FREQUENCY OF OBESITY AND METABOLIC SYNDROME IN CTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 90
Abstract
BACKGROUND Carpal Tunnel syndrome (CTS) is the most common compressive neuropathy. There are several risk factors for the development of CTS. Medical risk factors include diabetes, hypothyroidism, metabolic syndrome, rheumatoid arthritis, prior wrist fracture and pregnancy. Square wrist and high BMI are the two main anthropometric abnormalities associated with CTS. Metabolic syndrome (MetS) is a constellation of cardiometabolic risk factors that promote the development of atherosclerotic cardiovascular diseases (CVD) and Type 2 Diabetes. Many studies had shown that CTS was severe in patients with MetS. As the two conditions are related and frequently found together, it is important to screen all patients with CTS for the presence of metabolic syndrome. This study was intended to evaluate the frequency of obesity and metabolic syndrome in patients with CTS which was conducted in a medical college situated in a rural area of Kerala. MATERIALS AND METHODS This is a study carried out in the Department of Physical Medicine and Rehabilitation, Government TD Medical College, Alappuzha, during a period of two years from January 2015 to December 2016 to evaluate the frequency of obesity and metabolic syndrome in patients with CTS. This was a descriptive study on secondary data of hospital records conducted by evaluating the records of clinically diagnosed and electrophysiologically confirmed cases of CTS in the Electrophysiology Lab which is functioning in the department. RESULTS 193 patients were included. 164 (85%) were females. Mean age was 45.5 years. Metabolic Syndrome was seen in 36.3%. Among females 37.8% and among males 27.6% were found to have MetS. Increased waist circumference was observed in 79.2%. It was found in 86.6% in females and 37.9% of males. Abnormal fasting plasma glucose was present in 30.1%. Among females 31% and in males 24% were having abnormal FPG. 15.5% were having hypertension. 34.5% of males and 12.2% of females had abnormal BP. Raised triglycerides were seen in 23.8%. Among females 25.6% were detected to have raised TG and in males it was seen in only 13.6%. 53.4% had reduced HDL. 60% of females and 27.6% of males had reduced HDL. Obesity was detected in 87 (45.1 %). 45.7% of females and 41.4% of males were obese. CONCLUSION Obesity and metabolic syndrome were detected frequently among patients with CTS. This association was not as high as that seen in western studies. This might be due to the fact that this study was conducted in a centre which caters mainly persons belonging to low socioeconomic strata and manual labourers.
Authors and Affiliations
Santhosh Kothirappallil Raghavan, Roy Rama Chandran, Charvakan Suthan, Mitu Chirakkalthazhath Sankar, Dhanya Raj
Keywords
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- EP ID EP278231
- DOI 10.14260/jemds/2017/1368
- Views 98
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