The Relationship Between Waist Circumference, Wrist Circumference, and Body Mass Index in Carpal Tunnel Syndrome

Abstract

Objective: Although waist circumference and body mass index have been reported to be risk factors in several diseases, there are few avalaible data on the relationship between waist circumference and carpal tunnel syndrome. We aimed to evaluate the relationship between waist and wrist circumferences, and body mass index in patients with carpal tunnel syndrome.

Materials and Methods: One hundred consecutive patients with carpal tunnel syndrome and 100 healthy volunteers were included in this study. Neurological examination and nerve conduction were performed. The patients and controls were compared in terms of age, sex, body mass index, wrist circumference, and waist circumference.

Results: The means of the waist and wrist circumferences and body mass index were significantly higher in patients than in controls (p=0,0001). There were statistically significant correlations between carpal tunnel syndrome and body mass index as well as waist and wrist circumferences of the patients (r=0.285, p<0.001; r=0.213, p=0.002; r=0.182, p=0.010 respectively). Morever, there were statistically significant differences in the wrist and waist circumferences between controls and patients with moderate to severe carpal tunnel syndrome group (p<0,05).

Conclusion: Our study showed significant relationship between carpal tunnel syndrome and the wrist and waist circumferences of patients. Thus, the roles of visceral and total body fat in carpal tunnel syndrome should be considered in future studies. Measuring waist and wrist circumference is a simple and inexpensive method that can be used in studies on carpal tunnel syndrome in addition to body mass index.

Key Words: Carpal Tunnel Syndrome; Body Mass Index; Wrist Circumference; Waist Circumference; Age.

Keywords

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Journal of Turgut Ozal Medical Center

Abstract

Giriş: Vücut kitle indeksi ve bel çevresi, çeşitli hastalıklarda risk faktörü olarak daha önce bildirilmiş olmasına rağmen, bel çevresiyle karpal tünel sendromu arasında bir ilişkiye dair çok az sayıda çalışma vardır. Bu çalışmada karpal tünel sendromlu hastalarda, bilek ve bel çevresiyle, vücut kitle indeksi arasındaki ilişkileri değerlendirmeyi amaçladık. Gereç ve Yöntemler: 100 karpal tünel sendromulu ardışık hasta ve 100 sağlıklı gönüllü birey çalışmaya dahil edildi. Nörolojik muayene ve sinir iletim çalışmaları yapıldı. Karpal tünel sendromulu hasta ve kontroller yaş, cinsiyet, vücut kitle indeksi, bilek ve bel çevresi yönünden karşılaştırıldı. Bulgular: Ortalama bel çevresi, ortalama bilek çevresi ve vücut kitle indeksi, karpal tünel sendromulu hastalarda kontrol grubuna göre anlamlı yüksekti (p=0.0001). Karpal tünel sendromu, vücut kitle indeksi ve bilek ve bel çevreleri arasında istatistiksel olarak anlamlı korelasyon mevcuttu (r=0.285, p

Keywords

• Karpal Tünel Sendromu, Vücut Kitle İndeksi, Bilek Çevresi, Bel Çevresi, Yaş

References

1. Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R, Panosso JS, et al. An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 2002;9:1429-34.
2. Radecki PA. A gender specific wrist ratio and likelihood of a median nevre abnormality at the carpal tunnel. Am J Phys Med Rehabil. 1994;73:157-62.
3. 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.
4. Bleecker ML, Bohlman M, Moreland R, Tipton A. Carpal tunnel syndrome: role of carpal canal size. Neurology 1985;35:1599–604.
5. Kouyoumdjian JA, Morita MD, Rocha PR, Miranda RC, Gouveia GM. Body mass index and carpal tunnel syndrome. Arq Neuropsiquiatr 2000;58(2A):252-6.
6. Boz C, Ozmenoglu M, Altunayoglu V, Velioglu S, Alioglu Z. Individual risk factors for carpal tunnel syndrome: an evaluation of body mass index, wrist index and hand anthropometric measurements. Clin Neurol Neurosurg 2004;106:294-9.
7. Moghtaderi A, Izadi S, Sharafadinzadeh N. An evaluation of gender, body mass index, wrist circumference and wrist ratio as independent risk factors for carpal tunnel syndrome. Acta Neurol Scand 2005;112:375-9.
8. Mogk JPM, Keir PJ. Wrist and carpal tunnel size and shape measurements: Effects of posture. Clinical biomechanics 2008;23:1112-20.

