{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:25:36Z","timestamp":1761128736281},"reference-count":21,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Occup Environ Med"],"published-print":{"date-parts":[[1997,4]]},"abstract":"<jats:p>OBJECTIVE: To determine which proposed risk factor, work activity (industrial v clerical), body mass index (BMI), or other demographic factors had the most influence on the prevalence of median mononeuropathy at the wrist, and if there was an interaction between the risk factors. METHODS: This was a cross sectional study of active workers at five different worksites; four were industrial sites and one was clerical. 527 workers were recruited--164 clerical and 363 industrial. The presence of a median mononeuropathy in either hand was measured by electrodiagnostic techniques comparing median and ulnar sensory latencies. RESULTS: 30% of workers had an abnormality of the median sensory nerve at the wrist (34% of the industrial v 21% of the clerical workers). The adjusted risk for industrial workers was twice that of clerical workers. Obese workers (BMI &gt; 29) were four times more likely to present with a median mononeuropathy than workers who were normal or slender (BMI &lt; 25). There was no significant interaction between BMI and worksite in relation to median mononeuropathy. Increasing age was also related to an increased risk of median mononeuropathy. CONCLUSIONS: Obesity, industrial work, and age are independent risk factors that influence the prevalence of median mononeuropathies among active workers.<\/jats:p>","DOI":"10.1136\/oem.54.4.268","type":"journal-article","created":{"date-parts":[[2008,12,17]],"date-time":"2008-12-17T00:14:48Z","timestamp":1229472888000},"page":"268-271","source":"Crossref","is-referenced-by-count":38,"title":["Influence of body mass index and work activity on the prevalence of median mononeuropathy at the wrist."],"prefix":"10.1136","volume":"54","author":[{"given":"R A","family":"Werner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Franzblau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J W","family":"Albers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T J","family":"Armstrong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1997,4,1]]},"reference":[{"key":"ref_1","first-page":"80","article-title":"Project SENSOR: Wisconsin surveillance of occupational carpal tunnel syndrome","volume":"90","author":"Hanrahan, L.P.; Higgins, D.; Anderson, H.; Haskins, L.; Tai, S.","year":"1991","unstructured":"Hanrahan LP, Higgins D, Anderson H, Haskins L, Tai S. Project SENSOR: Wisconsin surveillance of occupational carpal tunnel syndrome. Wis Med Jf 1991;90: 80,82-3.","journal-title":"Wis Med Jf"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1002\/ajim.4700110310","article-title":"Occupational factors and carpal tunnel syndrome","volume":"11","author":"Silverstein, B.A.; Fine, U.; Armstrong, T.J.","year":"1987","unstructured":"Silverstein BA, Fine U, Armstrong TJ. Occupational factors and carpal tunnel syndrome. Am Jf Ind Med 1987; 11:343-58.","journal-title":"Am Jf Ind Med"},{"key":"ref_3","first-page":"291","article-title":"Left-sided carpal tunnel syndrome in butchers. ScandJ7 Word Environ","volume":"9","author":"Falck, B.; Aarnio, P.","year":"1983","unstructured":"Falck B, Aarnio P. Left-sided carpal tunnel syndrome in butchers. ScandJ7 Word Environ Health 1983;9:291-7.","journal-title":"Health"},{"key":"ref_4","first-page":"43","article-title":"Carpal tunnel syndrome (CTS) and exposure to vibration, repetitive wrist movements, and heavy manual work: a casereferent study","volume":"46","author":"Wieslander, G.; Norback, D.; Gothe, C.J.; Juhlin, L.","year":"1989","unstructured":"Wieslander G, Norback D, Gothe CJ, Juhlin L. Carpal tunnel syndrome (CTS) and exposure to vibration, repetitive wrist movements, and heavy manual work: a casereferent study. Br7Ind Med 