Research Article
AssociationbetweenChronicPainandDiabetes/Prediabetes:
APopulation-BasedCross-SectionalSurveyinSaudiArabia
KhaledK.Aldossari ,
1
MamdouhM.Shubair,
2
JamaanAl-Zahrani ,
1
AbdulrahmanA.Alduraywish,
3
KhalidAlAhmary,
4
SalwaBahkali,
5
SaraM.Aloudah,
6
SamiAlmustanyir,
7
LailaAl-Rizqi,
8
SallyA.El-Zahaby,
9
PaiviToivola,
10
andAshrafEl-Metwally
4
1
Family& Community Medicine Department, College of Medicine, Prince Sattam Bin Abdulaziz University,
Al-Kharj, Saudi Arabia
2
School of Health Sciences, University of Northern British Columbia (UNBC), 3333 University Way, Prince George,
BC V2N 4Z9, Canada
3
Internal Medicine Department, College of Medicine, Jouf University, Sakaka, Saudi Arabia
4
College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
5
Princess Nourah Bint Abdulrahman University, King Abdullah Bin AbdulAziz University Hospital, Riyadh, Saudi Arabia
6
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh 29391, Saudi Arabia
7
Ministry of Health, Riyadh, Saudi Arabia
8
Internal Medicine, Security Forces Hospital, Riyadh, Saudi Arabia
9
Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy and Drug Manufacturing,
Pharos University in Alexandria, Alexandria, Egypt
10
King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Correspondence should be addressed to Khaled K. Aldossari; khalid317@gmail.com
Received 5 February 2020; Accepted 6 May 2020; Published 24 June 2020
Academic Editor: Giustino Varrassi
Copyright © 2020 Khaled K. Aldossari et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. Diabetes is a debilitating chronic health condition that is associated with certain pain syndromes. e present study
sought to evaluate chronic pain and its association with diabetes mellitus at a population level. Methods. A population-based cross-
sectional questionnaire survey study was conducted in Al-Kharj, Saudi Arabia, from January 2016 to June 2016. Participants from
both private and governmental institutions were selected following a multistage sampling technique and using a cluster sampling
method. Anthropometric measurements were taken, including body weight, height, body mass index (BMI) and waist cir-
cumference. A blood sample was also drawn from each respondent for fasting blood sugar, HbA1c, and fasting lipid profile. A P
value of less than 0.05 indicated statistical significance. Results. A total of 1003 subjects were included for final analysis. Compared
to prediabetic and nondiabetic individuals, diabetic subjects had a higher prevalence of lower limb pain (11.1%), back pain (8.9%),
abdominal pain (6.7%), and neck pain (4.4%) (X
2
=27.792, P � 0.015). In a multiple logistic regression model, after adjusting for
age, gender, education level, cholesterol, and smoking status, diabetic/prediabetic patients had a significantly higher prevalence of
chronic pain ((OR) = 1.931 (95% CI = 1.536–2.362), P � 0.037). Increased age was also significantly associated with chronic pain
((OR)=1.032(95%CI=1.010–1.054, P � 0.004). Conclusion. Results of this study found a significant association between diabetes
and prediabetes and chronic pain symptoms. Prospective studies are needed to explore temporality of such association.
Hindawi
Pain Research and Management
Volume 2020, Article ID 8239474, 6 pages
https://doi.org/10.1155/2020/8239474