Risk factors for Raynaud's phenomenon in the workforce.
Identifieur interne : 001554 ( Main/Exploration ); précédent : 001553; suivant : 001555Risk factors for Raynaud's phenomenon in the workforce.
Auteurs : Yves Roquelaure [France] ; Catherine Ha ; Audrey Petit Le Manac'H ; Julie Bodin ; Anaïs Bodere ; Christian Bosseau ; Alexis Descatha ; Annette Leclerc ; Marcel Goldberg ; Ellen ImbernonSource :
- Arthritis care & research [ 2151-4658 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Basse température (effets indésirables), Enquêtes et questionnaires (MeSH), Facteurs de risque (MeSH), Facteurs âges (MeSH), Femelle (MeSH), France (MeSH), Humains (MeSH), Lésions par microtraumatismes répétés (complications), Maladie de Raynaud (épidémiologie), Maladie de Raynaud (étiologie), Modèles logistiques (MeSH), Mâle (MeSH), Prévalence (MeSH), Psychologie (MeSH), Santé au travail (MeSH), Études rétrospectives (MeSH), Études transversales (MeSH).
- MESH :
- effets indésirables : Basse température, Lésions par microtraumatismes répétés.
- épidémiologie : Maladie de Raynaud.
- étiologie : Maladie de Raynaud.
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Facteurs de risque, Facteurs âges, Femelle, France, Humains, Modèles logistiques, Mâle, Prévalence, Psychologie, Santé au travail, Études rétrospectives, Études transversales.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult (MeSH), Age Factors (MeSH), Cold Temperature (adverse effects), Cross-Sectional Studies (MeSH), Cumulative Trauma Disorders (complications), Female (MeSH), France (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Occupational Health (MeSH), Prevalence (MeSH), Psychology (MeSH), Raynaud Disease (epidemiology), Raynaud Disease (etiology), Retrospective Studies (MeSH), Risk Factors (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic : France.
- adverse effects : Cold Temperature.
- complications : Cumulative Trauma Disorders.
- epidemiology : Raynaud Disease.
- etiology : Raynaud Disease.
- Adult, Age Factors, Cross-Sectional Studies, Female, Humans, Logistic Models, Male, Middle Aged, Occupational Health, Prevalence, Psychology, Retrospective Studies, Risk Factors, Surveys and Questionnaires.
Abstract
OBJECTIVE
To assess the prevalence of and risk factors for Raynaud's phenomenon (RP) in a French working population characterized by various levels of exposure to work-related constraints.
METHODS
The study population comprised 3,710 workers (2,161 men and 1,549 women) who were followed up by 83 occupational physicians and were representative of the region's workforce. RP, as diagnosed by a questionnaire and a standardized interview, was defined as the occurrence of at least occasional attacks of finger blanching triggered by exposure to environmental cold during the previous 12 months. Personal factors and work exposure were assessed by self-administered questionnaires. The associations between RP and personal and occupational factors were analyzed using logistic regression modeling.
RESULTS
A total of 87 cases of RP (56 women and 31 men) were diagnosed. The population-based annual prevalence rates of RP were 3.6% (95% confidence interval [95% CI] 2.7-4.5%) for women and 1.4% (95% CI 0.9-1.9%) for men. Women had a higher risk of RP (odds ratio [OR] 2.1 [95% CI 1.3-3.4]) and the risk decreased continuously with body mass index (OR for 1-kg/m(2) increment 0.87 [95% CI 0.81-0.94]). The risk of RP increased consistently but moderately with age after 35 years (ORs ranging from 2.0 [95% CI 1.1-3.8] to 2.9 [95% CI 1.6-5.2]). Among the work-related factors studied, RP was associated with an exposure to a cold environment or objects (OR 2.2 [95% CI 1.0-4.6]), a high repetitiveness of a task (OR 1.7 [95% CI 1.0-2.7]), a high psychological demand at work (OR 1.7 [95% CI 1.0-2.7]), and low support from supervisors (OR 2.4 [95% CI 1.5-3.8]).
CONCLUSION
Personal and work-related factors were associated with RP, with a clear difference between the sexes. Work-related psychosocial stressors played a significant role independently of biomechanical and environmental exposure.
