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Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: a population-based study in France.

Abstract

OBJECTIVES

The goals of this study were to document the prevalence of varicose veins, skin trophic changes, and venous symptoms in a sample of the general population of France, to document their main risk factors, and to assess relationships between them.

METHODS

This cross-sectional epidemiologic study was carried out in the general population of 4 locations in France: Tarentaise, Grenoble, Nyons, and Toulon. Random samples of 2000 subjects per location were interviewed by telephone, and a sub-sample of subjects completed medical interviews and underwent physical examination, and the presence of varicose veins, trophic changes, and venous symptoms was recorded.

RESULTS

Prevalence of varicose veins, skin trophic changes, and venous symptoms was not statistically different in the 4 locations. In contrast, sex-related differences were found: varicose veins were found in 50.5% of women versus 30.1% of men ( P < .001); trophic skin changes were found in 2.8% of women versus 5.4% of men ( P = NS), and venous symptoms were found in 51.3% of women 51.3% versus 20.4% of men ( P < .001). Main risk factors for varicose veins were age and family history in both sexes, and pregnancy in women. Female sex was a significant factor only for non-saphenous varicose veins. Varicose veins, age, and pitting edema were the most significant risk factors for trophic skin changes. The risk factors for venous symptoms were female sex, varicose veins, and prolonged sitting or standing. A negative relationship with age was found in women.

CONCLUSION

Our results show a high prevalence of chronic venous disorders of the lower limbs in the general population of France, with no significant geographic variations. They also provide interesting insights regarding the association of varicose veins, skin trophic changes, and venous symptoms.

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  • Authors+Show Affiliations

    ,

    University Research Center of La Léchère, Grenoble, France. patrick.carpentier@ujf-grenoble.fr

    , , ,

    Source

    Journal of vascular surgery 40:4 2004 Oct pg 650-9

    MeSH

    Adult
    Aged
    Chronic Disease
    Cross-Sectional Studies
    Female
    France
    Humans
    Lower Extremity
    Male
    Middle Aged
    Pregnancy
    Prevalence
    Risk Factors
    Varicose Veins
    Venous Insufficiency

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    15472591

    Citation

    Carpentier, Patrick H., et al. "Prevalence, Risk Factors, and Clinical Patterns of Chronic Venous Disorders of Lower Limbs: a Population-based Study in France." Journal of Vascular Surgery, vol. 40, no. 4, 2004, pp. 650-9.
    Carpentier PH, Maricq HR, Biro C, et al. Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: a population-based study in France. J Vasc Surg. 2004;40(4):650-9.
    Carpentier, P. H., Maricq, H. R., Biro, C., Ponçot-Makinen, C. O., & Franco, A. (2004). Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: a population-based study in France. Journal of Vascular Surgery, 40(4), pp. 650-9.
    Carpentier PH, et al. Prevalence, Risk Factors, and Clinical Patterns of Chronic Venous Disorders of Lower Limbs: a Population-based Study in France. J Vasc Surg. 2004;40(4):650-9. PubMed PMID: 15472591.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: a population-based study in France. AU - Carpentier,Patrick H, AU - Maricq,Hildegard R, AU - Biro,Christine, AU - Ponçot-Makinen,Claire O, AU - Franco,Alain, PY - 2004/10/9/pubmed PY - 2004/11/17/medline PY - 2004/10/9/entrez SP - 650 EP - 9 JF - Journal of vascular surgery JO - J. Vasc. Surg. VL - 40 IS - 4 N2 - OBJECTIVES: The goals of this study were to document the prevalence of varicose veins, skin trophic changes, and venous symptoms in a sample of the general population of France, to document their main risk factors, and to assess relationships between them. METHODS: This cross-sectional epidemiologic study was carried out in the general population of 4 locations in France: Tarentaise, Grenoble, Nyons, and Toulon. Random samples of 2000 subjects per location were interviewed by telephone, and a sub-sample of subjects completed medical interviews and underwent physical examination, and the presence of varicose veins, trophic changes, and venous symptoms was recorded. RESULTS: Prevalence of varicose veins, skin trophic changes, and venous symptoms was not statistically different in the 4 locations. In contrast, sex-related differences were found: varicose veins were found in 50.5% of women versus 30.1% of men ( P < .001); trophic skin changes were found in 2.8% of women versus 5.4% of men ( P = NS), and venous symptoms were found in 51.3% of women 51.3% versus 20.4% of men ( P < .001). Main risk factors for varicose veins were age and family history in both sexes, and pregnancy in women. Female sex was a significant factor only for non-saphenous varicose veins. Varicose veins, age, and pitting edema were the most significant risk factors for trophic skin changes. The risk factors for venous symptoms were female sex, varicose veins, and prolonged sitting or standing. A negative relationship with age was found in women. CONCLUSION: Our results show a high prevalence of chronic venous disorders of the lower limbs in the general population of France, with no significant geographic variations. They also provide interesting insights regarding the association of varicose veins, skin trophic changes, and venous symptoms. SN - 0741-5214 UR - https://www.unboundmedicine.com/medline/citation/15472591/Prevalence_risk_factors_and_clinical_patterns_of_chronic_venous_disorders_of_lower_limbs:_a_population_based_study_in_France_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0741521404009449 DB - PRIME DP - Unbound Medicine ER -