1989;46:43-7.","journal-title":"Br7Ind Med"},{"key":"ref_5","first-page":"379","article-title":"Obesity as a risk factor for slowing of sensory conduction of the median nerve in industry: a cross-sectional and longitudinal study involving 429 workers","volume":"34","author":"Nathan, P.A.; Keniston, R.C.; Myers, L.D.; Meadows, K.D.","year":"1992","unstructured":"Nathan PA, Keniston RC, Myers LD, Meadows KD. Obesity as a risk factor for slowing of sensory conduction of the median nerve in industry: a cross-sectional and longitudinal study involving 429 workers. J Occup Med 1992;34:379-83.","journal-title":"J Occup Med"},{"key":"ref_6","first-page":"481","article-title":"Carpal tunnel syndrome and selected personal attributes. J7 Occup Med","volume":"21","author":"Armstrong, T.J.; Chaffin, D.B.","year":"1979","unstructured":"Armstrong TJ, Chaffin DB. Carpal tunnel syndrome and selected personal attributes. J7 Occup Med 1979;21:481-6."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1093\/oxfordjournals.aje.a115753","article-title":"Risk factors for carpal tunnel syndrome","volume":"132","author":"de Krom MC; AD, Kester; PG, Knipschild; F, Spanns","year":"1990","unstructured":"de Krom MC, Kester AD, Knipschild PG, Spanns F. Risk factors for carpal tunnel syndrome. Am J Epidemiol 1990; 132:1102-10.","journal-title":"Am J Epidemiol"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/0091-7435(85)90021-0","article-title":"An epidemiologic study of the carpal tunnel syndrome in an adult female population","volume":"14","author":"Dieck, G.S.; Kelsey, J.L.","year":"1985","unstructured":"Dieck GS, Kelsey JL. An epidemiologic study of the carpal tunnel syndrome in an adult female population. Prev Med 1985;14:63-9.","journal-title":"Prev Med"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1002\/mus.880170610","article-title":"The relationship between body mass index and the diagnosis of carpal tunnel syndrome","volume":"17","author":"Werner, R.A.; Albers, J.W.; Franzblau, A.; Armstrong, T.J.","year":"1994","unstructured":"Werner RA, Albers JW, Franzblau A, Armstrong TJ. The relationship between body mass index and the diagnosis of carpal tunnel syndrome. Muscle Nerve 1994;17:632-6.","journal-title":"Muscle Nerve"},{"key":"ref_10","first-page":"255","article-title":"Personal and occupational factors associated with carpal tunnel syndrome","volume":"23","author":"Cannon, U.; Bernacki, E.J.; Walter, D.S.","year":"1982","unstructured":"Cannon U, Bernacki EJ, Walter DS. Personal and occupational factors associated with carpal tunnel syndrome. Jf Occup Med 1982;23:255-8.","journal-title":"Jf Occup Med"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1093\/ije\/19.3.655","article-title":"Epidemiology of carpal tunnel syndrome in women of childbearing age. Findings in a large cohort study","volume":"19","author":"Vessey, M.P.; Villard-Mackintosh, L.; Yeates, D.","year":"1990","unstructured":"Vessey MP, Villard-Mackintosh L, Yeates D. Epidemiology of carpal tunnel syndrome in women of childbearing age. Findings in a large cohort study. Int Epidemiol 1990;19:655-9.","journal-title":"Int Epidemiol"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1097\/00043764-199211000-00016","article-title":"Risk factors for carpal tunnel syndrome in industry: blaming the victim?","volume":"34","author":"Gerr, F.; Letz, R.","year":"1992","unstructured":"Gerr F, Letz R. Risk factors for carpal tunnel syndrome in industry: blaming the victim? J Occup Med 1992;34: 1117-8.","journal-title":"J Occup Med"},{"key":"ref_13","first-page":"87","article-title":"Workplace ergonomic factors and development of musculoskeletal disorders of the neck and upper limbs: a meta-analysis","volume":"19","author":"Stock, SR","year":"1991","unstructured":"Stock SR. Workplace ergonomic factors and development of musculoskeletal disorders of the neck and upper limbs: a meta-analysis. AmJInd Med 1991;19:87-107.","journal-title":"AmJInd Med"},{"key":"ref_14","article-title":"Electrodiagnosis in diseases of nerve and muscle: principles and practice","author":"Kimura, J.","year":"1983","unstructured":"Kimura J. Electrodiagnosis in diseases of nerve and muscle: principles and practice. Philadelphia: FA Davis, 1983."