@article{c88c3f5ab66d4a2189958cb267b58cb9,
title = "Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review",
abstract = "Objectives Rotator 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 sources Five 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. Results Three 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 conclusion The 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.",
keywords = "metabolic syndrome, rotator cuff related shoulder pain, systematic review",
author = "Graham Burne and Michael Mansfield and Gaida, {Jamie E.} and Lewis, {Jeremy S.}",
note = "Funding Information: Twitter Graham Burne @GrahamBurneWHL, Michael Mansfield @MM_Physio, Jamie E Gaida @tendonresearch and Jeremy S Lewis @JeremyLewisPT Acknowledgements Guy{\textquoteright}s and St Thomas{\textquoteright} NHS Foundation Trust—This project was completed with the support and funding of my employer. Particular thanks I share with Chris Tack for his time, shared experience and direction through the discussion. Funding Information: {\textcopyright} Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 1Physiotherapy Department, Guy's and Saint Thomas' NHS Foundation Trust, London, UK 2Physiotherapy, University of Hertfordshire School of Health and Social Work, Hatfield, UK 3Allied Health Sciences, School of Health and Social Care, London Southbank University, London, UK 4Research Institute for Sport and Exercise (UCRISE), University of Canberra, Canberra, Australian Capital Territory, Australia 5School of Health and Social Work, University of Hertfordshire, Hatfield, UK 6Therapy Department, Central London Community Healthcare National Health Service Trust, London, UK 7Department of Physical Therapy and Rehabilitation Science, College of Health Sciences, Qatar University, Doha, Qatar Funding Information: Funding This study was undertaken in partial fulfilment of an MSc Advanced Physiotherapy undertaken at the Department of Allied Health Professions and Midwifery, School of Health and Social Work, University of Hertfordshire. Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2019",
month = dec,
day = "6",
doi = "10.1136/bmjsem-2019-000544",
language = "English",
volume = "5",
pages = "1--13",
journal = "BMJ Open Sport & Exercise Medicine",
issn = "2055-7647",
publisher = "BMJ Specialist Journals",
number = "1",
}