서서 일하는 작업에서의 정맥류 발생에 대한 연구

A Study of Varicose Veins in Prolonged Standing at Work

  • Lee, Yun-Keun (Wonjin Institute for Occupational and Environmental Health) ;
  • Yim, Sang-Hyuk (Wonjin Institute for Occupational and Environmental Health)
  • 투고 : 2010.04.28
  • 심사 : 2010.06.29
  • 발행 : 2010.09.30

초록

Recent studies suggest that prolonged standing at work is associated with varicose veins (VV). The objective of this study was to analyze the differences of VV risk in terms of work types in casino dealers and hotel service workers. Symptoms of VV were evaluated using a self-reported questionnaire from 2,092 participants, and muscle fatigue in the lower legs were evaluated using surface electromyography. The shift rate of median frequency in Gastrocnemius was -30.0% among the casino dealers working in prolonged static standing posture, and - 14.3% among the casino dealers sitting during working time. After adjusting age, gender, smoking, and family history of VV, the risk ratio of VV was 3.67(95% CI 2.03-6.59) in group I (prolonged standing and occasional walking at work), 6.29(95% CI 3.48-11.35) in group II (prolonged standing, occasional walking and heavy lifting at work), and 8.07(95% CI 4.51-14.43) in groupIII(prolonged static standing at work). In conclusion, prolonged standing at work may be a work related risk factor of VV.

키워드

참고문헌

  1. 국가인권원위원회. 유통업 여성비정규직 차별 및 노동권 실태조사 보고서. 국가인권위원회; 2007.
  2. 전국민간서비스산업노동조합연맹. 유통서비스 여성노동자 건강문제에 대한 조사결과. 전국민간서비스산업노동조합연맹; 2008.
  3. 송기훈, 권오언, 김홍석, 김기호. 한국에서의 위험인자에 따른 하지정맥류의 임상적 고찰. 대한피부과학회지 2005;43(6): 762-768
  4. 정명철, 김정룡. 근육 피로도 분석시 사용되는 매개변수들간의 민감도 비교 연구. 대한인간공학회 추계학술대회 논문집; 1997.(404-413쪽.)
  5. 한국산업안전공단 산업안전보건연구원. 직업병진단 사례집 2001. 한국산업안전공단; 2003.
  6. 현수돈, 김정룡. 여성하이힐이 허리근육 피로도에 미치는 영향에 관한 연구. 대한인간공학회학술대회논문집; 2000.(304-310쪽.)
  7. Astrand and Rodahl. Textbook of Work Physiology. 3rd Ed. MacGraw Hill; 1986.
  8. Bradbury A, Evans C, Allan P, Lee A, Ruckley CV, Fowkes FG. What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey. British Medical Journal 1999; 6(318):353-356
  9. Callam M.J. Epidemiology of varicose veins. Br J Surg 1994; 81: 167-173 https://doi.org/10.1002/bjs.1800810204
  10. Dimmer J.B., Pfeifer J., Engle J., Schottenfeld D. The Epidemiology of Chronic Venous Insufficiency and Varicose Veins. Annals of Epidemiology 2005; 15(3): 175-184 https://doi.org/10.1016/j.annepidem.2004.05.015
  11. Jawien A. The influence of environmental factors in chronic venous insufficiency. Angiology 2003; 54(1): S19-31 https://doi.org/10.1177/000331970305400104
  12. Laurikka J.O., Sisto T., Tarkka M.R., Auvinen O., Hakama M. Risk indicators for varicose veins in forty -to sixty-year-olds in Tampere varicose vein study. World J. Surg 2002; 26: 648-651 https://doi.org/10.1007/s00268-001-0283-1
  13. Kontosic I., Vukelic M., Drescik I. Work conditions as risk factors for varicose veins of the lower extremities in certain professions of the working population of Rijeka. Acta Med Okayama 2001; 54: 33-38
  14. Krause N., Lynch J.W., Kaplan G.A., Cohen R.D., Salonen R., Salonen J.T. Standing at work and progression of carotid atherosclerosis. Scand J Work Environ Health 2000; 26(3): 227-236 https://doi.org/10.5271/sjweh.536
  15. Kroeger K., Ose C., Rudofsky G., Roesener J., Hirche H, Risk factors for varicose veins. Int Angiol 2004; 23(1): 29-34
  16. Lionis C., Erevnidiou K., Antonakis N., Argyridou S., Vlachonikolis I., Katsamouris A. Chronic venous insufficiency, A common health problem in general practice in Greece. Int Angiol 2002; 21: 86-92
  17. Messing Karen, Kilbomb Asa. Standing and very slow walking: foot pain-pressure threshold, subjective pain experience and work activity. Applied Ergonomics 2001; 32(1): 81-90 https://doi.org/10.1016/S0003-6870(00)00030-2
  18. Minar E. To work in a hospital-a new factor for development venous disease- Wien Klin Wochenschr 2003; 115: 549-551 https://doi.org/10.1007/BF03040447
  19. Tuchsen F., Krause N., Hannerz H., Burr H., Kristensen T.S. Standing at work and varicose veins. Scand J Work Environ Health 2000; 26(5): 414-420 https://doi.org/10.5271/sjweh.562
  20. Tuchsen F., Hannerz H., Burr H., Krause N. Prolonged standing at work and hospitalization due to varicose veins: a 12 year prospective study of the Danish population. Occup Environ Med 2005; 62: 847-850 https://doi.org/10.1136/oem.2005.020537
  21. Ziegler S., Eckhardt G., Stoger R. High prevalence of chronic venous disease in hospital employees. Wien Klin Wochenschr 2003; 115: 575-579 https://doi.org/10.1007/BF03040451