TITLE:
Influence of Metabolic Syndrome in Low Back Pain in Benin People
AUTHORS:
Zomalheto Zavier, Gounongbe Marcelle, Dossou-Yovo Hilaire
KEYWORDS:
Low Back Pain, Metabolic Syndrome, Cotonou
JOURNAL NAME:
Open Journal of Rheumatology and Autoimmune Diseases,
Vol.7 No.3,
August
8,
2017
ABSTRACT: Objective: To determine the frequency and impact of metabolic syndrome (MS) in
patients with low back pain in rheumatology unit in Benin. Patients and
Methods: Analytic cross-sectional study conducted between June and December
2016 in the rheumatology hospital unit of National Hospital University Hubert
Koutoukou Maga of Cotonou. 82 patients with mechanical low back pain were
selected. The prevalence of MS was defined using the criteria of the
International Diabetes Federation 2005. The data were analyzed using epi data
and SPSS17.0 software. Results: The mean age was 50.4 ± 14.9 [12 - 90]
years. The sex ratio was 0.82. 29.3% patients have met diagnostic criteria for
MS. The mean duration of back pain was 40 ± 17.2 [3 - 120]
days. Diseases associated with low back pain were as follow: lumbar
intervertebral disk degeneration (34.1%), disk herniation (13.4%), facet joint
arthrosis (18.3%), degenerative spondylolisthesis (11%), degenerative lumbar
spinal stenosis (6.1%) and related forms (17.1%). MS observed in 24 patients
was characterized by the frequent association of abdominal obesity (24 cases),
arterial hypertension (22 cases), HDL hypocholesterolemia (8 cases), hyperglycemia
(12 cases) or hypertriglyceridemia (7 cases). The presence of the MS was
associated with a decreased response to the medical treatment (p 0.01). Conclusion: The MS is frequent in patients with low back pain in rheumatology unit at
Cotonou and influence the treatment response. The management of these patients
must be integrated into a multidisciplinary approach including the
rheumatologist and nutritionist.