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Body Mass Index as Predictor of Carpal Tunnel Syndrome Among Garment Workers
Of the nerve entrapment syndromes the most well-know is the carpal tunnel syndrome (CTS) involving the median nerve. In the field of accupational medine this condition its categorized as an occupational disease, for which industrial workers may clain compensation if the CTS accurs as a consequence of their job. Hewever, although sveral accupational risk factors have been suggeted as causing the development of CTS a definitive role work activities as the central cause of CTS is unclear. The aim of the present study was to evaluate both nonoccupational and occupational factors associted with CTS in garment home industry workers. A cross-sectional study was performed from April to June 2008 in the garment home industry in North Jakarta. Atotal of 99 workers consisting of 45 males and 54 females were included in this study. Historical data wereobtained from a self-administered questionnaire, while anthropometric and provocative median nerve test variables were measured directly. The results showed that body mass index (BMI) was a significant predictor of CTS in male workers (p=0.031) while the risk of CTS was three-fold higher in female workers using hormonal contraceptives (Prevalence Ratio/PR=3.3;95% Confidence of Interval/CI=1.0-10.5). In conclusion it appears that BMI and hormonal contraceptive use were CTS predictor.
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