[Pregnancy as a risk factor in development of varicose veins in women].
OBJECTIVE
The purpose of this study was to analyse prevalence of so called classical risk factors for VV in patients with this entity.


METHODS
Study consisted of three parts. In the first part the prevalence of risk factors in 130 men and 360 women with VV was compared. In the second part the prevalence of risk factor in 360 women with VV and 162 without VV was compared. In the third part the prevalence of risk factors in pregnant women with and without VV was compared. The age of patients in all groups was comparable. The results were statistically analyzed.


RESULTS
There were no differences in prevalence of classical risk factors between men and women with VV. In non pregnant women positive family history (OR 2,27, p=0,018) and previous pregnancies (OR 2,05, p=0,046) were associated with presence of VV. Premenstrual aching of lower extremities and obesity were at the border of statistical significance, OR and p, 1,9 and 0,062 and 1,4 and 0,071, respectively. As many as 47% of pregnant women had VV. Positive family history (OR 2,27, p=0,018), previous pregnancies (OR 2,56, p=0,011) and premenstrual aching of lower extremities (OR 2,03, p=0,021) were associated with presence of VV. Remaining, so called classical risk factors such as oral contraceptive, working in a sitting or standing position or constipations were not associated with occurrence of VV.


CONCLUSIONS
In conclusion, positive family history and previous pregnancies seem to be principal risk factors for VV in women.
Krasiński
Zbigniew
Z
Klinika Chirurgii Ogólnej i Naczyń Akademii Medycznej w Poznaniu. zbigniew.krasinski@onet.pl
Sajdak
Stefan
S
Staniszewski
Ryszard
R
Dzieciuchowicz
Lukasz
L
Szpurek
Dariusz
D
Krasińska
Beata
B
Pawlaczyk
Katarzyna
K
Oszkinis
Grzegorz
G
Majewski
Wacław
W
D000328:Adult; D015897:Comorbidity; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D016017:Odds Ratio; D011044:Poland / Q000453:epidemiology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D014648:Varicose Veins / Q000175:diagnosis / Q000453:epidemiology*; D014689:Venous Insufficiency / Q000175:diagnosis / Q000453:epidemiology*; D016387:Women's Health