{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T17:04:51Z","timestamp":1771002291624,"version":"3.50.1"},"reference-count":18,"publisher":"American Diabetes Association","issue":"6","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>This study aimed to identify current and lifetime prevalence of upper-extremity impairments (UEIs) among individuals with type 1 diabetes and explore factors associated with UEIs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                  <jats:p>In a Danish cross-sectional nationwide case-control study, data on UEIs and health behavior were paired with data on sociodemographics and clinical factors from national registers. Participants included individuals with type 1 diabetes (n = 2,245) and a control group (n = 841). Differences between groups were assessed using binomial proportions and multivariable logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Compared with controls, individuals with type 1 diabetes were significantly (P &amp;lt; 0.05) more likely to experience frozen shoulder (odds ratio [OR] 3.5), carpal tunnel syndrome (OR 3.5), trigger finger (OR 5.0), and Dupuytren contracture (OR 4.3). They were also more likely to have several coexisting impairments than the control group (P &amp;lt; 0.01). Diabetes duration was associated with all four impairments.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>UEIs are common, particularly among individuals with type 1 diabetes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2337\/dc23-0063","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T17:28:18Z","timestamp":1680283698000},"page":"1204-1208","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":7,"title":["Upper-Extremity Impairments in Type 1 Diabetes: Results From a Controlled Nationwide Study"],"prefix":"10.2337","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6147-2181","authenticated-orcid":false,"given":"Sabina","family":"Wagner","sequence":"first","affiliation":[{"name":"1Copenhagen University Hospital\u2013Steno Diabetes Center Copenhagen, Herlev, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1620-8271","authenticated-orcid":false,"given":"Kirsten","family":"N\u00f8rgaard","sequence":"additional","affiliation":[{"name":"1Copenhagen University Hospital\u2013Steno Diabetes Center Copenhagen, Herlev, Denmark"},{"name":"2Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3082-8816","authenticated-orcid":false,"given":"Ingrid","family":"Willaing","sequence":"additional","affiliation":[{"name":"1Copenhagen University Hospital\u2013Steno Diabetes Center Copenhagen, Herlev, Denmark"},{"name":"3Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3638-4005","authenticated-orcid":false,"given":"Kasper","family":"Olesen","sequence":"additional","affiliation":[{"name":"1Copenhagen University Hospital\u2013Steno Diabetes Center Copenhagen, Herlev, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrik U.","family":"Andersen","sequence":"additional","affiliation":[{"name":"1Copenhagen University Hospital\u2013Steno Diabetes Center Copenhagen, Herlev, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1167","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"2023052319010868400_B1","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.rdc.2010.09.008","article-title":"Rheumatic manifestations of diabetes mellitus","volume":"36","author":"Lebiedz-Odrobina","year":"2010","journal-title":"Rheum Dis Clin North Am"},{"key":"2023052319010868400_B2","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.diabet.2019.01.009","article-title":"Musculoskeletal disorders in patients with type 1 diabetes: an understudied group of diabetes complications that deserves further investigation","volume":"46","author":"Picard","year":"2020","journal-title":"Diabetes Metab"},{"key":"2023052319010868400_B3","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/S0002-9343(02)01045-8","article-title":"Musculoskeletal disorders of the hand and shoulder in patients with diabetes mellitus","volume":"112","author":"Cagliero","year":"2002","journal-title":"Am J Med"},{"key":"2023052319010868400_B4","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1097\/TGR.0b013e3181ef3049","article-title":"Common musculoskeletal disorders in older adults with diabetes","volume":"26","author":"Kemmis","year":"2010","journal-title":"Top Geriatr Rehabil"},{"key":"2023052319010868400_B5","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s13300-019-0587-5","article-title":"Quality of life is markedly impaired by rheumatological and skin manifestations in patients with type 1 diabetes: a questionnaire survey","volume":"10","author":"N\u00f8rgaard","year":"2019","journal-title":"Diabetes