Evidence map›Paper›PMID 28401298›Full record

ArticleInternational archives of occupational and environmental health2017

Neurovascular hand symptoms in relation to cold exposure in northern Sweden: a population-based study.

Albin Stjernbrandt, Bodil Björ, Martin Andersson, Lage Burström, Ingrid Liljelind, Tohr Nilsson, Ronnie Lundström, Jens Wahlström

Open access · hybridAbstract read
In one paragraph

Article in International archives of occupational and environmental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. A prospective study on local cold injuries in northern Sweden.International journal of circumpolar health · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The impact of Raynaud's phenomenon on work ability - a longitudinal study.Journal of occupational medicine and toxicology (London, England) · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Manifestations of cold sensitivity - a case series.International journal of circumpolar health · 2020
    Article
  17. Article
  18. Article
  19. Cold sensitivity and associated factors: a nested case-control study performed in Northern Sweden.International archives of occupational and environmental health · 2018
    Article
  20. Thermal perception thresholds among workers in a cold climate.International archives of occupational and environmental health · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Albin StjernbrandtDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden. albin.stjernbrandt@umu.se.ORCID http://orcid.org/0000-0001-6082-8465
Bodil BjörDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Martin AnderssonDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Lage BurströmDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Ingrid LiljelindDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Tohr NilssonDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Ronnie LundströmDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Jens WahlströmDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Umeå University · SEUniversity Hospital of Umeå · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the self-reported ambient cold exposure in northern Sweden and to relate the level of cumulative cold exposure to the occurrence of sensory and vascular hand symptoms. We hypothesize that cold exposure is positively related to reporting such symptoms.

methodsA questionnaire about cold exposure and related symptoms was sent out to 35,144 subjects aged 18-70 years and living in northern Sweden.

resultsA total of 12,627 out of 35,144 subjects returned the questionnaire (response rate 35.9%). Subjects living in the rural alpine areas reported more extensive cold exposure both during work and leisure time compared to the urbanized coastal regions. Frostbite in the hands was present in 11.4% of men and 7.1% of women, cold sensitivity was present in 9.7 and 14.4%, and Raynaud's phenomenon was present in 11.0% of men and 14.0% of women. There was a positive association between cumulative cold exposure and neurovascular hand symptoms.

conclusionThe present study demonstrates that the cold environment in northern Sweden might be an underestimated health risk. Our hypothesis that cold exposure is positively related to reporting of neurovascular hand symptoms was supported by our findings. In addition, such symptoms were common not only in conjunction with an overt cold injury. Our results warrant further study on pathophysiological mechanisms and suggest the need for confirmatory prevalence studies to support national public health planning.

Indexed as

HandLeisure ActivitiesAdolescentAdultAgedAge DistributionArctic RegionsCold ClimateCold InjuryComorbidityEnvironmental ExposureFemaleFrostbiteHealth StatusHumansMaleCold exposureCold sensitivityFrostbiteHandRaynaud’s phenomenonSweden

Identifiers

PMID28401298
PMCPMC5583276
OpenAlexW2606381287

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.