9. Tanaka S, Wild DK, Cameron LL, Freund E. Association of occupational and non-occupational risk factors with the prevalence of self-reported carpal tunnel syndrome in a national survey of the working population. Am J Ind Med 1997;32 550–6.
10. Lam N, Thurston A. Association of obesity, gender, age and occupation with carpal tunnel syndrome. Aust N Z J Surg 1998;68:190–3.
11. Uchiyama S, Itsubo T, Yasutomi T, Nakagawa H, Kamimura M, Kato H. Quantitative MRI of the wrist and nevre conduction studies in patients with idiopathic carpal tunnel syndrome. J Neurol Neurosurg Psychiat 2005; 76: 1103-08.
12. National Institutes of Health, Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults-the evidence report. Obes Res 6 1998;6 (Suppl. 2): 51S–209S.
13. 13.Ryan MC, Farin HMF, Abbasi F, Reaven GM. Comparison of Waist Circumference Versus Body Mass Index in Diagnosing Metabolic Syndrome and Identifying Apparently Healthy Subjects at Increased Risk of Cardiovascular Disease. Am J Cardiol 2008;102:40-6.
14. Christian AH, Mochari H, Lori J. Mosca LJ. Waist Circumference, Body Mass Index, and Their Association With Cardiometabolic and Global Risk. J Cardiometab Syndr 2009;4:12–9.
15. Wang YF, Rimm EB, Stampfer MJ, Willett WC, Hu FB. Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr 2005;81:555-63.
16. Snijder MB, Zimmet PZ, Visser M, Dekker JM, Seidel JC, Shaw JE. Independent and opposite associations of waist and hip circumference with diabetes, hypertension and dyslipidemia. The AusDiab Study Int J Obes 2004;28:402-9.
17. Megnien JL, Denarie N, Cocaul M, Simon A, Levenson J. Predictive value of waist to hip ratio on cardiovascular risk events. Int J Obes 1999;23:90-7.
18. Chen L, Peeters A, Magliano DJ. Anthropometric measures and absolute cardiovascular estimates in Australian Diabetes, Obesity and Lyfestyle (AusDiab) Study. Eur J. Cardiovasc Prev Rehab 2007;14:740-5.
19. WHO. Physical status: The use and interpretation of anthropometry. Report of a WHO Expert Committee. 1995;854:1-453. Geneva, WHO. WHO Technical Report Series. Ref Type: Report.
20. American Academy of Neurology, American Association of Electrodiagnostic Medicine, American Academy of Physical Medicine and Rehabilitation: Practice parameter for electrodiagnostic studies in carpal tunnel syndrome (summary statement). Neurology 1993;43:2404–05.
21. Oh S. Anatomical guide for common nerve conduction studies. In: Oh Shin MD, ed. Clinical Electromyography: Nerve Conduction Studies. Baltimore: Park Press, 1984:65-85.
22. Mondelli M, Reale F, Sicurelli F, Padua L: Relationship between the self-administered Boston questionnaire and electrophysiological findings in follow-up of surgically-treated carpal tunnel syndrome. J Hand Surg (Br) 2000;25:128–34.
23. Mondelli M, Passero S, Giannini F: Provocative tests in different stages of carpal tunnel syndrome. Clin Neurol Neurosurg 2001;103:178–83.
24. Giannini F, Cioni R, Mondelli M, Padua R, Gregori B, D’Amico P, et al. A new clinical scale of carpal tunnel syndrome: validation of the measurement and clinical-neurophysiological assessment. Clin Neurophysiol 2002;113:71–77.
25. Balci K, Utku U. Carpal tunnel syndrome and metabolic syndrome. Acta Neurol Scand 2007; 116: 113–7.
26. Aroori S, Spence RAJ. Carpal tunnel syndrome. Ulster Med J 2008;77:6-17.
27. Kraemer-Aguiar L, Maranhao PA, Cyrino FZGA, Bouskela E. Waist circumfrence leads to prolonged microvascular hyperemia response in young overweight/obese women. Microvasc Res 2010;80:427-32.
28. Kraemer-Aguiar L, Maranhao PA, Sicuro FL, Bouskela E. Microvascular dysfunction: a direct link among BMI, waist circumference and glucose homeostasis in young overweight/obese normoglycemic women? Int J Obes (Lond) 2010;34:117-7.
29. Komurcu HF, Kilic S, Anlar O. Relationship of age, body mass index, wrist and waist circumferences to carpal tunnel syndrome severity. Neurol Med Chir (Tokyo) 2014;54:395-400.
30. Mondelli M, Aretini A, Ginanneschi F, Greco G, Mattioli S. Waist circumference and waist-to-hip ratio in carpal tunnel syndrome: acase-control study. J Neurol Sci. 2014;338(1-2):207-13.
31. Plastino M, Fava A, Carmela C, De Bartolo M, Ermio C, Cristiano D, et al. Insulin resistance increases risk of carpal tunnel syndrome: a case-control study. J Peripher Nerv Syst. 2011;16:186-90.