Heavy manual work, exposure to vibration and Dupuytren's disease? Results of a surveillance program for musculoskeletal disorders.: Manual work and Dupuytren's disease
Autor: | Descatha, Alexis, Bodin, Julie, Ha, Catherine, Goubault, Pierre, Lebreton, Marine, Chastang, Jean François, Imbernon, Ellen, Leclerc, Annette, Goldberg, Marcel, Roquelaure, Yves |
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Přispěvatelé: | Service de la Santé au Travail [Poincaré], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Raymond Poincaré [AP-HP], Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Laboratoire d'Ergonomie et d'Épidémiologie en Santé au Travail (LEEST), Université d'Angers (UA)-Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM)-PRES Université Nantes Angers Le Mans (UNAM)-Institut de Veille Sanitaire (INVS), Département santé travail (DST-InVS), Institut de Veille Sanitaire (INVS), Supported by the French Institute for Public Health Surveillance, Saint-Maurice, France (Grant 9/25/2002-5 'réseau expérimental de surveillance des troubles musculo-squelettiques') and the French National Research Agency (ANR-grant SEST-06-36). |
Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
MESH: Occupational Diseases
Adult Male MESH: Dupuytren Contracture Work MESH: Logistic Models Vibration MESH: Occupational Exposure Article MESH: Population Surveillance MESH: Cross-Sectional Studies MESH: Risk Factors Risk Factors Occupational Exposure Surveys and Questionnaires Prevalence Humans occupational factor Occupations MESH: Prevalence MESH: Vibration MESH: Occupations MESH: Humans MESH: Middle Aged MESH: Questionnaires MESH: Work MESH: Adult Middle Aged vibration exposure MESH: Male MESH: France Dupuytren Contracture Occupational Diseases Cross-Sectional Studies Logistic Models Population Surveillance observational study [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie France manual work |
Zdroj: | Occup Environ Med Occup Environ Med, 2012, 69 (4), pp.296-9. ⟨10.1136/oemed-2011-100319⟩ |
DOI: | 10.1136/oemed-2011-100319⟩ |
Popis: | International audience; INTRODUCTION: This study aimed to determine the prevalence of Dupuytren's disease in men and its relationship with work exposure, particularly heavy manual work with and without significant use of vibrating tools, using data from a surveillance program for musculoskeletal disorders. METHOD: This cross-sectional study was conducted in France between 2002 and 2005. Dupuytren's disease was diagnosed clinically by one of 83 occupational physicians. Exposure in relation to work status and occupational risk factors was assessed with a self-administered questionnaire, and categorised according to vibration exposure (defined as use of vibrating tools for ≥2 h/day), heavy manual work without vibration exposure (defined as use of hand tools for ≥2 h/day (use of vibrating tools for ≥2 h/day excluded) and Borg scale ≥15/20) and no such exposure. Bivariate and multivariate associations using logistic models were recorded in men and in those with >10 years in the same job. RESULTS: Of 2161 men, 1.3% (n=27) had Dupuytren's disease (mean age 47.1±6.7 years). Heavy manual work without vibration exposure was significantly associated with the condition (adjusted OR (aOR) 3.9; 95% CI 1.3 to 11.5) adjusted on age and diabetes), as was use of vibrating tools (aOR 5.1; 2.1 to 12.2). These associations remained significant among subjects with >10 years in the same job, with increases in aOR of 6.1 (1.5 to 25.0) and 10.7 (3.4 to 34.6), respectively. CONCLUSION: Despite the limited number of cases, occupational exposure, including both vibration exposure and heavy manual work without significant vibration exposure, was associated with Dupuytren's disease. |
Databáze: | OpenAIRE |
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