Carpal Tunnel Syndrome Among Male French Farmers and Agricultural Workers: Is It Only Associated With Physical Exposure?
| Autor: | Béatrice Geoffroy-Perez, Alexis Descatha, Julie Bodin, Emilie Chazelle, Ronan Garlantézec, Sylvaine Jégo, Bradley A. Evanoff, Yves Roquelaure |
|---|---|
| Přispěvatelé: | Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Département santé travail (DST-InVS), Institut de Veille Sanitaire (INVS), Cohortes épidémiologiques en population (CONSTANCES), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université de Paris (UP), Division of General Medical Sciences, Washington University School of Medicine, Santé publique France, French national public health agency, EST-2014/1/077, French National Research, Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université Paris Cité (UPCité) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Wrist Logistic regression 03 medical and health sciences 0302 clinical medicine medicine Co-exposure Safety Risk Reliability and Quality Carpal tunnel syndrome Prospective cohort study ComputingMilieux_MISCELLANEOUS Multiple exposure Chemical Health and Safety business.industry lcsh:Public aspects of medicine Stressor Public Health Environmental and Occupational Health lcsh:RA1-1270 Odds ratio medicine.disease 030210 environmental & occupational health Physical risk factors Confidence interval nervous system diseases [STAT]Statistics [stat] medicine.anatomical_structure Cohort Physical therapy Original Article [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Chemicals business Safety Research 030217 neurology & neurosurgery |
| Zdroj: | Safety and Health at Work Safety and Health at Work, Elsevier, 2020, 11 (1), pp.33-40. ⟨10.1016/j.shaw.2019.12.003⟩ Safety and Health at Work, 2020, 11 (1), pp.33-40. ⟨10.1016/j.shaw.2019.12.003⟩ Safety and Health at Work, Vol 11, Iss 1, Pp 33-40 (2020) |
| ISSN: | 2093-7911 |
| DOI: | 10.1016/j.shaw.2019.12.003⟩ |
| Popis: | Background: Exploratory study to investigate whether co-exposure to physical wrist stressors and chemicals is associated with carpal tunnel syndrome (CTS) in French male farmers and agricultural workers. Methods: Cross-sectional study of 711 men aged 30–65 years and working as either farmers or agricultural workers in 2009–2010 within a cohort covered by the French Agricultural Workers' and Farmers' Mutual Benefit Fund. CTS and exposure to physical wrist stressors and chemicals were assessed using a self-administered questionnaire. Associations between CTS and personal/medical factors, exposure to physical wrist stressors, exposure to chemicals, and co-exposure to physical wrist stressors and chemicals were studied using multivariate logistic regression models. Results: Forty-four men {5.6% [95% confidence interval (CI) 4.0–7.7]} reported that they had suffered from unilateral/bilateral CTS during the last 12 months. CTS was associated with age, current smoking [odds ratio (OR) = 2.1 (1.0–4.5)], and exposure to physical wrist stressors [OR = 2.6 (1.1–5.9)]. An association was found between CTS and co-exposure to physical wrist stressors and chemicals [OR = 3.3 (0.8–14.3), p = 0.044] in comparison with the no-exposure group. Conclusions: This exploratory study shows an association of CTS with exposure to biomechanical wrist stressors in male farmers and agricultural workers and suggests an association of CTS with co-exposure to physical wrist stressors and chemicals. Owing to the limitations of the study, this result must be confirmed by a prospective study with objective assessments of the outcome and exposure before drawing conclusions on the possible synergistic effects of mechanical stressors and chemicals on the impairment of the median nerve. Keywords: Carpal tunnel syndrome, Chemicals, Co-exposure, Multiple exposure, Physical risk factors |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|