DOI: 10.1002/acr.21615
PubMed: 22246858
Affiliations:
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workforce.</title><author><name sortKey="Roquelaure, Yves" sort="Roquelaure, Yves" uniqKey="Roquelaure Y" first="Yves" last="Roquelaure">Yves Roquelaure</name><affiliation wicri:level="3"><nlm:affiliation>L'Université Nantes Angers Le Mans, Université d'Angers, Centre Hospitalier Universitaire d'Angers, Laboratoire d'Ergonomie et d'épidémiologie en santé au travail, Angers, France. yvroquelaure@chu-angers.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>L'Université Nantes Angers Le Mans, Université d'Angers, Centre Hospitalier Universitaire d'Angers, Laboratoire d'Ergonomie et d'épidémiologie en santé au travail, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Ha, Catherine" sort="Ha, Catherine" uniqKey="Ha C" first="Catherine" last="Ha">Catherine Ha</name></author><author><name sortKey="Le Manac H, Audrey Petit" sort="Le Manac H, Audrey Petit" uniqKey="Le Manac H A" first="Audrey Petit" last="Le Manac'H">Audrey Petit Le Manac'H</name></author><author><name sortKey="Bodin, Julie" sort="Bodin, Julie" uniqKey="Bodin J" first="Julie" last="Bodin">Julie Bodin</name></author><author><name sortKey="Bodere, Anais" sort="Bodere, Anais" uniqKey="Bodere A" first="Anaïs" last="Bodere">Anaïs Bodere</name></author><author><name sortKey="Bosseau, Christian" sort="Bosseau, Christian" uniqKey="Bosseau C" first="Christian" last="Bosseau">Christian Bosseau</name></author><author><name sortKey="Descatha, Alexis" sort="Descatha, Alexis" uniqKey="Descatha A" first="Alexis" last="Descatha">Alexis Descatha</name></author><author><name sortKey="Leclerc, Annette" sort="Leclerc, Annette" uniqKey="Leclerc A" first="Annette" last="Leclerc">Annette Leclerc</name></author><author><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name></author><author><name sortKey="Imbernon, Ellen" sort="Imbernon, Ellen" uniqKey="Imbernon E" first="Ellen" last="Imbernon">Ellen Imbernon</name></author></analytic><series><title level="j">Arthritis care & research</title><idno type="eISSN">2151-4658</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Cold Temperature (adverse effects)</term><term>Cross-Sectional Studies (MeSH)</term><term>Cumulative Trauma Disorders (complications)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Occupational Health (MeSH)</term><term>Prevalence (MeSH)</term><term>Psychology (MeSH)</term><term>Raynaud Disease (epidemiology)</term><term>Raynaud Disease (etiology)</term><term>Retrospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Basse température (effets indésirables)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Humains (MeSH)</term><term>Lésions par microtraumatismes répétés (complications)</term><term>Maladie de Raynaud (épidémiologie)</term><term>Maladie de Raynaud (étiologie)</term><term>Modèles logistiques (MeSH)</term><term>Mâle (MeSH)</term><term>Prévalence (MeSH)</term><term>Psychologie (MeSH)</term><term>Santé au travail (MeSH)</term><term>Études rétrospectives (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cold Temperature</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cumulative Trauma Disorders</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Basse température</term><term>Lésions par microtraumatismes répétés</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Raynaud Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Raynaud Disease</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladie de Raynaud</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladie de Raynaud</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Occupational Health</term><term>Prevalence</term><term>Psychology</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Facteurs âges</term><term>Femelle</term><term>France</term><term>Humains</term><term>Modèles logistiques</term><term>Mâle</term><term>Prévalence</term><term>Psychologie</term><term>Santé au travail</term><term>Études rétrospectives</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the prevalence of and risk factors for Raynaud's phenomenon (RP) in a French working population characterized by various levels of exposure to work-related constraints.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The study population comprised 3,710 workers (2,161 men and 1,549 women) who were followed up by 83 occupational physicians and were representative of the region's workforce. RP, as diagnosed by a questionnaire and a standardized interview, was defined as the occurrence of at least occasional attacks of finger blanching triggered by exposure to environmental cold during the previous 12 months. Personal factors and work exposure were assessed by self-administered questionnaires. The associations between RP and personal and occupational factors were analyzed using logistic regression modeling.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 87 cases of RP (56 women and 31 men) were diagnosed. The population-based annual prevalence rates of RP were 3.6% (95% confidence interval [95% CI] 2.7-4.5%) for women and 1.4% (95% CI 0.9-1.9%) for men. Women had a higher risk of RP (odds ratio [OR] 2.1 [95% CI 1.3-3.4]) and the risk decreased continuously with body mass index (OR for 1-kg/m(2) increment 0.87 [95% CI 0.81-0.94]). The risk of RP increased consistently but moderately with age after 35 years (ORs ranging from 2.0 [95% CI 1.1-3.8] to 2.9 [95% CI 1.6-5.2]). Among the work-related factors studied, RP was associated with an exposure to a cold environment or objects (OR 2.2 [95% CI 1.0-4.6]), a high repetitiveness of a task (OR 1.7 [95% CI 1.0-2.7]), a high psychological demand at work (OR 1.7 [95% CI 1.0-2.7]), and low support from supervisors (OR 2.4 [95% CI 1.5-3.8]).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Personal and work-related factors were associated with RP, with a clear difference between the sexes. Work-related psychosocial stressors played a significant role independently of biomechanical and environmental exposure.