{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T10:16:57Z","timestamp":1787998617432,"version":"build-2784847793"},"reference-count":22,"publisher":"American Diabetes Association","issue":"8","license":[{"start":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T00:00:00Z","timestamp":1630108800000},"content-version":"vor","delay-in-days":3332,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2012,8,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:sec>\n                      <jats:title>OBJECTIVE<\/jats:title>\n                      <jats:p>To estimate the prevalence of diagnosed arthritis among U.S. adults and the proportion of arthritis-attributable activity limitation (AAAL) among those with arthritis by diagnosed diabetes mellitus (DM) status.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                      <jats:p>We estimated prevalences and their ratios using 2008\u20132010 U.S. National Health Interview Survey of noninstitutionalized U.S. adults aged \u226518 years. Respondents\u2019 arthritis and DM status were both based on whether they reported a diagnosis of these diseases. Other characteristics used for stratification or adjustment included age, sex, race\/ethnicity, education level, BMI, and physical activity level.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>RESULTS<\/jats:title>\n                      <jats:p>Among adults with DM, the unadjusted prevalences of arthritis and proportion of AAAL among adults with arthritis (national estimated cases in parentheses) were 48.1% (9.6 million) and 55.0% (5.3 million), respectively. After adjusting for other characteristics, the prevalence ratios of arthritis and of AAAL among arthritic adults with versus without DM (95% CI) were 1.44 (1.35\u20131.52) and 1.21 (1.15\u20131.28), respectively. The prevalence of arthritis increased with age and BMI and was higher for women, non-Hispanic whites, and inactive adults compared with their counterparts both among adults with and without DM (all P values &amp;lt; 0.05). Among adults with diagnosed DM and arthritis, the proportion of AAAL was associated with being obese, but was not significantly associated with age, sex, and race\/ethnicity.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>CONCLUSIONS<\/jats:title>\n                      <jats:p>Among U.S. adults with diagnosed DM, nearly half also have diagnosed arthritis; moreover, more than half of those with both diseases had AAAL. Arthritis can be a barrier to physical activity among adults with diagnosed DM.<\/jats:p>\n                    <\/jats:sec>\n                  <\/jats:sec>","DOI":"10.2337\/dc12-0046","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T01:59:18Z","timestamp":1339466358000},"page":"1686-1691","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":26,"title":["Prevalence of Diagnosed Arthritis and Arthritis-Attributable Activity Limitation Among Adults With and Without Diagnosed Diabetes: United States, 2008\u20132010"],"prefix":"10.2337","volume":"35","author":[{"given":"Yiling J.","family":"Cheng","sequence":"first","affiliation":[{"name":"Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppina","family":"Imperatore","sequence":"additional","affiliation":[{"name":"Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl J.","family":"Caspersen","sequence":"additional","affiliation":[{"name":"Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward W.","family":"Gregg","sequence":"additional","affiliation":[{"name":"Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann L.","family":"Albright","sequence":"additional","affiliation":[{"name":"Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles G.","family":"Helmick","sequence":"additional","affiliation":[{"name":"Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2012,7,14]]},"reference":[{"key":"2022031220121911300_B1","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1056\/NEJMoa012512","article-title":"Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin","volume":"346","author":"Knowler","year":"2002","journal-title":"N Engl J Med"},{"key":"2022031220121911300_B2","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1136\/bjsports-2011-090388","article-title":"Aerobic exercise is beneficial for people with rheumatoid arthritis","volume":"45","author":"Scarvell","year":"2011","journal-title":"Br J Sports Med"},{"key":"2022031220121911300_B3","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1186\/1471-2474-12-123","article-title":"Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes","volume":"12","author":"Batterham","year":"2011","journal-title":"BMC Musculoskelet Disord"},{"key":"2022031220121911300_B4","first-page":"486","article-title":"Arthritis as a potential barrier to physical activity among adults with diabetes\u2014United States, 2005 and 2007","volume":"57","author":"Centers for Disease Control and Prevention (CDC)","year":"2008","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2022031220121911300_B5","first-page":"4","article-title":"National and state medical expenditures and lost earnings attributable to arthritis and other rheumatic conditions\u2014United States, 2003","volume":"56","author":"Centers for Disease Control and Prevention (CDC)","year":"2007","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2022031220121911300_B6","unstructured":"Soni A. Top 10 most costly conditions among men and women, 