely to have several coexisting impairments than the control group (P < 0.01). Diabetes duration was associated with all four impairments.

CONCLUSIONS: UEIs are common, particularly among individuals with type 1 diabetes.

Original language	English
Journal	Diabetes Care
Volume	46
Issue number	6
Pages (from-to)	1204-1208
Number of pages	5
ISSN	1935-5548
DOIs	https://doi.org/10.2337/dc23-0063
Publication status	Published - Jun 2023

Keywords

Case-Control Studies
Cross-Sectional Studies
Diabetes Mellitus, Type 1/complications
Humans
Upper Extremity

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10.2337/dc23-0063

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title = "Upper-Extremity Impairments in Type 1 Diabetes: Results From a Controlled Nationwide Study",

abstract = "OBJECTIVE: This study aimed to identify current and lifetime prevalence of upper-extremity impairments (UEIs) among individuals with type 1 diabetes and explore factors associated with UEIs.RESEARCH DESIGN AND METHODS: In a Danish cross-sectional nationwide case-control study, data on UEIs and health behavior were paired with data on sociodemographics and clinical factors from national registers. Participants included individuals with type 1 diabetes (n = 2,245) and a control group (n = 841). Differences between groups were assessed using binomial proportions and multivariable logistic regression.RESULTS: Compared with controls, individuals with type 1 diabetes were significantly (P < 0.05) more likely to experience frozen shoulder (odds ratio [OR] 3.5), carpal tunnel syndrome (OR 3.5), trigger finger (OR 5.0), and Dupuytren contracture (OR 4.3). They were also more likely to have several coexisting impairments than the control group (P < 0.01). Diabetes duration was associated with all four impairments.CONCLUSIONS: UEIs are common, particularly among individuals with type 1 diabetes.",

keywords = "Case-Control Studies, Cross-Sectional Studies, Diabetes Mellitus, Type 1/complications, Humans, Upper Extremity",

author = "Sabina Wagner and Kirsten N{\o}rgaard and Ingrid Willaing and Kasper Olesen and Andersen, \{Henrik U\}",

note = "{\textcopyright} 2023 by the American Diabetes Association.",

year = "2023",

month = jun,

doi = "10.2337/dc23-0063",

language = "English",

volume = "46",

pages = "1204--1208",

journal = "Diabetes Care",

issn = "1935-5548",

publisher = "American Diabetes Association",

number = "6",

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TY - JOUR

T1 - Upper-Extremity Impairments in Type 1 Diabetes

T2 - Results From a Controlled Nationwide Study

AU - Wagner, Sabina

AU - Nørgaard, Kirsten

AU - Willaing, Ingrid

AU - Olesen, Kasper

AU - Andersen, Henrik U

PY - 2023/6

Y1 - 2023/6

N2 - OBJECTIVE: This study aimed to identify current and lifetime prevalence of upper-extremity impairments (UEIs) among individuals with type 1 diabetes and explore factors associated with UEIs.RESEARCH DESIGN AND METHODS: In a Danish cross-sectional nationwide case-control study, data on UEIs and health behavior were paired with data on sociodemographics and clinical factors from national registers. Participants included individuals with type 1 diabetes (n = 2,245) and a control group (n = 841). Differences between groups were assessed using binomial proportions and multivariable logistic regression.RESULTS: Compared with controls, individuals with type 1 diabetes were significantly (P < 0.05) more likely to experience frozen shoulder (odds ratio [OR] 3.5), carpal tunnel syndrome (OR 3.5), trigger finger (OR 5.0), and Dupuytren contracture (OR 4.3). They were also more likely to have several coexisting impairments than the control group (P < 0.01). Diabetes duration was associated with all four impairments.CONCLUSIONS: UEIs are common, particularly among individuals with type 1 diabetes.

AB - OBJECTIVE: This study aimed to identify current and lifetime prevalence of upper-extremity impairments (UEIs) among individuals with type 1 diabetes and explore factors associated with UEIs.RESEARCH DESIGN AND METHODS: In a Danish cross-sectional nationwide case-control study, data on UEIs and health behavior were paired with data on sociodemographics and clinical factors from national registers. Participants included individuals with type 1 diabetes (n = 2,245) and a control group (n = 841). Differences between groups were assessed using binomial proportions and multivariable logistic regression.RESULTS: Compared with controls, individuals with type 1 diabetes were significantly (P < 0.05) more likely to experience frozen shoulder (odds ratio [OR] 3.5), carpal tunnel syndrome (OR 3.5), trigger finger (OR 5.0), and Dupuytren contracture (OR 4.3). They were also more likely to have several coexisting impairments than the control group (P < 0.01). Diabetes duration was associated with all four impairments.CONCLUSIONS: UEIs are common, particularly among individuals with type 1 diabetes.

KW - Case-Control Studies

KW - Cross-Sectional Studies

KW - Diabetes Mellitus, Type 1/complications

KW - Humans

KW - Upper Extremity

UR - https://www.scopus.com/pages/publications/85160009426

U2 - 10.2337/dc23-0063

DO - 10.2337/dc23-0063

M3 - Journal article

C2 - 37000698

SN - 1935-5548

VL - 46

SP - 1204

EP - 1208

JO - Diabetes Care

JF - Diabetes Care

IS - 6

ER -

Upper-Extremity Impairments in Type 1 Diabetes: Results From a Controlled Nationwide Study

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Keywords

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