Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study
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). ME...
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ftpubmed:oai:pubmedcentral.nih.gov:9210706 2023-05-15T17:45:08+02:00 Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte 2022-06-21 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210706/ http://www.ncbi.nlm.nih.gov/pubmed/35725430 https://doi.org/10.1186/s12891-022-05555-8 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210706/ http://www.ncbi.nlm.nih.gov/pubmed/35725430 http://dx.doi.org/10.1186/s12891-022-05555-8 © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY BMC Musculoskelet Disord Research Text 2022 ftpubmed https://doi.org/10.1186/s12891-022-05555-8 2022-06-26T00:41:18Z 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 ... Text Northern Sweden PubMed Central (PMC) BMC Musculoskeletal Disorders 23 1 |
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Research Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study |
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Research |
description |
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 ... |
format |
Text |
author |
Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte |
author_facet |
Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte |
author_sort |
Stjernbrandt, Albin |
title |
Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study |
title_short |
Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study |
title_full |
Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study |
title_fullStr |
Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study |
title_full_unstemmed |
Occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study |
title_sort |
occupational cold exposure and symptoms of carpal tunnel syndrome – a population-based study |
publisher |
BioMed Central |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210706/ http://www.ncbi.nlm.nih.gov/pubmed/35725430 https://doi.org/10.1186/s12891-022-05555-8 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Musculoskelet Disord |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210706/ http://www.ncbi.nlm.nih.gov/pubmed/35725430 http://dx.doi.org/10.1186/s12891-022-05555-8 |
op_rights |
© The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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CC0 PDM CC-BY |
op_doi |
https://doi.org/10.1186/s12891-022-05555-8 |
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BMC Musculoskeletal Disorders |
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23 |
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