2008: Estimates for the U.S. civilian noninstitutionalized adult population, age 18 and older. Statistical Brief #331 [article online], 2011, Available from http:\/\/www.meps.ahrq.gov\/mepsweb\/data_files\/publications\/st331\/stat331.pdf. Accessed 01 Jan 2012"},{"key":"2022031220121911300_B7","doi-asserted-by":"crossref","first-page":"287","DOI":"10.2337\/dc08-1296","article-title":"Full accounting of diabetes and pre-diabetes in the U.S. population in 1988-1994 and 2005-2006","volume":"32","author":"Cowie","year":"2009","journal-title":"Diabetes Care"},{"key":"2022031220121911300_B8","first-page":"167","article-title":"Prevalence of doctor-diagnosed arthritis and arthritis-attributable effects among Hispanic adults, by Hispanic subgroup\u2014United States, 2002, 2003, 2006, and 2009","volume":"60","author":"Centers for Disease Control and Prevention (CDC)","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2022031220121911300_B9","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/S0140-6736(11)60614-4","article-title":"Type 2 diabetes across generations: from pathophysiology to prevention and management","volume":"378","author":"Nolan","year":"2011","journal-title":"Lancet"},{"key":"2022031220121911300_B10","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1002\/art.24021","article-title":"Lifetime risk of symptomatic knee osteoarthritis","volume":"59","author":"Murphy","year":"2008","journal-title":"Arthritis Rheum"},{"key":"2022031220121911300_B11","volume-title":"Health-related quality of life of U.S. adults with arthritis: analysis of data from the behavioral risk factor surveillance system, 2003, 2005, and 2007","author":"Furner","year":"2011"},{"key":"2022031220121911300_B12","unstructured":"NHIS questionnaires, datasets, and related documentation 1997 to the present [article online], 2011. Available from http:\/\/www.cdc.gov\/nchs\/nhis\/quest_data_related_1997_forward.htm. Accessed 01 Jan 2012"},{"key":"2022031220121911300_B13","unstructured":"2008 Physical activity guidelines for Americans [article online], 2008. Available from http:\/\/www.health.gov\/PAGuidelines\/. Accessed 01 Jan 2012"},{"key":"2022031220121911300_B14","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1002\/art.1780381017","article-title":"The incidence and natural history of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study","volume":"38","author":"Felson","year":"1995","journal-title":"Arthritis Rheum"},{"key":"2022031220121911300_B15","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1002\/art.1780300811","article-title":"The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study","volume":"30","author":"Felson","year":"1987","journal-title":"Arthritis Rheum"},{"key":"2022031220121911300_B16","doi-asserted-by":"crossref","first-page":"842","DOI":"10.3899\/jrheum.090302","article-title":"Associations of occupational tasks with knee and hip osteoarthritis: the Johnston County Osteoarthritis Project","volume":"37","author":"Allen","year":"2010","journal-title":"J Rheumatol"},{"key":"2022031220121911300_B17","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1123\/jpah.7.4.451","article-title":"Perceived barriers to leisure-time physical activity in adults: an ecological perspective","volume":"7","author":"Cerin","year":"2010","journal-title":"J Phys Act Health"},{"key":"2022031220121911300_B18","first-page":"340","article-title":"Validation of a surveillance case definition for arthritis","volume":"32","author":"Sacks","year":"2005","journal-title":"J Rheumatol"},{"key":"2022031220121911300_B19","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.annepidem.2003.09.016","article-title":"Review of the performance of methods to identify diabetes cases among vital statistics, administrative, and survey data","volume":"14","author":"Saydah","year":"2004","journal-title":"Ann Epidemiol"},{"key":"2022031220121911300_B20","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1136\/ard.2006.058222","article-title":"Effects of oral glucosamine sulphate on serum glucose and insulin during an oral glucose tolerance test of subjects with osteoarthritis","volume":"66","author":"Biggee","year":"2007","journal-title":"Ann Rheum Dis"},{"key":"2022031220121911300_B21","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1002\/dmrr.1179","article-title":"Glucosamine and osteoarthritis: time to quit?","volume":"27","author":"Muniyappa","year":"2011","journal-title":"Diabetes Metab Res Rev"},{"key":"2022031220121911300_B22","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1016\/j.amjmed.2010.06.019","article-title":"Inhaled corticosteroids and the risks of diabetes onset and progression","volume":"123","author":"Suissa","year":"2010","journal-title":"Am J Med"}],"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/35\/8\/1686\/647578\/1686.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/35\/8\/1686\/647578\/1686.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T17:00:41Z","timestamp":1647104441000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/35\/8\/1686\/29739\/Prevalence-of-Diagnosed-Arthritis-and-Arthritis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,14]]},"references-count":22,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2012,7,14]]},"published-print":{"date-parts":[[2012,8,1]]}},"URL":"https:\/\/doi.org\/10.2337\/dc12-0046","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7,14]]}}}