Association between Frozen Shoulder and Diabetes among Women of Reproductive Age (15–49 Years): A Systematic Review

Authors

  • Shahzaib Ud Din Hamza, Amsha Ishaq, Muhammad Sheraz Ali, Muhammad Babar, Tahira Farooq, Rabia Saeed Qureshi

DOI:

https://doi.org/10.53350/pjmhs0202418611

Abstract

Background: Diabetes mellitus (DM) has devastating effects on articulating joints, particularly the shoulder joint, which plays a critical role in mobility and functional activities. As a highly mobile synovial joint, the shoulder is more prone to degenerative changes, especially in individuals with DM.

Purpose of Study: To evaluate the association between frozen shoulder (FS) and diabetes mellitus among diabetic women of reproductive age (15–49 years) through a systematic review of relevant studies.

Materials and Methods: A systematic review was conducted on studies published in the last 10 years. Inclusion criteria were cross-sectional, case series, cohort, observational, and comparative studies in the English language. Exclusion criteria included studies published in non-English languages and articles older than 10 years. Articles were retrieved from various search engines and databases.

Results: An initial search yielded 33,127 articles. After screening and refining based on inclusion and exclusion criteria, 15 articles were selected for detailed review. Of these, 10 studies (66.6%) reported a strong association between frozen shoulder and diabetes mellitus, while 1 study (6.6%) reported no significant association. Factors influencing the association included obesity, sedentary lifestyle, family history, physical inactivity, occupation, and trauma. The majority of studies highlighted a higher prevalence of frozen shoulder in women with Type 1 diabetes, particularly those aged around 45 years.

Conclusion: This systematic review concludes that diabetes mellitus significantly affects the shoulder joint, leading to a higher prevalence of frozen shoulder among diabetic women of reproductive age. Contributing factors such as obesity, sedentariness, family history, and physical inactivity further exacerbate the condition.

Keywords: Frozen shoulder, Diabetes mellitus, Type 1 diabetes, Women, Shoulder joint, Reproductive age, Occupation, Physical inactivity.

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How to Cite

Shahzaib Ud Din Hamza, Amsha Ishaq, Muhammad Sheraz Ali, Muhammad Babar, Tahira Farooq, Rabia Saeed Qureshi. (2024). Association between Frozen Shoulder and Diabetes among Women of Reproductive Age (15–49 Years): A Systematic Review. Pakistan Journal of Medical & Health Sciences, 18(6), 44. https://doi.org/10.53350/pjmhs0202418611