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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Umeå universitet, Avdelningen för hållbar hälsa
2022
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ftumeauniv:oai:DiVA.org:umu-198813 2024-02-11T10:07:12+01:00 Occupational cold exposure and symptoms of carpal tunnel syndrome : a population-based study Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte A. 2022 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198813 https://doi.org/10.1186/s12891-022-05555-8 eng eng Umeå universitet, Avdelningen för hållbar hälsa BMC Musculoskeletal Disorders, 2022, 23:1, orcid:0000-0001-6082-8465 orcid:0000-0002-4656-7606 orcid:0000-0002-2359-509x http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198813 doi:10.1186/s12891-022-05555-8 PMID 35725430 ISI:000813774600002 Scopus 2-s2.0-85132176330 info:eu-repo/semantics/openAccess Carpal Tunnel Syndrome Cold Exposure Cold Injury Ergonomics Lifting Occupational Exposure Occupational Health Paresthesia Sweden Vibration Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Article in journal info:eu-repo/semantics/article text 2022 ftumeauniv https://doi.org/10.1186/s12891-022-05555-8 2024-01-17T23:36:34Z 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 ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) BMC Musculoskeletal Disorders 23 1 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Carpal Tunnel Syndrome Cold Exposure Cold Injury Ergonomics Lifting Occupational Exposure Occupational Health Paresthesia Sweden Vibration Occupational Health and Environmental Health Arbetsmedicin och miljömedicin |
spellingShingle |
Carpal Tunnel Syndrome Cold Exposure Cold Injury Ergonomics Lifting Occupational Exposure Occupational Health Paresthesia Sweden Vibration Occupational Health and Environmental Health Arbetsmedicin och miljömedicin Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte A. Occupational cold exposure and symptoms of carpal tunnel syndrome : a population-based study |
topic_facet |
Carpal Tunnel Syndrome Cold Exposure Cold Injury Ergonomics Lifting Occupational Exposure Occupational Health Paresthesia Sweden Vibration Occupational Health and Environmental Health Arbetsmedicin och miljömedicin |
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 |
Article in Journal/Newspaper |
author |
Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte A. |
author_facet |
Stjernbrandt, Albin Vihlborg, Per Wahlström, Viktoria Wahlström, Jens Lewis, Charlotte A. |
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 |
Umeå universitet, Avdelningen för hållbar hälsa |
publishDate |
2022 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198813 https://doi.org/10.1186/s12891-022-05555-8 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMC Musculoskeletal Disorders, 2022, 23:1, orcid:0000-0001-6082-8465 orcid:0000-0002-4656-7606 orcid:0000-0002-2359-509x http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198813 doi:10.1186/s12891-022-05555-8 PMID 35725430 ISI:000813774600002 Scopus 2-s2.0-85132176330 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12891-022-05555-8 |
container_title |
BMC Musculoskeletal Disorders |
container_volume |
23 |
container_issue |
1 |
_version_ |
1790605363479838720 |