Occupational cold exposure and symptoms of carpal tunnel syndrome - a population-based study. - OpacWWW

Tytuł:: Occupational cold exposure and symptoms of carpal tunnel syndrome - a population-based study.
Autorzy:: Stjernbrandt A; Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, 901 87, Umeå, Sweden. .
Vihlborg P; Department of Geriatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Wahlström V; Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, 901 87, Umeå, Sweden.
Wahlström J; Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, 901 87, Umeå, Sweden.
Lewis C; Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, 901 87, Umeå, Sweden.
Źródło:: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2022 Jun 21; Vol. 23 (1), pp. 596. Date of Electronic Publication: 2022 Jun 21.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2000-
MeSH Terms:: Carpal Tunnel Syndrome*/diagnosis
Carpal Tunnel Syndrome*/epidemiology
Carpal Tunnel Syndrome*/etiology
Occupational Diseases*/diagnosis
Occupational Diseases*/epidemiology
Occupational Exposure*/adverse effects
Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Risk Factors ; Wrist
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Grant Information:: 646641 Västerbotten Läns Landsting; 939839 Healthcare Research in Regional Collaboration in the North
Contributed Indexing:: Keywords: Carpal Tunnel Syndrome; Cold Exposure; Cold Injury; Ergonomics; Lifting; Occupational Exposure; Occupational Health; Paresthesia; Sweden; Vibration
Entry Date(s):: Date Created: 20220620 Date Completed: 20220622 Latest Revision: 20220716
Update Code:: 20240105
PubMed Central ID:: PMC9210706
DOI:: 10.1186/s12891-022-05555-8
PMID:: 35725430
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Pełny tekst

Background: Cold exposure is an underrecognized occupational hazard that may increase the risk of peripheral nerve entrapment. The aim of this study was to determine if self-reported occupational exposure to contact and ambient cooling was associated with symptoms of carpal tunnel syndrome (CTS).
Methods: In this mainly cross-sectional study, surveys were conducted on a population-based sample of men and women between 18 and 70 years of age, living in northern Sweden. Cold exposure and presence of symptoms suggestive of CTS were subjectively reported. Associations between exposure and outcome were evaluated using logistic regression.
Results: The study included 2,703 women and 2,314 men, with a median age of 60 years (interquartile range 19). Symptoms of CTS were reported by 453 (9.2%). Being highly occupationally exposed (almost always) to contact cooling of the hands was associated with reporting CTS (OR 3.20; 95% CI 1.62-6.33), as was ambient cooling (OR 2.00; 95% CI 1.03-3.88) and severe ambient cooling (OR 4.02 95% CI 2.09-7.71), after adjusting for age, gender, body mass index, current daily smoking, diabetes mellitus, joint disease, and hand-arm vibration exposure. The point estimates increased with longer daily exposure duration. For workers exposed to severe ambient cooling for more than half of their working hours, in addition to performing heavy manual handling every day, the OR for reporting CTS was 7.25 (95% CI 3.88-13.53), with a positive additive interaction effect (expressed as relative excess risk due to interaction) of 4.67.
Conclusions: Self-reported occupational exposure to contact and ambient cooling was associated with symptoms suggestive of CTS. There were statistically significant positive exposure-response patterns for time spent exposed to contact and ambient cooling at work in relation to reporting symptoms of CTS. Positive additive interaction effects between cold exposure and heavy manual handling were also found. Since there was important potential uncontrolled confounding regarding repetitive wrist movements and forceful gripping, the results need to be confirmed by other studies, preferably with longitudinal design and more detailed exposure assessment.
(© 2022. The Author(s).)

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Occupational cold exposure and symptoms of carpal tunnel syndrome - a population-based study.