Standing and sitting postures at work and symptoms of venous insufficiency – results from questionnaires and a Doppler ultrasound study

Łastowiecka-Moras, Elżbieta

doi:10.1080/10803548.2020.1834232

Cited by 11 publications

(10 citation statements)

References 22 publications

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“…Approximately between 1960 and 1990, all literature reported regarding signs and symptoms is not available online, only historical record; nonetheless, titles focus almost solely on signs provoked by venous stasis, along with different surgical approaches [8][9][10][11][12][13][14][15][16][17] . In most recent studies, few of them exclusively concentrate on symptoms, and as shown in table 2 1,[18][19][20][21] , none of them report pattern presentation [22][23][24] .…”

Section: Resultsmentioning

confidence: 99%

Chronic venous insufficiency symptoms and its potential causes: Are we doing it right?

Santillán-Aguayo¹,

Sánchez²,

Carbajal-Robles³

et al. 2021

RMA

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Background: Chronic venous insufficiency has symptomatology associated with venous hypertension; until now they have never been approached for the purpose of describing a characteristic pattern presentation allowing a clinical differential diagnosis. The largest study addressing this topic is the Vein Restoration Study (VRS) that included 38,750 patients demonstrating discrepancy between signs and symptoms among age groups studied, coupled with the fact that in our own medical practice as a vascular specialist we may face patients with advanced degrees of venous hypertension but completely asymptomatic. Symptoms have been reported as subjective and potentially confoundable with other comorbidities such as neuropathies, as there is a close anatomic relationship between veins and nerves. Methods: Electronic literature searches were performed from 1947 to 2021 by the first author using PubMed and the Cochrane Central Register of Controlled Trials. Results: We found 1200 articles using those related to venous symptoms noting any of them focused on the pattern presentation with evident discrepancies between signs and symptoms. Conclusion: Venous symptoms must be considered subjective, and potentially caused by an underlying and undefined condition or comorbity. Until now, no author has demonstrated that these are caused directly by venous disease.

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Section: Resultsmentioning

confidence: 99%

Chronic venous insufficiency symptoms and its potential causes: Are we doing it right?

Santillán-Aguayo¹,

Sánchez²,

Carbajal-Robles³

et al. 2021

RMA

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“…However, possible disadvantages in maintaining a prolonged standing posture can occur. Epidemiological studies suggested that prolonged standing might be related to health problems such as venous insufficiency ( 59 ), decreased cognition or discomfort ( 60 ), and back pain ( 61 ). Occupational standing has been associated with elevated low back pain.…”

Section: Strategies To Increase Neat At Workmentioning

confidence: 99%

Non-exercise activity thermogenesis in the workplace: The office is on fire

Rizzato

Marcolin²,

Paoli³

2022

Front. Public Health

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From the second half of the previous century, there has been a shift toward occupations largely composed of desk-based behaviors. This, inevitably, has led to a workload reduction and a consequent lower energy expenditure. On this point, small increments of the non-exercise activity thermogenesis (NEAT) could be the rationale to reach health benefits over a prolonged period. Different published researches suggest solutions to reverse sitting time and new alternative workstations have been thought to increase total physical activity. Therefore, the purpose of this narrative review is to summarize the current state of the research regarding the “NEAT approach” to weight-gain prevention in work environments. This review analyzes the main evidence regarding new alternative workstations such as standing, walking workstations, seated pedal, and gymnastic balls to replace a standard office chair.

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“…Many workers are required to stand for long periods of time, these workers include nurses, teachers, shop assistants, cooks, pharmacists, and hairdressers, or sit, such as office workers, drivers, and information technology specialists [ 1 , 2 ]. In Dutch standing work guidelines, more than 1 h of continuous standing and more than 4 h of standing in total is unsafe and places the individual at a high risk of strain and health problems, and for which immediate intervention to reduce the strain should be performed [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of intermittent pneumatic compression device and compression stockings for workers with leg edema and pain after prolonged standing: a prospective crossover clinical trial

Kim

Won

2022

BMC Musculoskelet Disord

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Background During prolonged standing, insufficient calf muscle pumping accompanies venous stasis and hypertension in the lower legs, resulting in valve dysfunction, venous wall problems, and sub-sequent inflammation. Compression therapy, which includes medical compression stockings (MCS) and mechanical intermittent pneumatic compression (IPC), is one of the most effective therapeutic interventions for treating chronic venous diseases. This study aimed to compare the therapeutic effect among resting, IPC and MCS alone, and IPC with MCS in long-standing workers (> 8 h daily). Methods This crossover trial was conducted with 39 participants with complaints of leg edema and pain whose work involved standing for more than 8 h daily. Four treatment protocols were established for each visit as follows: protocol A (not wear MCS during work and rest without IPC after work), protocol B (wear MCS during work and rest without IPC after work), protocol C (not wear MCS during work and treat with IPC after work), and protocol D (wear MCS during work and treat with IPC after work). The primary outcome was the visual analogue scale (VAS) score for leg pain. The secondary outcomes were leg volume (mL), circumference (cm), extracellular fluid/total body fluid (ECF/TBF), and extracellular water/total body water (ECW/TBW) through bioelectrical impedance analysis. Outcomes were assessed before work (T0), after work (T1), and 60 min after intervention (T2). Results All four protocols had significantly increased leg pain after work (T0-1) but improved 60 min after intervention (T1-2), particularly protocol C (decreased VAS by 1.9). When leg swelling was compared at T0 and T1, protocols A and C showed significant increases in leg volume and circumference, indicating significant work-induced edema, whereas protocols B and D showed no change or even a decrease. After interventions, leg volume and circumference significantly decreased in protocols A and C, although protocols B and C did not show significant improvement. The ECF/TBF and ECW/TBW of all protocols decreased after interventions. Conclusions Leg pain and edema after prolonged standing (T1-T2) in adults were safely and effectively improved by both IPC alone and IPC with MCS. Although the use of MCS during the workday did not show improvement in leg pain immediately after work (T0-T1), both MCS with resting and MCS with IPC decreased leg pain at T1-T2 and prevented leg edema at T0-T1. Trial registration This trial protocol was registered at the Clinical Research Information Service (KCT0005383, the date of first registration: 08/09/2020).

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Standing and sitting postures at work and symptoms of venous insufficiency – results from questionnaires and a Doppler ultrasound study

Cited by 11 publications

References 22 publications

Chronic venous insufficiency symptoms and its potential causes: Are we doing it right?

Chronic venous insufficiency symptoms and its potential causes: Are we doing it right?

Non-exercise activity thermogenesis in the workplace: The office is on fire

Comparison of intermittent pneumatic compression device and compression stockings for workers with leg edema and pain after prolonged standing: a prospective crossover clinical trial

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