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22246858</PMID><DateCompleted><Year>2012</Year><Month>07</Month><Day>03</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2151-4658</ISSN><JournalIssue CitedMedium="Internet"><Volume>64</Volume><Issue>6</Issue><PubDate><Year>2012</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Arthritis care & research</Title><ISOAbbreviation>Arthritis Care Res (Hoboken)</ISOAbbreviation></Journal><ArticleTitle>Risk factors for Raynaud's phenomenon in the workforce.</ArticleTitle><Pagination><MedlinePgn>898-904</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/acr.21615</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the prevalence of and risk factors for Raynaud's phenomenon (RP) in a French working population characterized by various levels of exposure to work-related constraints.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The study population comprised 3,710 workers (2,161 men and 1,549 women) who were followed up by 83 occupational physicians and were representative of the region's workforce. RP, as diagnosed by a questionnaire and a standardized interview, was defined as the occurrence of at least occasional attacks of finger blanching triggered by exposure to environmental cold during the previous 12 months. Personal factors and work exposure were assessed by self-administered questionnaires. The associations between RP and personal and occupational factors were analyzed using logistic regression modeling.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 87 cases of RP (56 women and 31 men) were diagnosed. The population-based annual prevalence rates of RP were 3.6% (95% confidence interval [95% CI] 2.7-4.5%) for women and 1.4% (95% CI 0.9-1.9%) for men. Women had a higher risk of RP (odds ratio [OR] 2.1 [95% CI 1.3-3.4]) and the risk decreased continuously with body mass index (OR for 1-kg/m(2) increment 0.87 [95% CI 0.81-0.94]). The risk of RP increased consistently but moderately with age after 35 years (ORs ranging from 2.0 [95% CI 1.1-3.8] to 2.9 [95% CI 1.6-5.2]). Among the work-related factors studied, RP was associated with an exposure to a cold environment or objects (OR 2.2 [95% CI 1.0-4.6]), a high repetitiveness of a task (OR 1.7 [95% CI 1.0-2.7]), a high psychological demand at work (OR 1.7 [95% CI 1.0-2.7]), and low support from supervisors (OR 2.4 [95% CI 1.5-3.8]).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Personal and work-related factors were associated with RP, with a clear difference between the sexes. Work-related psychosocial stressors played a significant role independently of biomechanical and environmental exposure.</AbstractText><CopyrightInformation>Copyright © 2012 by the American College of Rheumatology.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Roquelaure</LastName><ForeName>Yves</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>L'Université Nantes Angers Le Mans, Université d'Angers, Centre Hospitalier Universitaire d'Angers, Laboratoire d'Ergonomie et d'épidémiologie en santé au travail, Angers, France. yvroquelaure@chu-angers.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ha</LastName><ForeName>Catherine</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Le Manac'h</LastName><ForeName>Audrey Petit</ForeName><Initials>AP</Initials></Author><Author ValidYN="Y"><LastName>Bodin</LastName><ForeName>Julie</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Bodere</LastName><ForeName>Anaïs</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Bosseau</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Descatha</LastName><ForeName>Alexis</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Leclerc</LastName><ForeName>Annette</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Goldberg</LastName><ForeName>Marcel</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Imbernon</LastName><ForeName>Ellen</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>01</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arthritis Care Res (Hoboken)</MedlineTA><NlmUniqueID>101518086</NlmUniqueID><ISSNLinking>2151-464X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003080" MajorTopicYN="N">Cold Temperature</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012090" MajorTopicYN="N">Cumulative Trauma Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016272" MajorTopicYN="N">Occupational Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011584" MajorTopicYN="N">Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011928" MajorTopicYN="N">Raynaud Disease</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>1</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>1</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22246858</ArticleId><ArticleId IdType="doi">10.1002/acr.21615</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Pays de la Loire</li></region><settlement><li>Angers</li></settlement></list><tree><noCountry><name sortKey="Bodere, Anais" sort="Bodere, Anais" uniqKey="Bodere A" first="Anaïs" last="Bodere">Anaïs Bodere</name><name sortKey="Bodin, Julie" sort="Bodin, Julie" uniqKey="Bodin J" first="Julie" last="Bodin">Julie Bodin</name><name sortKey="Bosseau, Christian" sort="Bosseau, Christian" uniqKey="Bosseau C" first="Christian" last="Bosseau">Christian Bosseau</name><name sortKey="Descatha, Alexis" sort="Descatha, Alexis" uniqKey="Descatha A" first="Alexis" last="Descatha">Alexis Descatha</name><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name><name sortKey="Ha, Catherine" sort="Ha, Catherine" uniqKey="Ha C" first="Catherine" last="Ha">Catherine Ha</name><name sortKey="Imbernon, Ellen" sort="Imbernon, Ellen" uniqKey="Imbernon E" first="Ellen" last="Imbernon">Ellen Imbernon</name><name sortKey="Le Manac H, Audrey Petit" sort="Le Manac H, Audrey Petit" uniqKey="Le Manac H A" first="Audrey Petit" last="Le Manac'H">Audrey Petit Le Manac'H</name><name sortKey="Leclerc, Annette" sort="Leclerc, Annette" uniqKey="Leclerc A" first="Annette" last="Leclerc">Annette Leclerc</name></noCountry><country name="France"><region name="Pays de la Loire"><name sortKey="Roquelaure, Yves" sort="Roquelaure, Yves" uniqKey="Roquelaure Y" first="Yves" last="Roquelaure">Yves Roquelaure</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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