Venous insufficiency in male workers with a standing profession. Part 1: epidemiology

Dermatology. 1997;194(2):111-20. doi: 10.1159/000246077.


Background: Chronic venous insufficiency (CVI) in the occupational population is often poorly recognized. The dimensions of this problem have never been thoroughly investigated in the Netherlands.

Objective: To study the epidemiology and risk factors of CVI in males with a standing position at work. To develop a simple diagnostic instrument for screening an (occupational) population for CVI.

Methods: 387 male workers with a standing profession were examined by means of a questionnaire, physical examination, Doppler ultrasound investigation, light reflection rheography and optical leg volume measurements.

Results: CVI was present in 29% of the subjects and correlated with age, weight and duration of standing work. Complaints of the legs were reported by 81% of the individuals with CVI but also by 63% of the persons without CVI. The questionnaire had a predictive value of 80% in detecting CVI.

Conclusion: CVI was a major problem because of the quantity (29%) and the accompanying complaints. Neither the questionnaire nor other investigative measures proved to be as efficient in diagnosing CVI as physical examination in combination with Doppler ultrasound investigation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Animals
  • Body Weight
  • Chronic Disease
  • Food-Processing Industry
  • Humans
  • Light
  • Male
  • Meat
  • Middle Aged
  • Netherlands / epidemiology
  • Occupational Diseases / diagnosis
  • Occupational Diseases / diagnostic imaging
  • Occupational Diseases / epidemiology*
  • Optics and Photonics
  • Physical Examination
  • Plethysmography, Impedance
  • Posture*
  • Predictive Value of Tests
  • Risk Factors
  • Shoes
  • Surveys and Questionnaires
  • Time Factors
  • Ultrasonography, Doppler
  • Venous Insufficiency / diagnosis
  • Venous Insufficiency / diagnostic imaging
  • Venous Insufficiency / epidemiology*