Lower limbs edema among medical students

Monika Załęcka; Kacper Lipiński; Aleksandra Królikowska

doi:10.5604/01.3001.0013.4329

Authors

Monika Załęcka Medical University of Silesia, Medical Department, Katowice, Poland
Kacper Lipiński Medical University of Silesia, Medical Department, Katowice, Poland
Aleksandra Królikowska Medical University of Silesia, Medical Department, Katowice, Poland

DOI:

https://doi.org/10.5604/01.3001.0013.4329

Keywords:

edema, chronic venous disease, compression, students, occupational swelling

Abstract

Aim of the study: Chronic venous disease is frequent that affects people of various professions and ages. It consists of a set of symptoms located in the lower limbs, and edema is one of the first and most frequent signs. The aim of this study was to investigate the lifestyle influence on frequency of lower limbs swelling formation among medicine students. Materials and methods: Analysis of questionnaire conducted among 482 students of the academic year 2018/2019 from 12 Polish medicine universities. The survey questions encompass known and possible risk factors of lower limbs edema. CEAP scale was used to assess the severity of chronic venous disease. Results: Lower limb edema occurred in 30% of the respondents, of which 55% stated the exacerbation of symptoms on the days they attended classes. Conclusions: Medical students suffer from edema, it is more common among women. The type of classes affects the manifestation of lower limbs oedema. The factors that have the greatest impact on the formation of edema in students are: prolonged standing or sitting position and high ambient temperature.

Downloads

Download data is not yet available.

References

Sudoł-Szopińska, I., Błachowiak, K., Koziński, P. (2006). Wpływ czynników środowiskowych na rozwój przewlekłej niewydolności żylnej. Medycyna Pracy, 57(4), 365–373. Google Scholar

Jawień, A., Grzela, T., Ochwat, A. (2003). Prevalence of CVI in Poland. Phlebology, 18, 110–122. Google Scholar

Jawień, A., Migdalski, A., Ciecierski, M. (2004). Fizjologia i patofizjologia odpływu żylnego. Przewodnik Lekarza, 8, 33–35. Google Scholar

Pistorius, M. A. (2003). Chronic venous insufficiency: the genetic influence. Angiology 54(1), 5–12. Google Scholar

Jawień, A. (2003). The Influence of Environmental Factors in Chronic Venous Insufficiency. Angiology, 54(1), 19–31. Google Scholar

Zubilewicz, R., Jaroszyński, A. (2015). Przewlekła choroba żylna. Forum Medycyny Rodzinnej, 9(5), 400–404. Google Scholar

Criqui, M. H., Denenberg, J. O., Bergan, J., Langer, R. D., Fronek, A. (2007). Risk factors for chronic venous disease: The San Diego Population Study. Journal of Vascular Surgery, 46(2), 331–337. Google Scholar

Ziegler, S., Eckhardt, G., Stöger, R., Machula, J., Rüdiger, spital employees. Wiener Klinische Wochenschrift, 115(15–16), 575- 579. Google Scholar

Ruckley, C. V. (1997). Socioeconomic Impact of Chronic Venous Insufficiency and Leg Ulcers. Angiology 48(1), 67–69. Google Scholar

Boccalon, H. (2002). Choroby żył i naczyń limfatycznychpraktyczny przewodnik. α- medica press. Google Scholar

Vayssairat, M. (2003). The causes of edema in chronic venous insufficiency. Phlebolymphology 41, 168–171. Google Scholar

Streeten, D. H. P. (1987). Orthostatic Disorders of the Circulation: Mechanisms, Manifestations, and Treatment. Springer US. Google Scholar

Partsch, H., Winiger, J., Lun, B. (2004) Compression Stockings Reduce Occupational Leg Swelling. Dermatologic Surgery 30(5), 737–743. Google Scholar

Belczak, C. E. Q., de Godoy, J. M. P., Ramos, R. N., de Oliveira, M. A., Belczak, S. Q., Caffa, R. A. (2008). Influence of working shift on the formation of lower limb edema in normal individuals. Jornal Vascular Brasileiro, 7(3), 225–230. Google Scholar

Eklöf, B., Rutherford, R. B., Bergan, J. J., Carpentier, P. H., Gloviczki, P., Kistner, R. L., … & Wakefield, T. W. (2004). Revision of the CEAP classification for chronic venous disorders: Consensus statement. Journal of vascular surgery, 40(6), 1248–52. Google Scholar

Evans, N. S., Ratchford, E. V. (2016) The swollen leg. Vascular Medicine, 21(6), 562–564. Google Scholar

Krijnen, R. M. A., de Boer, E. M., Adèr, H. J., Bruynzeel, D. P. (1997). Venous Insufficiency in Male Workers with a Standing Profession. Dermatology, 194, 111–120. Google Scholar

Weiss, R. A., Duffy, D. (1999). Clinical Benefits of Lightweight Compression: Reduction of Venous-Related Symptoms by Ready-to-Wear Lightweight Gradient Compression Hosiery. Dermatologic Surgery, 25(9), 701–704. Google Scholar

Winkel, J., Jøngersen, K., (1986). Evaluation of foot swelling and lower-limb temperatures in relation to leg activity during long-term seated office work. Ergonomics, 29(2), 313–328. Google Scholar

Criqui, M. H., Jamosmos, M., Fronek, A., Denenberg, J. O., Langer, R. D., Bergan, J., Golomb, B. A. (2003). Chronic Venous Disease in an Ethnically Diverse Population: The San Diego Population Study. American Journal of Epidemiology, 158(5), 448–456. Google Scholar

Chiesa, R., Marone, E. M., Limoni, C., Volonté, M., Schaefer, E., Petrini, O. (2005). Demographic Factors and Their Relationship with the Presence of CVI Signs in Italy: The 24-Cities Cohort Study. European Journal of Vascular & Endovascular Surgery, 30, 674–680. Google Scholar

Mahapatra, S., Ramakrishna, P., Gupta, B., Arumalla, A., Para, M. A. (2018) Correlation of obesity & comorbid conditions with chronic venous insufficiency: Results of a single-centre study. Indian J Med Res, 147(5): 471–476. Google Scholar

Gourgou, S., Dedieu, F., Sancho-Garnier, H. (2002). Lower Limb Venous Insufficiency and Tobacco Smoking: A Case-Control Study. American Journal of Epidemiology, 155(11), 1007–1015. Google Scholar

Curyło, M., Cienkosz, K., Mikos, M., Czerw, A., Raczkowski, J. W. (2018). Physiotherapeutic procedure on the example of compression therapy in treatment of venous diseases. Journal of Education, Health and Sport, 8(12),111–116. Google Scholar

Bouman, A. C., Ten Cate-Hoek, A. J., Dirksen, C. D., Joore, M. A. (2015). Eliciting patients’ preferences for elastic compression stocking therapy after deep vein thrombosis: potential for improving compliance. Journal of Thrombosis and Haemostasis, 14, 510–517. Google Scholar

de Boer, E. M., (2018). Chronic Venous Insufficiency and Occupation. Kanerva’s Occupational Dermatology. Springer, Cham. Google Scholar