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Chronic venous disorders and occupation.

F Tomei1, T P Baccolo, E Tomao

  • 1Occupational Medicine Dept., "La Sapienza" University, Rome, Italy. Tomei@axrma.uniroma1.it

American Journal of Industrial Medicine
|November 16, 1999
PubMed
Summary

Occupational standing, especially for over half a work shift, significantly increases chronic venous disorders risk in male workers. This highlights the need for occupational health screening to prevent venous disease.

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Area of Science:

  • Occupational Medicine
  • Vascular Health
  • Public Health

Background:

  • Chronic venous disorders (CVD) represent a significant public health issue.
  • The impact of occupational factors on CVD is underestimated, with limited and conflicting literature.
  • Understanding workplace risks is crucial for preventing widespread venous pathologies.

Purpose of the Study:

  • To investigate the prevalence of chronic venous disorders among different male worker groups.
  • To identify occupational risk factors associated with the development of venous pathologies.
  • To assess the relationship between prolonged standing and CVD in the workplace.

Main Methods:

  • A cross-sectional study involving 336 male workers from industrial, stoneworking, and office environments.

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  • Administration of targeted questionnaires on occupational and extra-occupational risk factors for venous diseases.
  • Clinical examinations including venous check-ups and tests in both clinostatic and orthostatic positions.

    • Main Results:

    • Industrial workers exhibited a significantly higher prevalence of CVD (39.28%) compared to stoneworkers (24.16%) and office workers (22.11%).
    • Prolonged standing (>=50% of the work shift) was significantly associated with a higher prevalence of CVD across all working groups.
    • A positive correlation was observed between CVD prevalence, increasing age, and hours spent standing during work.

    Conclusions:

    • Professions requiring prolonged standing, particularly exceeding 50% of the shift, are influential factors in the development of chronic venous disorders.
    • The findings support the need for a diagnostic clinical protocol for occupational physicians to screen working populations.
    • Early screening and intervention are recommended for the prevention of occupational venous disease.