Carpal Tunnel Syndrome and Associated Personal Factors in a Cohort at Baseline

Details

• Personal Author:
  Deckow-Schaefer G ; Drury D ; Foster J ; Garg, Arun ; Hegmann KT ; Held B ; Holmes, Edward B. ; Kapellusch J ; Kendall R ; Oostema SJ ; Thiese MS ; Wood E
• Description:
  Carpal Tunnel Syndrome (CTS) is relatively common but not well studied on a population basis. Baseline data from an ongoing cohort (n = 913) in 15 diverse plants in Wisconsin and Utah are reported. The workers are 66.5% female, 28.2% current and 23.6% former smokers, with a mean age of 41.8 plus or minus 11.3 years and mean Body Mass Index (BMI) of 29.6 plus or minus 6.9 kg/m2. All workers underwent a questionnaire, structured interview, measured height and weight, physical examinations and a nerve conduction study (NCS) of both extremities. Using an a priori case definition of CTS of abnormal NCS and numbness/tingling in 2+ digits, the prevalence of right CTS was 112/ 866 (12.9%). Multiple logistic regression (SAS 9.1) was performed and found increasing age {Odds Ratio (OR) = 1.03 [95% Confidence Interval (CI) 1.00,1.05]}, BMI [OR = 1.05 (95% CI 1.02, 1.08)], high cholesterol [OR = 1.69 (95% CI 1.00, 2.86)], highest quartile of wrist depth to width ratio compared to other three quartiles [OR = 2.68 (95% CI 1.42, 5.05)], family history of CTS [OR = 2.59 (95% CI 1.61, 4.17)], and playing the piano [OR = 3.91 (95% CI 1.41, 10.79)] to be statistically significantly associated with a case definition of CTS after adjustment for gender and psychosocial factors. Diabetes Mellitus [OR = 1.92 (p = 0.11)], Osteoarthritis of the wrist [OR = 2.20 (p = .28)] and thyroid disease [OR = 1.71 (p = 0.15)] were trending. These results show a broad spectrum of personal factors associated with CTS in a large population. [Description provided by NIOSH]
• Subjects:
  Age Factors Endocrine System Hazardous Substances Musculoskeletal Diseases Musculoskeletal System Nervous System Occupational Health Safety Women Workplace
• Keywords:
  Age-factors Analytical-methods Carpal-tunnel-syndrome Health-hazards Hormone-activity Hormones Mathematical-models Musculoskeletal-system-disorders Psychophysiological-testing Skeletal-system-disorders Statistical-analysis Work-environment Worker-health Workplace-studies

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• ISSN:
  0002-9262
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  OSHA Region 5 ; OSHA Region 8 ; Utah ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  165
• Issue:
  11
• NIOSHTIC Number:
  nn:20032165
• Citation:
  Am J Epidemiol 2007 Jun; 165(11)(Suppl):S134
• Federal Fiscal Year:
  2007
• Performing Organization:
  University of Wisconsin
• Peer Reviewed:
  False
• Start Date:
  20020930
• Source Full Name:
  American Journal of Epidemiology. Abstracts of the 40th Annual Meeting Society for Epidemiologic Research Boston, Massachusetts, June 19-22, 2007
• Supplement:
  Suppl
• End Date:
  20100929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8e8687a897dc0df0347d8ec2425e3120f36c5c3b3586ffae06573da1cac9e5817112e03032011934b4905c5d2d7b0144d408b8d85ca91008cd4214f1befe6450
• Download URL:
  https://stacks.cdc.gov/view/cdc/186208/cdc_186208_DS1.pdf
• File Type:
  [PDF - 35.41 KB ]