},{"key":"ref_15","article-title":"Overweight. In: Health risk behaviors","author":"Anderson, J.V.; Rafferty, A.P.","year":"1991","unstructured":"Anderson JV, Rafferty AP. Overweight. In: Health risk behaviors, 1991. Lansing, MI: Michigan Department of Public Health, 1992."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/0892-0362(94)90014-0","article-title":"Covariates of human peripheral nerve function: I nerve conduction velocity and amplitude","volume":"16","author":"Letz, R.; Gerr, F.","year":"1994","unstructured":"Letz R, Gerr F. Covariates of human peripheral nerve function: I nerve conduction velocity and amplitude. Neurotoxicol Teratol 1994;16:95-104.","journal-title":"Neurotoxicol Teratol"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1148\/radiology.171.3.2541464","article-title":"Carpal tunnel: MR imaging part II. Carpal tunnel syndrome","volume":"171","author":"Masgaradeh, M.; Schneck, C.D.; Bonakdarpour, A.; Mitra, A.; Conaway, D.","year":"1989","unstructured":"Masgaradeh M, Schneck CD, Bonakdarpour A, Mitra A, Conaway D. Carpal tunnel: MR imaging part II. Carpal tunnel syndrome. Radiology 1989;171:749-54.","journal-title":"Radiology"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1016\/0363-5023(89)90178-0","article-title":"Stress carpal tunnel pressures in carpal tunnel patients and normal patients","volume":"15","author":"Szabo, R.M.; Chidgey, L.K.","year":"1989","unstructured":"Szabo RM, Chidgey LK. Stress carpal tunnel pressures in carpal tunnel patients and normal patients. J Hand Surg 1989;15:624-8.","journal-title":"J Hand Surg"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"312","DOI":"10.3109\/17453678308996576","article-title":"Pressure and nerve lesion in the carpal tunnel","volume":"54","author":"Werner, C.O.; Elmqvist, D.; Ohlin, P.","year":"1983","unstructured":"Werner CO, Elmqvist D, Ohlin P. Pressure and nerve lesion in the carpal tunnel. Acta Orthop Scand 1983; 54:312-6.","journal-title":"Acta Orthop Scand"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1212\/WNL.38.1.134","article-title":"Carpal tunnel syndrome in Rochester, Minnesota, 1961-80","volume":"38","year":"1988","unstructured":"Stevens JC, Sun S, Beard CM, O'Fallon WM, Kurland LT. Carpal tunnel syndrome in Rochester, Minnesota, 1961-80. Neurology 1988;38:134-8.","journal-title":"Neurology"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"73","DOI":"10.5271\/sjweh.1494","article-title":"A conceptual model for work-related neck and upper-limb musculoskeletal disorders","volume":"19","author":"Armstrong, T.J.; Buckle, P.; Fine, U.; Hagberg, M.; Jonsson, B.; Kilbom, A.","year":"1993","unstructured":"Armstrong TJ, Buckle P, Fine U, Hagberg M, Jonsson B, Kilbom A, et al. A conceptual model for work-related neck and upper-limb musculoskeletal disorders. Scand J Work Environ Health 1993;19:73-84.","journal-title":"Scand J Work Environ Health"}],"container-title":["Occupational and Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/oem.54.4.268","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T16:30:18Z","timestamp":1716481818000},"score":1,"resource":{"primary":{"URL":"https:\/\/oem.bmj.com\/lookup\/doi\/10.1136\/oem.54.4.268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,4]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1997,4,1]]},"published-print":{"date-parts":[[1997,4]]}},"alternative-id":["10.1136\/oem.54.4.268"],"URL":"https:\/\/doi.org\/10.1136\/oem.54.4.268","relation":{},"ISSN":["1351-0711","1470-7926"],"issn-type":[{"value":"1351-0711","type":"print"},{"value":"1470-7926","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,4]]}}}