Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review
ObjectivesRotator cuff-related shoulder pain (RCRSP) is a common upper limb complaint. It has been suggested that this condition is more common among people with cardiometabolic risk factors. This systematic review has synthesised evidence from case–control, cross-sectional and cohort studies on the...
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doaj-9a1c8be6099448e6a7d77ca4373277b92021-06-11T10:02:52ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472019-10-015110.1136/bmjsem-2019-000544Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic reviewJeremy S Lewis0Graham Burne1Michael Mansfield2Jamie E Gaida39 Department of Allied Health Professions, University of Hertfordshire, Hatfield, UK Physiotherapy Department, Guy's and Saint Thomas' NHS Foundation Trust, London, UKAllied Health Sciences, School of Health and Social Care, London Southbank University, London, UKResearch Institute for Sport and Exercise (UCRISE), University of Canberra, Canberra, Australian Capital Territory, AustraliaObjectivesRotator cuff-related shoulder pain (RCRSP) is a common upper limb complaint. It has been suggested that this condition is more common among people with cardiometabolic risk factors. This systematic review has synthesised evidence from case–control, cross-sectional and cohort studies on the association between metabolic syndrome (MetS) and RCRSP.Design and data sourcesFive medical databases (MEDLINE, EMBASE, SCOPUS, CINAHL and AMED) and reference checking methods were used to identify all relevant English articles that considered MetS and RCRSP. Studies were appraised using the Newcastle-Ottawa Scale (NOS). Two reviewers performed critical appraisal and data extraction. Narrative synthesis was performed via content analysis of statistically significant associations.ResultsThree cross-sectional, two case–control and one cohort study met the inclusion criteria, providing a total of 1187 individuals with RCRSP. Heterogeneity in methodology and RCRSP or MetS definition precluded a meaningful meta-analysis. Four of the included studies identified associations between the prevalence of MetS and RCRSP. Studies consistently identified independent cardiometabolic risk factors associated with RCRSP. All studies were level III evidence.Summary and conclusionThe low-moderate quality evidence included in this review suggests an association between MetS and RCRSP. Most studies demonstrated moderate quality on appraisal. The direction of association and cardiometabolic factors influencing should be investigated by longitudinal and treatment studies. These preliminary conclusions and clinical utility should be treated with caution due to limitations of the evidence base.https://bmjopensem.bmj.com/content/5/1/e000544.full |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jeremy S Lewis Graham Burne Michael Mansfield Jamie E Gaida |
spellingShingle |
Jeremy S Lewis Graham Burne Michael Mansfield Jamie E Gaida Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review BMJ Open Sport & Exercise Medicine |
author_facet |
Jeremy S Lewis Graham Burne Michael Mansfield Jamie E Gaida |
author_sort |
Jeremy S Lewis |
title |
Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review |
title_short |
Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review |
title_full |
Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review |
title_fullStr |
Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review |
title_full_unstemmed |
Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review |
title_sort |
is there an association between metabolic syndrome and rotator cuff-related shoulder pain? a systematic review |
publisher |
BMJ Publishing Group |
series |
BMJ Open Sport & Exercise Medicine |
issn |
2055-7647 |
publishDate |
2019-10-01 |
description |
ObjectivesRotator cuff-related shoulder pain (RCRSP) is a common upper limb complaint. It has been suggested that this condition is more common among people with cardiometabolic risk factors. This systematic review has synthesised evidence from case–control, cross-sectional and cohort studies on the association between metabolic syndrome (MetS) and RCRSP.Design and data sourcesFive medical databases (MEDLINE, EMBASE, SCOPUS, CINAHL and AMED) and reference checking methods were used to identify all relevant English articles that considered MetS and RCRSP. Studies were appraised using the Newcastle-Ottawa Scale (NOS). Two reviewers performed critical appraisal and data extraction. Narrative synthesis was performed via content analysis of statistically significant associations.ResultsThree cross-sectional, two case–control and one cohort study met the inclusion criteria, providing a total of 1187 individuals with RCRSP. Heterogeneity in methodology and RCRSP or MetS definition precluded a meaningful meta-analysis. Four of the included studies identified associations between the prevalence of MetS and RCRSP. Studies consistently identified independent cardiometabolic risk factors associated with RCRSP. All studies were level III evidence.Summary and conclusionThe low-moderate quality evidence included in this review suggests an association between MetS and RCRSP. Most studies demonstrated moderate quality on appraisal. The direction of association and cardiometabolic factors influencing should be investigated by longitudinal and treatment studies. These preliminary conclusions and clinical utility should be treated with caution due to limitations of the evidence base. |
url |
https://bmjopensem.bmj.com/content/5/1/e000544.full |
work_keys_str_mv |
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