Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional study
Abstract Background and Aims Degenerative cervical myelopathy (DCM) is a debilitating condition characterized by compression of the cervical spinal cord, leading to neurological deficits. This study aimed to investigate the association between comorbidities like diabetes mellitus (DM) and obesity an...
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Wiley
2024-08-01
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| Online Access: | https://doi.org/10.1002/hsr2.70005 |
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| author | Yasuaki Mizoguchi Kiyokazu Akasaka Kenta Suzuki Fumihiko Kimura Toby Hall Satoshi Ogihara |
| author_facet | Yasuaki Mizoguchi Kiyokazu Akasaka Kenta Suzuki Fumihiko Kimura Toby Hall Satoshi Ogihara |
| author_sort | Yasuaki Mizoguchi |
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| description | Abstract Background and Aims Degenerative cervical myelopathy (DCM) is a debilitating condition characterized by compression of the cervical spinal cord, leading to neurological deficits. This study aimed to investigate the association between comorbidities like diabetes mellitus (DM) and obesity and quality of life (QOL) in preoperative patients with DCM, and to examine the distribution of pain and numbness. Methods A cross‐sectional study with 86 preoperative patients with DCM was conducted. Patient‐reported outcome measures (PROMs) including Core Outcome Measure Index for the neck (COMI‐Neck), Neck Disability Index (NDI), EQ‐5D‐3L, SF‐12v2 assessed QOL, and baseline characteristics were collected. Patients were categorized by diabetic and obesity status, resulting in 17 with and 69 without DM, and 27 obese, 59 nonobese patients. In the statistical analysis, we compared PROMs and baseline characteristics, and conducted MANCOVA to investigate the association of DM and obesity with PROMs. Results The study found no significant differences in preoperative QOL between patients with and without DM or obesity. Additionally, the results of MANCOVA indicated that neither DM nor obesity alone, nor their combination, had an association with the total scores of PROMs. In each group, the Symptom‐specific well‐being score on the COMI‐Neck was notably high, implying distressing current symptoms (median: 10). On the NDI, the median score for pain intensity, lifting, work, and recreation subitems was 3. Pain was predominantly reported in the neck and lower back, while numbness was more prevalent in the peripheral regions of the upper and lower limbs. Conclusion Preoperative QOL was not significantly affected by the presence of DM and/or obesity. DCM‐related symptoms may mask the associations with these comorbidities. Regardless of the preoperative condition, it is important to address the PROMs items that posed challenges before surgery. |
| format | Article |
| id | doaj-art-a45538411fc74feaab89159f053a1fcb |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-a45538411fc74feaab89159f053a1fcb2025-08-20T04:00:43ZengWileyHealth Science Reports2398-88352024-08-0178n/an/a10.1002/hsr2.70005Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional studyYasuaki Mizoguchi0Kiyokazu Akasaka1Kenta Suzuki2Fumihiko Kimura3Toby Hall4Satoshi Ogihara5Saitama Medical University Graduate School of Medicine Saitama JapanSaitama Medical University Graduate School of Medicine Saitama JapanDepartment of Rehabilitation Kimura Orthopaedic Clinic Saitama JapanDepartment of Rehabilitation Kimura Orthopaedic Clinic Saitama JapanCurtin School of Allied Health Curtin University Perth AustraliaTokyo Spine Hospital Tokyo JapanAbstract Background and Aims Degenerative cervical myelopathy (DCM) is a debilitating condition characterized by compression of the cervical spinal cord, leading to neurological deficits. This study aimed to investigate the association between comorbidities like diabetes mellitus (DM) and obesity and quality of life (QOL) in preoperative patients with DCM, and to examine the distribution of pain and numbness. Methods A cross‐sectional study with 86 preoperative patients with DCM was conducted. Patient‐reported outcome measures (PROMs) including Core Outcome Measure Index for the neck (COMI‐Neck), Neck Disability Index (NDI), EQ‐5D‐3L, SF‐12v2 assessed QOL, and baseline characteristics were collected. Patients were categorized by diabetic and obesity status, resulting in 17 with and 69 without DM, and 27 obese, 59 nonobese patients. In the statistical analysis, we compared PROMs and baseline characteristics, and conducted MANCOVA to investigate the association of DM and obesity with PROMs. Results The study found no significant differences in preoperative QOL between patients with and without DM or obesity. Additionally, the results of MANCOVA indicated that neither DM nor obesity alone, nor their combination, had an association with the total scores of PROMs. In each group, the Symptom‐specific well‐being score on the COMI‐Neck was notably high, implying distressing current symptoms (median: 10). On the NDI, the median score for pain intensity, lifting, work, and recreation subitems was 3. Pain was predominantly reported in the neck and lower back, while numbness was more prevalent in the peripheral regions of the upper and lower limbs. Conclusion Preoperative QOL was not significantly affected by the presence of DM and/or obesity. DCM‐related symptoms may mask the associations with these comorbidities. Regardless of the preoperative condition, it is important to address the PROMs items that posed challenges before surgery.https://doi.org/10.1002/hsr2.70005cervical corddiabetes mellitusobesitypatient reported outcome measurespreoperative carequality of life |
| spellingShingle | Yasuaki Mizoguchi Kiyokazu Akasaka Kenta Suzuki Fumihiko Kimura Toby Hall Satoshi Ogihara Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional study Health Science Reports cervical cord diabetes mellitus obesity patient reported outcome measures preoperative care quality of life |
| title | Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional study |
| title_full | Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional study |
| title_fullStr | Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional study |
| title_full_unstemmed | Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional study |
| title_short | Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross‐sectional study |
| title_sort | association between diabetes obesity and quality of life in preoperative patients with degenerative cervical myelopathy a cross sectional study |
| topic | cervical cord diabetes mellitus obesity patient reported outcome measures preoperative care quality of life |
| url | https://doi.org/10.1002/hsr2.70005 |
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