Raynaud's phenomenon in the occupational context.
Rafael Alves Cordeiro1, Rogério Muniz de Andrade1
1. Divisão de Medicina Ocupacional, Instituto Oscar Freire, Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP, Brasil.
Occupational Raynaud
Area of Science:
- Occupational Medicine
- Vascular Health
- Epidemiology
Background:
- Raynaud's phenomenon (RP) can be triggered by occupational exposures.
- Understanding the prevalence of occupational RP is crucial for worker health.
- Vibration and cold are suspected contributing factors.
Purpose of the Study:
- To systematically review the prevalence of occupational Raynaud's phenomenon.
- To identify key occupational risk factors associated with RP.
- To synthesize existing evidence on vibration and thermal exposure in RP.
Main Methods:
- A comprehensive literature search was conducted across major scientific databases (Medline, Embase, Web of Science, SciELO, Lilacs).
- Eligibility criteria were applied to select relevant studies evaluating occupational RP prevalence.
- Data extraction focused on vibration exposure, thermal factors, and reported prevalence rates.
Main Results:
- 18 studies met the inclusion criteria from an initial search of 64 articles.
- All included studies investigated upper limb exposure to vibrations.
- Six studies addressed thermal exposure; no studies examined vinyl chloride exposure.
Conclusions:
- A higher prevalence of Raynaud's phenomenon was observed in workers using vibratory tools compared to unexposed individuals.
- Increased vibration levels and prolonged exposure duration correlated with a higher incidence of RP.
- Cold acts as a significant trigger and exacerbating factor for RP, contributing to hand-arm vibration syndrome vascular manifestations.
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