当前位置： SCI文献检索 > MEDYCYNA PRACY期刊下所有文献 > Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy.

Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy.

Abstract：

BACKGROUND:Carpal tunnel syndrome (CTS) is a musculoskeletal condition that often impairs the fitness to work. Our aim is to retrospectively evaluate the association between physical exposures in meat processing industry in Northern Italy and the CTS, taking into account non-occupational factors. MATERIAL AND METHODS:A cross-sectional study was performed to include 434 workers (236 males, 198 females, 37.0±10.6 years old, working age: 12.6±10.8 years) from meat processing industries. Signs and symptoms were collected at the compulsory occupational medical surveillance. Occupational risk factors were assessed through a questionnaire and direct assessment by investigators. Adjusted odds ratios (OR_adj) for factors of interest were estimated through binary logistic regression. RESULTS:Diagnosis of the CTS was reported for 61 out of 434 subjects (14.1%) for an incidence of 11.3/1000 person- years. In general, signs and symptoms for the CTS were associated with the following demographic factors: smoking history (OR = 1.909, 95% confidence interval (CI): 1.107-3.293), previous traumas of the upper limb (OR = 3.533, 95% CI: 1.743-7.165), hypothyroidism status (OR = 7.897, 95% CI: 2.917-21.38) and, in the case of female participants only, previous pregnancies (OR = 2.807, 95% CI: 1.200-6.566) as well as a personal history of oral contraceptive therapy and/or steroidal replacement therapy (OR = 11.57, 95% CI: 4.689-28.56). The carpal tunnel syndrome cases were associated with the following occupational factors (> 4 h/day): forceful hand exertion (OR_adj = 3.548, 95% CI: 1.379-9.131), repeated trauma of the hand (OR_adj = 3.602, 95% CI: 1.248- 10.395), repeated movements of the wrist (OR_adj = 2.561, 95% CI: 1.100-5.960). CONCLUSIONS:Increasing levels of hand activity and force were associated with the increased CTS prevalence among participants. Recommendations have to be provided in order to reduce occupational exposure to these risk factors and improve medical surveillance. Med Pr 2017;68(2):199-209. BACKGROUND:Carpal tunnel syndrome (CTS) is a musculoskeletal condition that often impairs the fitness to work. Our aim is to retrospectively evaluate the association between physical exposures in meat processing industry in Northern Italy and the CTS, taking into account non-occupational factors. MATERIAL AND METHODS:A cross-sectional study was performed to include 434 workers (236 males, 198 females, 37.0±10.6 years old, working age: 12.6±10.8 years) from meat processing industries. Signs and symptoms were collected at the compulsory occupational medical surveillance. Occupational risk factors were assessed through a questionnaire and direct assessment by investigators. Adjusted odds ratios (OR_adj) for factors of interest were estimated through binary logistic regression. RESULTS:Diagnosis of the CTS was reported for 61 out of 434 subjects (14.1%) for an incidence of 11.3/1000 person- years. In general, signs and symptoms for the CTS were associated with the following demographic factors: smoking history (OR = 1.909, 95% confidence interval (CI): 1.107–3.293), previous traumas of the upper limb (OR = 3.533, 95% CI: 1.743–7.165), hypothyroidism status (OR = 7.897, 95% CI: 2.917–21.38) and, in the case of female participants only, previous pregnancies (OR = 2.807, 95% CI: 1.200–6.566) as well as a personal history of oral contraceptive therapy and/or steroidal replacement therapy (OR = 11.57, 95% CI: 4.689–28.56). The carpal tunnel syndrome cases were associated with the following occupational factors (> 4 h/day): forceful hand exertion (OR_adj = 3.548, 95% CI: 1.379–9.131), repeated trauma of the hand (OR_adj = 3.602, 95% CI: 1.248– 10.395), repeated movements of the wrist (OR_adj = 2.561, 95% CI: 1.100–5.960). CONCLUSIONS:Increasing levels of hand activity and force were associated with the increased CTS prevalence among participants. Recommendations have to be provided in order to reduce occupational exposure to these risk factors and improve medical surveillance. Med Pr 2017;68(2):199–209.

journal_name

Med Pr

journal_title

Medycyna pracy

authors

Riccò M,Signorelli C

doi

10.13075/mp.5893.00605

subject

Has Abstract

pub_date

2017-03-24 00:00:00

pages

199-209

issue

eissn

0465-5893

issn

2353-1339

pii

69138

journal_volume

pub_type

杂志文章

在线工具

Personal and occupational risk factors for carpal tunnel syndrome in meat processing industry workers in Northern Italy.