Cardiovascular Disease Risk Factors Predict the Development and Numbers of Common Musculoskeletal Disorders in a Prospective Cohort.

Kurt T Hegmann Matthew S Thiese Eric M Wood Jay Kapellusch James C Foster David L Drury Richard Kendall Andrew S Merryweather

J Occup Environ Med

From the Rocky Mountain Center for Occupational and Environmental Health, University of Utah, Salt Lake City, Utah (K.T.H., M.S.T., E.M.W.); Department of Occupational Science & Technology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin (J.K.); Infinity Healthcare, Kenosha, Wisconsin (J.C.F.); Compensation & Pension Department, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin (D.L.D.); Department of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, Utah (R.K.); and Department of Mechanical Engineering, University of Utah, Salt Lake City, Utah (A.S.M.).

Published: August 2023

The study aims to evaluate the relationship between cardiovascular disease (CVD) risk scores and the likelihood of developing common musculoskeletal disorders (MSDs) among workers over nine years.
Researchers gathered extensive baseline data from 1,224 workers, including health assessments and job factors, and calculated Framingham risk scores to identify cardiovascular risks.
Findings reveal that higher CVD risk scores significantly increase the risk for MSDs, particularly among individuals with multiple disorders, indicating a strong link between cardiovascular health and musculoskeletal issues.

Objective: The aim of the study is to assess risk of common musculoskeletal disorders (MSDs) based on cardiovascular disease (CVD) risk scores.

Methods: Data from a 9-year prospective cohort of 1224 workers in three states were analyzed. Baseline data included questionnaires, structured interviews, physical examinations, anthropometric measurements, nerve conduction studies, and individualized measurement of job physical factors. Monthly follow-ups were conducted. Framingham risk scores were calculated. A priori case definitions were constructed for carpal tunnel syndrome, lateral epicondylopathy, medial epicondylopathy, and rotator cuff tendinopathy.

Results: Adjusted RRs for one or more MSDs increased to 3.90 (95% confidence interval, 2.20-6.90) among those with 10-year cardiovascular disease risk scores greater than 15% and 17.4 (95% confidence interval, 3.85-78.62) among those with more than 4 disorders.

Conclusions: Cardiovascular disease factors are strongly associated with the subsequent development of common MSDs. Risks among those with multiple MSDs are considerably stronger.

Download full-text PDF	Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10417266	PMC
http://dx.doi.org/10.1097/JOM.0000000000002895	DOI Listing

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