Hand Eczema and Use of Snus (Moist Snuff) – a Population-based Study

Wrangsjö, Karin; Alderling, Magnus; Lindahl, Gunborg; Meding, Birgitta

doi:10.2340/00015555-1901

Cited by 5 publications

(21 citation statements)

References 22 publications

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“…1.1-11.8). The overall pooled 1-year prevalence was 9.1% (95% CI: 8.4-9.8) based on data from 301 293 individuals in 24 studies 10,12,13,17,18,21,22,[29][30][31][32][33][34][35][36][37][38][39][40][41][42] (Figure 3), the clinically determined point prevalence was 4.0% (95% CI: 2.6-5.7), based on data from 33 070 individuals in 12 studies 22,24,[43][44][45][46][47][48][49][50][51][52] (Figure S1), and the self-reported point prevalence was 3.5% (95% CI: 2.8-4.3) based on data from 211 923 individuals in nine studies (Figure S2). 8,13,17,22,23,40,[52][53][54] Comparing adults and children, there was a tendency towards higher pooled prevalence estimates for adults, although this difference was only significant for the 1-year prevalence (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Prevalence, incidence, and severity of hand eczema in the general population – A systematic review and meta‐analysis

et al. 2021

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Accurate assessments of the burden of hand eczema (HE) in the general population are important for public awareness and intervention. The aim of this systematic review and meta-analysis was to provide updated estimates of prevalence and incidence, alongside additional epidemiological endpoints on HE in the general population.PubMed, Embase and Web of Science were searched for studies reporting the prevalence and/or incidence of HE in the general population. Proportion meta-analyses were performed to calculate pooled estimates of prevalence, incidence, severity, and the proportion of individuals with HE and a history of atopic dermatitis. Sixty-six studies were included in the quantitative analysis encompassing 568 100 individuals. The pooled estimates for lifetime, 1-year, and point prevalence were 14.5% (95% confidence interval [CI]: 12.6-16.5), 9.1% (95% CI: 8.4-9.8) and 4.0% (95% CI: 2.6-5.7), respectively. The pooled incidence rate of HE was 7.3 cases/1000 person-years (95% CI: 5.4-9.5). The occurrence of HE was 1.5-2 times higher in females than males. More than one third suffered from moderate/severe disease and around one third had a history of atopic dermatitis. HE was a recurrent, long-lasting disease with an average age at onset of the early-to mid-twenties. In conclusion; HE is a highly prevalent disease in the general population and carries a significant risk of long-term or chronic disease.

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Section: Resultsmentioning

confidence: 99%

Prevalence, incidence, and severity of hand eczema in the general population – A systematic review and meta‐analysis

et al. 2021

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“…A total of 55 studies (n = 40-65 261), 1,5,[31][32][33][34][35][36][37][38][39][40]23,[41][42][43][44][45][46][47][48][49][50]24,[51][52][53][54][55][56][57][58][59][60]25,[61][62][63][64][65][66][67][68][69][70]26,[71][72][73][74][75][27][28]…”

Section: Study Characteristicsunclassified

“…Study design included cohort (prospective (n = 13) 23,24,69,74,75,29,[36][37][38]51,52,56,58 and retrospective (n = 6) 27,44,55,57,61,62 ), case-control (n = 7), 1,25,39,46,53,64,71 and cross-sectional studies (n = 29). 5,26,[41][42][43]45,[47][48][49][50]54,59,28,60,63,[65][66][67][68]70,72,73,[30][31][32][33]…”

Section: Study Characteristicsmentioning

confidence: 99%

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Lifestyle factors and hand eczema: A systematic review and meta‐analysis of observational studies

et al. 2022

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Evidence regarding the association between lifestyle factors and hand eczema is limited.To extensively investigate the association between lifestyle factors (smoking, alcohol consumption, stress, physical activity, body mass index, diet, and sleep) and the prevalence, incidence, subtype, severity, and prognosis of hand eczema, a systematic review and meta-analysis were conducted in accordance with the Metaanalysis Of Observational Studies in Epidemiology consensus statement. MEDLINE, Embase, and Web of Science were searched up to October 2021. The (modified) Newcastle-Ottawa Scale was used to judge risk of bias. Quality of the evidence was rated using the Grades of Recommendation, Assessment, Development and Evaluation approach. Eligibility and quality were blindly assessed by two independent investigators; disagreements were resolved by a third investigator. Data were pooled using a random-effects model, and when insufficient for a meta-analysis, evidence was narratively summarized. Fifty-five studies were included. The meta-analysis (17 studies) found very low quality evidence that smoking is associated with a higher prevalence of hand eczema (odds ratio 1.18, 95% confidence interval 1.09-1.26).No convincing evidence of associations for the other lifestyle factors with hand eczema were found, mostly due to heterogeneity, conflicting results, and/or the limited number of studies per outcome.

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“…suggested that physical exercise was associated with a lower prevalence of hand eczema. [ 11 ] A Sweden study similarly reported that the prevalence of hand eczema was lower in individuals with high levels of physical exercise. [ 10 ] The physical exercise has been postulated to promote muscle fibers’ production of interleukin-6 (IL-6), which stimulates the production of anti-inflammatory cytokines, such as IL-1 receptor antagonist and IL-10, and inhibits the production of pro-inflammatory cytokines like tumor necrosis factor-α (TNF-α).…”

Section: Discussionmentioning

confidence: 99%

A relationship between physical activities and hand dermatitis: An epidemiology study of the USA population

Lai

Yew

2015

Indian J Dermatol

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Background:Hand dermatitis is a common, chronic relapsing skin disease, resulting from a variety of causes including endogenous predisposition and environmental exposures to irritants and allergens. Physical activities have been reported to be beneficial for patients with hand dermatitis.Objectives:We aim to evaluate the association between self-reported physical activities and hand dermatitis using the 2003-2004 National Health and Nutrition Examination Survey (NHANES) database.Methods:Information regarding 2,688 participants aged 20 to 59 years from the 2003-2004 NHANES cycle were retrieved and analyzed. Diagnosis of hand dermatitis was based on standardized photographs of the hands read by two dermatologists. Physical activity during leisure time for the prior 30 days was assessed using standardized questionnaire. Based on the suggested MET scores provided for each response in the questionnaire section of the NHANES methodology, the MET scores for average level of physical activities, walking/bicycling, and performing tasks around home/yard for the past 30 days was calculated.Results:There were 42 (1.56%) diagnosed cases of active hand dermatitis among the 2,688 participants. Those who reported recent vigorous or moderate physical activities were less likely to have a diagnosis of active hand dermatitis (OR: 0.436, 95% CI: 0.200 to 0.947, P = 0.036 and OR: 0.489, 95% CI: 0.261 to 0.916, P = 0.025, respectively). This negative association remained statistically significant even after adjusting for age, gender, ethnic groups and atopic diathesis.Conclusions:Moderate and vigorous levels of physical activities appeared to be beneficial for hand dermatitis. Therefore, it is important to advise patients with active hand dermatitis to remain physically active. However, clinicians should also be cognizant of the fact that the heat and sweat generated from physical activities might also exacerbate the condition.

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Hand Eczema and Use of Snus (Moist Snuff) – a Population-based Study

Cited by 5 publications

References 22 publications

Prevalence, incidence, and severity of hand eczema in the general population – A systematic review and meta‐analysis

Prevalence, incidence, and severity of hand eczema in the general population – A systematic review and meta‐analysis

Lifestyle factors and hand eczema: A systematic review and meta‐analysis of observational studies

A relationship between physical activities and hand dermatitis: An epidemiology study of the USA population

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