ECE2015 Eposter Presentations Diabetes (complications & therapy) (143 abstracts)
Disabilities of the arm, shoulder, and hand (DASH) questionnaire and diabetic complications: preliminary results
Dilek Tuzun 1 , Emine Duygu Ersozlu Bozkirli 2 , Ayten Oguz 1 , Murat Sahin 1 , Hanife Bolat 3 , Mustafa Saygin Deniz 3 , Omer Faruk Akgul 3 & Kamile Gul 1
1Department of Endocrinology and Metabolism, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey; 2Division of Rheumatology, Adana Numune Training and Research Hospital, Adana, Turkey; 3Department of Internal Medicine, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Aim: Disabilities of the arm, shoulder, and hand (DASH) questionnaire is a self-administered region-specific outcome instrument developed as a measure of self-rated upper-extremity disability and symptoms. The DASH consists mainly of a 30-item disability/symptom scale. In this study, we aimed to evaluate DASH questionnaire in 1000 type 2 diabetes mellitus (T2DM) patients.
Material and methods: 297 patients (mean age 52.13±9.37 years, 190 women and 107 men) who had T2DM were included as a preliminary in this study. The presence of cheiroarthropathy, Dupuytren’s contracture, tinnel sign, and tendinitis was assessed. Diabetic retinopathy was assessed by direct ophthalmoscopy. Urinary albumin excretion was determined in at least two 24 h urine samples. DASH questionnaire was administered to the diabetic patients. Direct measurements of parameters were performed with a Tanita body composition analyser. The bioimpedance parameters we measured were body fat percentage (%BF), total body fat (TBF, kg), and BMI.
Results: The mean diabetic duration was 7.71±6.28 years. Dupuytren’s contracture was present in 7.7%, cheiroarthropathy in 11.1%, tinnel sign in 19.5%, and tendinitis in 4.4%. Retinopathy was present in 15.5%, nephropathy in 18.2%. DASH score was 68.00±31.70. Mean BMI was 32.28±5.80. Mean TBF was 29.222±11.77 kg. Mean %BF was 34.00±10.19. There was positive correlation between DASH score and cheiroarthropathy, tinnel sign, and tendinitis (P=0.006, r=159; P=0.000, r=214; and P=0.004, r=168 respectively). There was positive correlation between DASH score and BMI and TBF and %BF (P=0.000, r=288; P=0.000, r=284; and P=0.000, r=319 respectively). No correlation was found between DASH score and diabetic nephropathy and retinopathy.
Conclusions: DASH questionnaire is useful instrument for measuring functional disability in upper extremity complaints of diabetes mellitus patients. It should also be taken into consideration in order to increase the quality of life in DM patients.
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Endocrine Abstracts
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