Body mass index and carpal tunnel syndrome

被引:31
作者
Kouyoumdjian, JA [1 ]
Morita, MDA [1 ]
Rocha, PRF [1 ]
Miranda, RC [1 ]
Gouveia, GM [1 ]
机构
[1] Sch Med, Dept Neurol Sci, Electroneuromyog Lab, Sao Jose Rio Preto, SP, Brazil
关键词
carpal tunnel syndrome; median nerve; compressive neuropathy; body mass index; nerve conduction studies;
D O I
10.1590/S0004-282X2000000200008
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Carpel tunnel syndrome (CTS) has been correlated to body mass index (BMI) increase. The present study was done in a Brazilian population to compare BMI values in the following groups: firs, CTS vs. controls subjects, and, second (STS groups of increasing median sensory latency (MSL). According to MSL greater than or equal to 3.7 ms (wrist-index finger, 14 cm), median/ulnar sensory latency difference greater than or equal to 0.5 Ins (ring finger, 14 cm) ol median palm-to-wrist (8 cm) latency greater than or equal to 2.3 ms tall peak-measured), 141 cases (238 hands) had CTS confirmation. All were symptomatic; previous surgery and polyneuropathy were excluded; mean age 50.3; 90.8% female. Controls subjects (n = 243; mean age 43.0; 96.7% female) and CTS cases had BMI calculated (kg/m(2)). Controls subjects had a mean BMI of 75.43 +/- 4.80 versus 28.38 +/- 4.69 of all CTS cases, a statistically significant difference (p < 0.001). The CTS groups of increasing MSL severity do not show additional increase in BMI (28.44 for incipient, 28.27 For mild, 28.75 for moderate and 29.0 for severe). We conclude that CTS cases have a significant correlation with higher BMI when compared to controls subjects; however, higher BMI do not represent a statistically significant increasing risk for more severe MSL.
引用
收藏
页码:252 / 256
页数:5
相关论文
共 14 条
[1]  
Albers JW, 1996, MUSCLE NERVE, V19, P140, DOI 10.1002/(SICI)1097-4598(199602)19:2<140::AID-MUS3>3.0.CO
[2]  
2-E
[3]  
Buschbacher RM, 1998, MUSCLE NERVE, V21, P1398, DOI 10.1002/(SICI)1097-4598(199811)21:11<1398::AID-MUS6>3.0.CO
[4]  
2-4
[5]   RISK-FACTORS FOR CARPAL-TUNNEL SYNDROME [J].
DEKROM, MCTFM ;
KESTER, ADM ;
KNIPSCHILD, PG ;
SPAANS, F .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1990, 132 (06) :1102-1110
[6]   AN EPIDEMIOLOGIC-STUDY OF THE CARPAL-TUNNEL SYNDROME IN AN ADULT FEMALE POPULATION [J].
DIECK, GS ;
KELSEY, JL .
PREVENTIVE MEDICINE, 1985, 14 (01) :63-69
[7]   Association of obesity, gender, age and occupation with carpal tunnel syndrome [J].
Lam, N ;
Thurston, A .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1998, 68 (03) :190-193
[8]  
NATHAN PA, 1992, J OCCUP ENVIRON MED, V34, P379
[9]   Risk factors for carpal tunnel syndrome in a general population [J].
Nordstrom, DL ;
Vierkant, RA ;
DeStefano, F ;
Layde, PM .
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1997, 54 (10) :734-740