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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2003 June;22(2):172-6


language: English

Epidemiology of venous insufficiency in an occupational population

Lacroix P. 1, Aboyansi V. 1, Preux P. M. 2, Houlès M. B. 1, Laskar M. 1

1 Department of Cardiovascular Surgery and Vascular Medicine, CHU Dupuytren, Limoges, France 2 Department of Biostatistics, Faculty of Medicine, Limoges University, Limoges, France


Aim. A cross sec­tion­al study of the prev­a­lence and risk fac­tors of chron­ic ­venous insuf­fi­cien­cy (CVI) in a South Euro­pe­an occu­pa­tion­al pop­u­la­tion was per­formed.
Meth­ods. Over a 7-month peri­od a ques­tion­naire (CVI symp­toms, gen­er­al data and life style hab­its) was admin­is­trat­ed to 1604 con­sec­u­tive ­females (73.3%) and 586 con­sec­u­tive males (26.7%). An orient­ed clin­i­cal exam­ina­tion was then per­formed. Sub­jects were clas­si­fied into 4 ­groups: asymp­to­mat­ic, light, mod­er­ate and ­severe CVI. Uni­var­i­ate and mul­ti­var­i­ate anal­y­sis were used.
­Results. Mean age 38.8±11.6 years (range 15-65). The prev­a­lence of CVI all class­es con­found­ed was 51.4% (62.3% in women and 21.8% in men); the prev­a­lence of mod­er­ate and ­severe CVI was 10.4% (12.1% in ­female and 6.3% in male). Age (Odds Ratio (OR): 1.93, 95% con­fi­dence inter­val (CI): 1.55-3.53), ­female sex (OR: 2.34, 95% CI: 1.62-2.30), obes­ity (kg/m2) (OR:1.11, 95% CI: 1.07-1.15) and famil­ial his­to­ry of CVI (OR: 2.80, 95% CI: 2.02-3.89) were risks fac­tors of mod­er­ate and ­severe CVI. The com­par­i­son extend­ed to the whole group of CVI added other risk fac­tors: his­to­ry of leg inju­ry, preg­nan­cy; a sit­ting pos­ture at work. Unex­pect­ed­ly smok­ing had a pro­tec­tive ­effect but only in the ­female group for the last one.
Con­clu­sion. CVI is an impor­tant med­i­cal prob­lem con­cern in this pop­u­la­tion. Some of the risk fac­tors like obes­ity and stand­ing posi­tion at work may ben­e­fit from pre­ven­tive meas­ures.

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