Combined diabetes and arthritis are associated with declined gait speed
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ORIGINAL ARTICLE
Combined diabetes and arthritis are associated with declined gait speed Aqeel M. Alenazi 1
&
Mohammed M. Alshehri 2 & Bader A. Alqahtani 1 & Ahmad D. Alanazi 3 & Saad M. Bindawas 4
Received: 17 May 2020 / Revised: 17 August 2020 / Accepted: 24 August 2020 # International League of Associations for Rheumatology (ILAR) 2020
Abstract This study investigated the association of combined arthritis and diabetes, diabetes only, and arthritis only compared with neither with gait speed in the general population. This cross-sectional study included data from the second wave of Midlife in the United States-2 (MIDUS 2) project 4: Biomarker Project, 2004–2009. The MIDUS 2 biomarker project included 1255 individuals aged between 34 and 84 years. Participants were categorized into four groups: combined arthritis and diabetes, diabetes only, arthritis only, or neither. The main outcome measure was gait speed measured by the 50-ft walk test. Covariates included age, gender, body mass index (BMI), depression symptoms, and number of chronic conditions/symptoms. A total of 1255 participants were included with mean age 54.52 ± 11.71, of those 713 (56.8%) participants were females. The results showed that combined arthritis and diabetes was significantly associated with a greater decline in gait speed (B = − 0.11, 95% confidence interval (CI) [− 0.17 to − 0.6], p < 0.001). Arthritis and diabetes were independently significantly associated with decreased gait speed (B = − 0.072, 95% CI [− 0.10 to − 0.043], p < 0.001), (B = − 0.064, 95% CI [− 0.12 to − 0.012], p = 0.015), respectively. Combined arthritis and diabetes was associated with a greater decline in gait speed compared with diabetes only, arthritis only, or neither group. Key Points • Combined arthritis and diabetes were associated with declined gait speed. • Gait speed did not differ between people with arthritis compared with people with diabetes. • We recommended including gait speed assessment in regular clinical visits to capture gait speed declines for further health assessments.
Keywords Arthritis . Diabetics . Walking speed
Introduction Arthritis and diabetes are common chronic coexisting conditions [1]. Arthritis is a leading cause of disability and
* Aqeel M. Alenazi [email protected]; [email protected] 1
Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia
2
Department of Rehabilitation Science, Jazan University, Jazan, Saudi Arabia
3
Department of Physical Therapy, Majmaah University, Majmaah, Saudi Arabia
4
Department of Rehabilitation Science, King Saud University, Riyadh, Saudi Arabia
characterized by joint pain and stiffness [2]. Although the most common form of arthritis is osteoarthritis, other forms include rheumatoid arthritis and gout lupus [1]. In the USA, the prevalence of arthritis was estimated to be 22.7% among adults [1], whereas the prevalence of diabetes was estimated to be 17% among adults aged over 25 years a
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