Association Between Cardiovascular Disease Risk Factors and Rotator Cuff Tendinopathy: A Cross-Sectional Study : Journal of Occupational and Environmental Medicine

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Association Between Cardiovascular Disease Risk Factors and Rotator Cuff Tendinopathy

A Cross-Sectional Study

Applegate, Kara Arnold BS; Thiese, Matthew S. PhD, MSPH; Merryweather, Andrew S. PhD; Kapellusch, Jay PhD; Drury, David L. MD, MPH; Wood, Eric MD, MPH; Kendall, Richard DO; Foster, James MD, MPH; Garg, Arun PhD; Hegmann, Kurt T. MD, MPH

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Journal of Occupational and Environmental Medicine 59(2):p 154-160, February 2017. | DOI: 10.1097/JOM.0000000000000929

Abstract

Objective: 

Recent evidence has found potential associations between cardiovascular disease (CVD) risk factors and common musculoskeletal disorders. We evaluated possible associations between risk factors and both glenohumeral joint pain and rotator cuff tendinopathy.

Methods: 

Data from WISTAH hand study participants (n = 1226) were assessed for associations between Framingham Heart Study CVD risk factors and both health outcomes.

Results: 

A strong association was observed between CVD risk scores and both glenohumeral joint pain and rotator cuff tendinopathy. Peak odds ratios (ORs) of the adjusted models were 4.55 [95% confidence interval (95% CI) 1.97 to 10.31] and 5.97 (95% CI 2.12 to 16.83), respectively. The results show a dose–response trend of increasing risk.

Conclusions: 

Individual risk factors were associated with both outcomes. Combined, CVD risk factors demonstrated a strong correlation with glenohumeral joint pain and an even stronger correlation with rotator cuff tendinopathy. Results suggest a potentially modifiable disease mechanism.

Copyright © 2017 by the American College of Occupational and Environmental Medicine

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