Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy Individuals

Background. Elastic compression stockings (ECS) are effective in preventing and reducing occupational edema (OE), but the optimal pressure according to the prevalent working position during the day is still controversial. Objective. To compare the effectiveness of ECS with different pressures (15–20...

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Main Authors: Cleusa Ema Quilici Belczak, José Maria Pereira de Godoy, Amélia Cristina Seidel, Sergio Belczak, Rubiana Neves Ramos, Roberto Augusto Caffaro
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2018/2053985
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author Cleusa Ema Quilici Belczak
José Maria Pereira de Godoy
Amélia Cristina Seidel
Sergio Belczak
Rubiana Neves Ramos
Roberto Augusto Caffaro
author_facet Cleusa Ema Quilici Belczak
José Maria Pereira de Godoy
Amélia Cristina Seidel
Sergio Belczak
Rubiana Neves Ramos
Roberto Augusto Caffaro
author_sort Cleusa Ema Quilici Belczak
collection DOAJ
description Background. Elastic compression stockings (ECS) are effective in preventing and reducing occupational edema (OE), but the optimal pressure according to the prevalent working position during the day is still controversial. Objective. To compare the effectiveness of ECS with different pressures (15–20 mmHg or 20–30 mmHg) for reducing OE in individuals working in different prolonged postures. Methods. This cross-sectional study comprised 116 lower limbs of 58 individuals divided into three groups according to their prevalent postures over the day (sitting, standing, or combination). Volumetric measurements were taken at the beginning and at the end of three consecutive days. On the first day, individuals did not use compression stockings; on the second and third days, they used, respectively, 15–20 mmHg and 20–30 mmHg knee-length stockings. Differences between morning and evening volumes (measured edema) were calculated, compared, and correlated. Results. Volumetric variations were significantly lower on the second compared to the first day when individuals in all three groups used 15–20 mmHg compression stockings (p-value < 0.001). Measurements were even lower when they used 20–30 mmHg stockings: this decrease was more significant for the sitting (p-value < 0.001) than the standing (p-value < 0.05) and combined groups (p-value < 0.05). Reduction of measured edema was more significant in individuals working in a prolonged seated position. No significant difference was found only on comparing sitting and standing groups after the use of the 15–20 mmHg compression stockings. Conclusions. The use of ECS over a working day reduces OE in prolonged sitting, standing, and combined positions, with the reductions being greater with the higher pressure.
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spelling doaj-art-017432aed23440b89e679473985df2f52025-02-03T06:06:41ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322018-01-01201810.1155/2018/20539852053985Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy IndividualsCleusa Ema Quilici Belczak0José Maria Pereira de Godoy1Amélia Cristina Seidel2Sergio Belczak3Rubiana Neves Ramos4Roberto Augusto Caffaro5João Belczak Vascular Center, Maringá, PR, BrazilDepartment of Cardiology and Cardiovascular Surgery, Medicine School of São José do Rio Preto and Research CNPq (National Council for Research and Development ), SP, Brazil, BrazilMedicine Course of Maringá State University, Maringá, PR, BrazilMedicine Course of São Camilo University Center, São Paulo, SP, BrazilMedicine Course of UNICESUMAR, Maringá, PR, BrazilDivision of Vascular Surgery, Department of Surgery, Medicine School of the Santa Casa de Misericórdia de São Paulo, SP, BrazilBackground. Elastic compression stockings (ECS) are effective in preventing and reducing occupational edema (OE), but the optimal pressure according to the prevalent working position during the day is still controversial. Objective. To compare the effectiveness of ECS with different pressures (15–20 mmHg or 20–30 mmHg) for reducing OE in individuals working in different prolonged postures. Methods. This cross-sectional study comprised 116 lower limbs of 58 individuals divided into three groups according to their prevalent postures over the day (sitting, standing, or combination). Volumetric measurements were taken at the beginning and at the end of three consecutive days. On the first day, individuals did not use compression stockings; on the second and third days, they used, respectively, 15–20 mmHg and 20–30 mmHg knee-length stockings. Differences between morning and evening volumes (measured edema) were calculated, compared, and correlated. Results. Volumetric variations were significantly lower on the second compared to the first day when individuals in all three groups used 15–20 mmHg compression stockings (p-value < 0.001). Measurements were even lower when they used 20–30 mmHg stockings: this decrease was more significant for the sitting (p-value < 0.001) than the standing (p-value < 0.05) and combined groups (p-value < 0.05). Reduction of measured edema was more significant in individuals working in a prolonged seated position. No significant difference was found only on comparing sitting and standing groups after the use of the 15–20 mmHg compression stockings. Conclusions. The use of ECS over a working day reduces OE in prolonged sitting, standing, and combined positions, with the reductions being greater with the higher pressure.http://dx.doi.org/10.1155/2018/2053985
spellingShingle Cleusa Ema Quilici Belczak
José Maria Pereira de Godoy
Amélia Cristina Seidel
Sergio Belczak
Rubiana Neves Ramos
Roberto Augusto Caffaro
Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy Individuals
International Journal of Vascular Medicine
title Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy Individuals
title_full Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy Individuals
title_fullStr Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy Individuals
title_full_unstemmed Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy Individuals
title_short Comparison of 15–20 mmHg versus 20–30 mmHg Compression Stockings in Reducing Occupational Oedema in Standing and Seated Healthy Individuals
title_sort comparison of 15 20 mmhg versus 20 30 mmhg compression stockings in reducing occupational oedema in standing and seated healthy individuals
url http://dx.doi.org/10.1155/2018/2053985
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