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Carpal tunnel syndrome and associated personal factors in a cohort at baseline.

Authors
Garg-A; Thiese-MS; Hegmann-KT; Oostema-SJ; Kendall-R; Wood-E; Holmes-EB; Held-B; Foster-J; Drury-D; Deckow-Schaefer-G; Kapellusch-J
Source
Am J Epidemiol 2007 Jun; 165(11)(Suppl):S134
NIOSHTIC No.
20032165
Abstract
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.
Keywords
Health-hazards; Women; Mathematical-models; Analytical-methods; Work-environment; Worker-health; Workplace-studies; Statistical-analysis; Age-factors; Musculoskeletal-system-disorders; Hormone-activity; Hormones; Psychophysiological-testing; Carpal-tunnel-syndrome; Skeletal-system-disorders
CODEN
AJEPAS
Publication Date
20070601
Document Type
Abstract
Funding Type
Cooperative Agreement
Fiscal Year
2007
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U01-OH-007917
Issue of Publication
11
ISSN
0002-9262
Source Name
American Journal of Epidemiology. Abstracts of the 40th Annual Meeting Society for Epidemiologic Research Boston, Massachusetts, June 19-22, 2007
State
WI; UT
Performing Organization
University of Wisconsin
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