BACKGROUND: Chronic venous insufficiency (CVI) occurs frequently in the occupational population but is often not recognized. OBJECTIVE: To evaluate leg volume measurements in the detection of CVI. INTERVENTIONS: The lower leg volume was measured in 81 males with CVI and a standing occupation, at the beginning and end of 2 full working days using an optical leg volume meter. RESULTS: A volume increase of over 50 ml was found in 60% of the legs. The mean volume change was +2.6% in legs with minor CVI and +3.6% in legs with major CVI. A high volume change was associated with a tired feeling and pain in the legs. In the detection of CVI, the predictive value of volume measurements was 71%, and in combination with a questionnaire 83%. CONCLUSION: A volume increase of the lower legs in the course of the day was common and associated with subjective complaints of the legs. As a predictor of CVI, isolated volume measurements were ineffective because an overlap was present with the distribution of volume changes in healthy workers.
BACKGROUND:Chronic venous insufficiency (CVI) occurs frequently in the occupational population but is often not recognized. OBJECTIVE: To evaluate leg volume measurements in the detection of CVI. INTERVENTIONS: The lower leg volume was measured in 81 males with CVI and a standing occupation, at the beginning and end of 2 full working days using an optical leg volume meter. RESULTS: A volume increase of over 50 ml was found in 60% of the legs. The mean volume change was +2.6% in legs with minor CVI and +3.6% in legs with major CVI. A high volume change was associated with a tired feeling and pain in the legs. In the detection of CVI, the predictive value of volume measurements was 71%, and in combination with a questionnaire 83%. CONCLUSION: A volume increase of the lower legs in the course of the day was common and associated with subjective complaints of the legs. As a predictor of CVI, isolated volume measurements were ineffective because an overlap was present with the distribution of volume changes in healthy workers.
Authors: R P Engelberger; A Indermühle; F Baumann; J Fahrni; N Diehm; N Kucher; U Egermann; K Laederach; I Baumgartner; T Willenberg Journal: Int J Obes (Lond) Date: 2013-09-13 Impact factor: 5.095
Authors: Sophie Ziegler; Gerald Eckhardt; Rudolf Stöger; Johann Machula; Hugo W Rüdiger Journal: Wien Klin Wochenschr Date: 2003-09-15 Impact factor: 2.275