Evaluation of metabolic syndrome in patients with chronic low back pain

Duruöz, Mehmet Tuncay; Turan, Yasemın; Gürgan, Alev; Devecı, Hülya

doi:10.1007/s00296-010-1693-x

Cited by 21 publications

(17 citation statements)

References 29 publications

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“…The high prevalence of metabolic syndrome, the mean age and female predominance in our series were observed in other African works [7] According to Duroz, et al, high body mass index, chronic low back pain, old age was associated with bad evolution of back pain [8]. For Ono, association was significantly in women and there was no association between low back pain and metabolic syndrome in men [9].…”

Section: Discussionsupporting

confidence: 55%

Influence of Metabolic Syndrome in Low Back Pain in Benin People

Zomalheto¹,

Gounongbe²,

Hilaire³

2017

OJRA

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Objective: To determine the frequency and impact of metabolic syndrome (MS) in patients with low back pain in rheumatology unit in Benin. Patients and Methods: Analytic cross-sectional study conducted between June and December 2016 in the rheumatology hospital unit of National Hospital University Hubert Koutoukou Maga of Cotonou. 82 patients with mechanical low back pain were selected. The prevalence of MS was defined using the criteria of the International Diabetes Federation 2005. The data were analyzed using epi data and SPSS17.0 software. Results: The mean age was 50.4 ± 14.9 [12 -90] years. The sex ratio was 0.82. 29.3% patients have met diagnostic criteria for MS. The mean duration of back pain was 40 ± 17.2 [3 -120] days. Diseases associated with low back pain were as follow: lumbar intervertebral disk degeneration (34.1%), disk herniation (13.4%), facet joint arthrosis (18.3%), degenerative spondylolisthesis (11%), degenerative lumbar spinal stenosis (6.1%) and related forms (17.1%). MS observed in 24 patients was characterized by the frequent association of abdominal obesity (24 cases), arterial hypertension (22 cases), HDL hypocholesterolemia (8 cases), hyperglycemia (12 cases) or hypertriglyceridemia (7 cases). The presence of the MS was associated with a decreased response to the medical treatment (p < 0.01). Conclusion: The MS is frequent in patients with low back pain in rheumatology unit at Cotonou and influence the treatment response. The management of these patients must be integrated into a multidisciplinary approach including the rheumatologist and nutritionist.

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Section: Discussionsupporting

confidence: 55%

Influence of Metabolic Syndrome in Low Back Pain in Benin People

Zomalheto¹,

Gounongbe²,

Hilaire³

2017

OJRA

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“…A recent systematic review identified a relationship between MetS and Achilles tendinopathy 30. Furthermore, MetS is more prevalent in people with neck pain,31 low back pain32 33 and knee osteoarthritis 34. One study showed that MetS was not associated with adhesive capsulitis, although associations with type II DM and hypertension were identified 35…”

Section: Introductionmentioning

confidence: 99%

Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review

Burne

Mansfield

Gaida

et al. 2019

BMJ Open Sport Exerc Med

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ObjectivesRotator cuff-related shoulder pain (RCRSP) is a common upper limb complaint. It has been suggested that this condition is more common among people with cardiometabolic risk factors. This systematic review has synthesised evidence from case–control, cross-sectional and cohort studies on the association between metabolic syndrome (MetS) and RCRSP.Design and data sourcesFive medical databases (MEDLINE, EMBASE, SCOPUS, CINAHL and AMED) and reference checking methods were used to identify all relevant English articles that considered MetS and RCRSP. Studies were appraised using the Newcastle-Ottawa Scale (NOS). Two reviewers performed critical appraisal and data extraction. Narrative synthesis was performed via content analysis of statistically significant associations.ResultsThree cross-sectional, two case–control and one cohort study met the inclusion criteria, providing a total of 1187 individuals with RCRSP. Heterogeneity in methodology and RCRSP or MetS definition precluded a meaningful meta-analysis. Four of the included studies identified associations between the prevalence of MetS and RCRSP. Studies consistently identified independent cardiometabolic risk factors associated with RCRSP. All studies were level III evidence.Summary and conclusionThe low-moderate quality evidence included in this review suggests an association between MetS and RCRSP. Most studies demonstrated moderate quality on appraisal. The direction of association and cardiometabolic factors influencing should be investigated by longitudinal and treatment studies. These preliminary conclusions and clinical utility should be treated with caution due to limitations of the evidence base.

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“…Findings from population-based and clinic studies indicate that presence of chronic low back pain is related to an elevated incidence of metabolic syndrome (Duruoz, Turan, Gurgan & Deveci, 2013; Ha, 2011). High BMI, and in particular greater waist circumference, are also associated with chronic pain (Hitt, McMillen, Thorton-Neaves, Koch & Cosby, 2007; Goodson et al, 2013; Ray, Lipton, Zimmerman, Katz, Derby, 2011; Stone & Broderick, 2012; Urquhart et al, 2011; Wright et al, 2010).…”

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confidence: 99%

Chronic pain, body mass index and cardiovascular disease risk factors: tests of moderation, unique and shared relationships in the Study of Women’s Health Across the Nation (SWAN)

et al. 2014

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Chronic pain may be related to cardiovascular disease (CVD) risk. The current study examined whether persistent bodily pain was related to cardiovascular disease risk factors, whether these effects were moderated by body mass index (BMI), and, if not, whether chronic pain accounted for unique variance in CVD risk factors. Participants were women (N=2135) in the Study of Women's Health Across the Nation. A High Pain Frequency variable (high pain in 0 through 4 assessments) was coded to reflect the frequency of high levels of bodily pain across the first 3 years of the study. Six CVD risk factors and BMI were measured at follow-up year 3. High Pain Frequency and BMI were correlated significantly with risk factors, although effects for the former were small. Hierarchical multiple regressions revealed High Pain Frequency × BMI interactions for 5 of 6 CVD risk factors. Dissecting the interactions revealed a similar pattern across 4 risk factors: for women with normal BMI, there was a “dose-response” in which increasing frequency of high pain revealed increasingly worse CVD risk factor levels, whereas for women with obese BMI, high pain frequency was unrelated to risk factors. For obese women, increasing frequency of high pain was associated with higher blood glucose. Although BMI is a well-established CVD risk factor, evaluation of CVD risk level may be improved by considering the incidence of persistent pain, particularly in normal weight women (BMI<25kg/m2) lower BMI.

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Evaluation of metabolic syndrome in patients with chronic low back pain

Cited by 21 publications

References 29 publications

Influence of Metabolic Syndrome in Low Back Pain in Benin People

Influence of Metabolic Syndrome in Low Back Pain in Benin People

Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review

Chronic pain, body mass index and cardiovascular disease risk factors: tests of moderation, unique and shared relationships in the Study of Women’s Health Across the Nation (SWAN)

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