Ther"},{"key":"2023052319010868400_B6","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.2337\/dc13-2361","article-title":"Musculoskeletal complications in type 1 diabetes","volume":"37","author":"Larkin","year":"2014","journal-title":"Diabetes Care"},{"key":"2023052319010868400_B7","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1080\/09638288.2017.1397202","article-title":"Upper extremity impairments in type 1 diabetes with long duration; common problems with great impact on daily life","volume":"41","author":"Gutefeldt","year":"2019","journal-title":"Disabil Rehabil"},{"key":"2023052319010868400_B8","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.1016\/j.jdiacomp.2017.06.007","article-title":"Hand, shoulder and back stiffness in long-term type 1 diabetes; cross-sectional association with skin collagen advanced glycation end-products. The Dialong study","volume":"31","author":"Holte","year":"2017","journal-title":"J Diabetes Complications"},{"key":"2023052319010868400_B9","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/S0889-8529(05)70335-2","article-title":"Connective tissue and joint disease in diabetes mellitus","volume":"25","author":"Rosenbloom","year":"1996","journal-title":"Endocrinol Metab Clin North Am"},{"key":"2023052319010868400_B10","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1111\/dme.12704","article-title":"Frequency of hand and shoulder symptoms in patients with type 1 diabetes","volume":"32","author":"Raje","year":"2015","journal-title":"Diabet Med"},{"key":"2023052319010868400_B11","doi-asserted-by":"crossref","first-page":"e001071","DOI":"10.1136\/bmjdrc-2019-001071","article-title":"Prevalence, incidence and mortality of type 1 and type 2 diabetes in Denmark 1996-2016","volume":"8","author":"Carstensen","year":"2020","journal-title":"BMJ Open Diabetes Res Care"},{"key":"2023052319010868400_B12","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1177\/1403494810387965","article-title":"The Danish Civil Registration System","volume":"39","author":"Pedersen","year":"2011","journal-title":"Scand J Public Health"},{"key":"2023052319010868400_B13","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1136\/ard.55.12.907","article-title":"Shoulder capsulitis in type I and II diabetic patients: association with diabetic complications and related diseases","volume":"55","author":"Arkkila","year":"1996","journal-title":"Ann Rheum Dis"},{"key":"2023052319010868400_B14","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/S1058-2746(03)00172-1","article-title":"Rotator cuff repair in patients with type I diabetes mellitus","volume":"12","author":"Chen","year":"2003","journal-title":"J Shoulder Elbow Surg"},{"key":"2023052319010868400_B15","doi-asserted-by":"crossref","first-page":"e002614","DOI":"10.1136\/bmjdrc-2021-002614","article-title":"Diabetic hand: prevalence and incidence of diabetic hand problems using data from 1.1 million inhabitants in southern Sweden","volume":"10","author":"Rydberg","year":"2022","journal-title":"BMJ Open Diabetes Res Care"},{"key":"2023052319010868400_B16","doi-asserted-by":"crossref","first-page":"4172635","DOI":"10.1155\/2020\/4172635","article-title":"Clinical examination and self-reported upper extremity impairments in patients with long-standing type 1 diabetes mellitus","volume":"2020","author":"Gutefeldt","year":"2020","journal-title":"J Diabetes Res"},{"key":"2023052319010868400_B17","doi-asserted-by":"crossref","first-page":"e1009577","DOI":"10.1371\/journal.pgen.1009577","article-title":"A genome-wide association study identifies 5 loci associated with frozen shoulder and implicates diabetes as a causal risk factor","volume":"17","author":"Green","year":"2021","journal-title":"PLoS Genet"},{"key":"2023052319010868400_B18","doi-asserted-by":"crossref","first-page":"e001065","DOI":"10.1136\/bmjdrc-2019-001065","article-title":"Lifetime risk and years lost to type 1 and type 2 diabetes in Denmark, 1996-2016","volume":"9","author":"Carstensen","year":"2021","journal-title":"BMJ Open Diabetes Res Care"}],"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/46\/6\/1204\/704211\/dc230063.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/46\/6\/1204\/704211\/dc230063.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T19:02:23Z","timestamp":1684868543000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/46\/6\/1204\/148665\/Upper-Extremity-Impairments-in-Type-1-Diabetes"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,31]]},"references-count":18,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,3,31]]},"published-print":{"date-parts":[[2023,6,1]]}},"URL":"https:\/\/doi.org\/10.2337\/dc23-0063","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,31]]}}}